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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February, 21, 2020 <br />Name David Relos Department DCI <br />BPW Date March 10 2020 Phone Extension 5836 <br />ice. w � e ro � a,u�wana�arraaa�a,��crRrm®aur�am��wzardn�r�rm�mmrca�vmwmmuar�rmm�®tea w,�aaamt�m�mmo�u�mimummre�wwi��uu�rew.wmmarmuaow��wwwwiwiomiw�m;wr�es�rcntiurrrsu�reua��u.�mue�i��.m��.nar�ra;�rr�rmmmw�um�mmmurr�unwrcmwrcamw.w.w.w.au�: <br />.�............. ubmrttal to Board Review and Approval Required Pnor to Smmmmm�mm ITIT _ m mmmm <br />Diversity Compliance ❑ Officer Name Michael Patton <br />and Inclusion Officer <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Sandra Kenned <br />Purchasing ❑ <br />.... <br />Check the ApI opr Late Item T .I� .:ww.. Requ <br />:.� ... .... .... <br />bil All Submissions <br />❑ Professional Services Agreement ❑ Contract F Proposal <br />Open Market Contract Amendment/Addendum ❑ Special Purchase, QPA <br />E Bid Opening ❑ Bid Award ❑ Req. to Advertise <br />❑, Quote Opening Quote Award Reject Bids/Quotes <br />Proposal Opening C/O & PCA No. ❑ PCA <br />❑ Chg. Order, No. F-j Traffic Control ❑ Resolution <br />Other. Ease./Encroach <br />Required Information <br />❑ Title Sheel <br />Company or Vendor Name <br />Danch Harper & Associates <br />❑ Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached ❑ Nos <br />MBE <br />Project Name <br />Project Number <br />Funding Source <br />EDIT <br />Account No. <br />408-1050-460-31.06 <br />Amount <br />$4 1..m.____.....................�............................................................................................................................................................................................................................................................................................., <br />90 <br />Terms of Contract <br />One lot to a three lot minor subdivision. <br />Purpose/Description <br />Redevelopment purposes, <br />... ......... ...�..�... <br />.......Amount <br />For `h,an c Orders � 1I! `.. <br />�., v._v..�w.w .� � �_.. ... .�..... <br />of <br />Increase $_ .)........................ <br />❑� <br />Decrease �$ <br />Previous Amount <br />--------------------- <br />$ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Conitiletion Datc: <br />Increase <br />% <br />Decrease <br />( % <br />Increase <br />%�� <br />.................................................... <br />Decrease <br />( % <br />