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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />DateAugust 6, 2020 <br />Department <br />Name Aladean DeRose Legal <br />BPW Date August 11, 2020 Phone Extension Ext. <br /> <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Aladean DeRose <br /> <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br />Professional Services AgreementContractProposal <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 OpeningC/O & PCA No. PCA <br />Chg. Order, No. Traffic Control Resolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name MEDPRO Properties <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 />Project NameNA <br />Project Number NA <br />Funding Source NA <br />Account No. NA <br />Amount NA <br />Terms of ContractNA <br />Purpose/DescriptionFirst Amendment to Lease Agreement between the South Bend Human Rights <br />Commission and MEDPRO Properties. Original lease approved in 2018 <br />pursuant to Resolution No. 37-18. Request made by County property tax <br />assessor to explicitly incl. lang. noting City’s $0 property tax liability <br />exemption status. Because City is tax exempt and is not required to file any <br />document to obtain that exemption, the change to the lease does not involve <br />any change of a material term or condition. Board notice versus approval <br />needed. <br />For Change Orders Only <br />$ <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 />Increase % <br />Total Percent of Change: <br />