Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 2 2020 <br />Name Michael Divit; Department DCI <br />BPW Date March 10 2020 Phone Extension 5843 <br />Review and Aparcvl Required Prior to Submittal to Board <br />Diversity Compliance r-1 Officer Name NA <br />and Inclusion Officer — <br />BPW Attorney Attorney Name <br />Dept. Attorney �I, Attorney Name Sandra Kenned <br />Purchasing <br />u <br />Check the Appropriate Item Type; — <br />Professional Services Agreement Contract <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />R Bid Opening <br />❑ Bid Award <br />R Quote Opening <br />E] Quote Award <br />Proposal Opening <br />0 C/O & PCA No. <br />E] Chg. Order, No. <br />E] Traffic Control <br />El Other: <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 />Amount of <br />Previous Amount <br />Information <br />All Submissions <br />L J Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />❑] PCA <br />[:] Resolution <br />El Ease./Encroach <br />❑ Title Sheei <br />Jennifer L. Settle, LLC <br />�...._.��.....--Yes.�..�.....................�-......r..... ___.....�._� ��..�...................�_..�.............. <br />�] If YesApproved by Purchasing <br />® No <br />MBE Completed E-Verify Form Attached ❑ No <br />WBE <br />Zoning Ordinance: 2020 Amendments <br />DCI Admin <br />211-1001-460.31-06 <br />$5,000 <br />vela _1!pnt of ainet clrt eats to South Bend ratt�in ordinance ce to im Li <br />yc <br />usabilitv <br />l Increase <br />�] Decrease <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />s <br />El <br />Increase <br />% <br />Decrease <br />( %) <br />Increase <br />/o <br />Decrease <br />( %) <br />