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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/07/2020 <br />Name Andrew Netter Department DCI <br />BPW Date 07/14/2020 Phone Extension 5931 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer ❑ Officer Name <br />BPW Attorney ❑ Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name Sandra Kennedy <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re uired or 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 />n Other: n Ease./Encroach <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 />Information <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />E] MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes <br />❑ <br />733 E. Indiana Proberty Disbosition <br />Purpose/Description Request to advertise the sale of Civil City property at 733 E. Indiana Ave., <br />South Bend, IN 46613 for a minimum bid of $750 <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ BOARD or PIA11,I1'worz6s <br />Previous Amount $� <br />Increase 0.3>010,P id.,[ - - 11' — JD-,N1„bn, <br />Current Percent of Change: Decrease -r� �-'4 1 il� <br />New Amount $ Efi,AohA kl adik XJ—b�, — J.M cAns M-bw <br />Increase �"-r z_ AlJEST <br />Total Percent of Change: Decrease c'f,x,,,, <br />7 phR yloJna� Ytembe� — — <br />• Linda \1. M—m, Clerk <br />Time Extension Amount: <br />New Combletion Date: <br />