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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date — 10.09.2020 <br />Department <br />Name Pam I%Iever DCI <br />BPW Date 10.27.2020 Phone Extension --5845 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />❑ <br />Officer Name — <br />and Inclusion Officer <br />❑ <br />BPW Attorney <br />® <br />Attorney Name Clara McDaniels <br />Dept. Attorney <br />❑ <br />Attorney Name —--Sandra Kennedy <br />Purchasing <br />❑ <br />Check the Appropriate <br />Item Type — Required for All Submissions <br />❑ Professional Services Agreement <br />❑ Contract ❑ Proposal <br />❑ Open Market Contract <br />❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheei <br />❑ Quote Opening <br />❑ Quote Award ❑ Reject Bids/Quotes <br />❑ Proposal Opening <br />❑ C/O & PCA No. ❑ PCA <br />❑ Chg. Order, No. <br />❑ Traffic Control ❑ Resolution <br />f 0 Other: -Access <br />❑ Ease./Encroach <br />A reement <br />Required Information <br />Company or Vendor Name <br />Rescue Inc. c1/b/a/ Hope Ministries Inc:. <br />❑❑ Y If Yes, Approved by Purchasing <br />New Vendor <br />N❑ <br />❑ <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached <br />❑ Nos <br />f Project Name <br />_Building <br />Access for Weather Amnesty <br />Project Number <br />Funding Source <br />N/A <br />Account No. <br />N/A <br />Amount <br />N/A <br />Terms of Contract <br />_October 8, 2020-April 30, 2021 <br />Purpose/Description <br />To allow access to 510 S. Main Street to conduct weather amnesty <br />services-- <br />[_ For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease ( %) <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease %) <br />