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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/26/2020 <br />Department ..... ...............__............ <br />Name ._.... ,,,,.___.Pant Meer DCI <br />BPW Date March 10 Phone Extension 5845 <br />�_....._ <br />�uwM �w�o!�Nomomum�mmrmomomomomom � �^r�vnnanammueu�wnmuwimuwimuwimuwimuwmmuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuunmrrtrcmmrervmmm�i r�r�wwwuw!�,ur�wmmmwwimmmmmummmuioimmomommmmmmmmmumomr <br />Diversity Compliance <br />and Inclusion Officer <br />Review and <br />Prior to Submittal to B <br />Officer Name Michael Patton/Aladean DeRose <br />BPW Attorney El Attorney Name _ Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />1 <br />R <br />Attorney Name Sandra Kennedy <br />_ Check the Appropriate Item sae_ Jt,i`r^ All Submissions <br />Professional Services Agreement Contract Proposal _ <br />Open Market Contract F]D Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening Bid Award [:] Req. to Advertise ❑ Title Sheei <br />❑ Quote Opening R Quote Award E] Reject Bids/Quotes <br />Proposal Opening ❑ C/O & PCA No. [ PCA <br />[❑ Chg. Order, No. Traffic Control Resolution <br />[JOther: E] Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />etl Information <br />Association o f„Southµ Bend, _Inc.. <br />LJ Yes H If Yes, Approved by Purchasing <br />❑ No <br />„Rev__ises approved agreement to add language„ z elated_to Inclusive <br />Procurement and <br />ra Contctin <br />--- ...__._--__g_............................. .....m.. _ <br />Fore, Urders t ' . <br />❑ Increase <br />Amount of aaaaa..m � .. ... �.�.��.._—. �. ��. .......... ___ <br />❑ Decrease ($ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Increase <br />% <br />Decrease <br />/o <br />Increase <br />/o <br />Decrease <br />( % <br />