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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/17/2020 <br />Name or � �Timmer Department DCI <br />.....w� 1,.�.r� <br />BPW Date 3/24/2020 Phone Extension 5841 <br />Review andRe fret Prior to Submittal to Board <br />Diversity Compliance ® Officer Name Michael Patton <br />and Inclusion Officer <br />m.�.._ BPW At.... .... ............. <br />torney Attorney Name Clara McDanie�� <br />is <br />Dept. Attorney <br />Purchasing <br />Check the <br />Attorney Name <br />Michael Schmidt <br />ropriate Item Tyne — <br />Sandra Kennedy <br />❑ Professional Services Agreement ❑ Contract <br />❑ Open Market Contract ® Amendment/Addendum <br />❑ Bid Opening ❑ Bid Award <br />E] Quote Opening <br />❑ Proposal Opening <br />F1 Chg. Order, No. _ <br />7 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 />br All Submissions <br />Proposal <br />Special Purchase, QPA <br />F] Req. to Advertise ❑ Title <br />Sheet <br />0 Quote Award Reject Bids/Quotes <br />F] C/O & PCA No. ❑ PCA <br />[� Traffic Control Resolution <br />Ease./Encroach <br />JR Information <br />cr w��r'd In. �... <br />Department of Community —Investment <br />Y If YesApproved by Pu <br />rchasing — <br />No <br />MBE Completed E-Verify Form Attached Yes <br />❑ No <br />WBE <br />Home Improvement Program_...eeem ............................. .e...� <br />South H <br />.�....Bend ,,..... . _. �..Ae................................_� <br />17-JC-05 <br />Y — <br />Communit Develo ment Block Grant (CDBG) <br />212.1001.460.39.30 <br />$150 000 (no chan e in contract amount <br />.......� �.. _._._ m —.. <br />1/01/2017 — 12/31/2020 extend term by 12 months) <br />Provide major home repairs for low -moderate income homeowners <br />"....__....._ .............—..._ _.. _.... _ .......�... _ <br />vFor �'"��an c Orders n _ . �y <br />._..... — ....�y I <br />Amount of ❑ Increase $ <br />❑ Decrease ($ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ............... <br />Increase % <br />Total Percent of Change Decrease % <br />........... <br />Time Extension Amount: <br />New Completion Date: <br />