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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date August 6, 2020 <br />Name Aladean DeRose Department Legal <br />BPW Date August 11, 2020 Phone Extension Ext. <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />❑ <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney <br />® <br />Attorney Name <br />Clara McDaniels <br />Dept. Attorney <br />® <br />Attorney Name <br />Aladean DeRose <br />Purchasing <br />❑ <br />Check the Appropriate <br />Item Type <br />— Re uired or All Submissions <br />❑ Professional Services Agreement <br />❑ Contract <br />❑ Proposal <br />❑ Open Market Contract <br />® Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Reject Bids/Quotes <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />❑ PCA <br />❑ Chg. Order, No. <br />❑ Traffic Control <br />❑ Resolution <br />❑ Other: <br />❑ Ease./Encroach <br />Required Information <br />Company or Vendor Name <br />MEDPRO Properties <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE Yes <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />❑ ❑ No <br />Project Name <br />NA <br />Project Number <br />NA <br />Funding Source <br />NA <br />Account No. <br />NA <br />Amount <br />NA <br />Terms of Contract <br />NA <br />Purpose/Description <br />First Amendment to Lease Agreement between the South Bend Human Right; <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 />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase % <br />Current Percent of Change: <br />Decrease ( %) <br />New Amount <br />$ <br />Total Percent of Change: <br />Increase % <br />