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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: May 20, 2020 <br />Department of Public Works –Engineering Division <br />Name: Kara Boyles <br />BPW Date: May 26, 2020Phone Extension: 5933 <br /> <br />Required Prior to Submittal to Board <br />Attorney Name: <br />BPW Attorney X <br />Clara McDaniels <br />Dept. AttorneyAttorney Name <br /> <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br /> Professional Services Agreement Contract Proposal <br /> Open Market Contract Amendment/Addendum Special Purchase, QPA <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award Reject Bids/Quotes <br /> Proposal Opening C/O & PCA No. PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: License Agreement Ease./Encroach <br />Required Information <br />Company or Vendor NameUniversity of Notre Dame <br /> Yes If Yes, Approved by Purchasing <br />New Vendor <br /> No <br /> MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br /> WBE No <br />CCTV at Three(3)City-Owned Signalized Intersections for 2020 <br />Project Name Presidential Debate <br />Project Number n/a <br />Funding Sourcen/a <br />Account No. n/a <br />Amountn/a <br />Terms of ContractSee agreement <br />Granting a license to Notre Dame for the installation, operation and maintenance of <br />Purpose/Description <br />three (3) CCTV equipment systems at Angela and Notre Dame Ave.; Angela and <br />Eddy Street; and Angela and Leahy Dr. <br />For Change Orders Only <br />$ <br /> Increase <br />Amount of <br />Decrease ($ ) <br />Previous Amount $ <br /> % <br />Increase <br />Decrease ( %) <br />Current Percent of Change: <br /> <br />New Amount$ <br /> % <br />Increase <br />Decrease ( %) <br />Total Percent of Change: <br /> <br />Time ExtensionAmount: <br />New Completion Date: <br /> <br />