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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />---10.09.2020 <br />Department ===: <br />--Pam Mever DCI <br />BPW Date ---10.27.2020 Phone Extension --5845 <br />Review and A uired Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer □ g Officer Name <br />BPW Attorney Attorney Name --Clara McDaniels <br />Dept. Attorney lSl g Attorney Name ----Sandra Kennedy <br />Purchasing □ <br />D Professional Services Agreement D Contract D Open Market Contract D Amendment/ Addendum <br />0 Bid Opening O Bid AwardD Quote Opening D Quote Award D Proposal Opening D C/0 & PCA No. __ D Chg. Order, No. __ D Traffic Control lSl Other: �--Access <br />Agreement <br />Required Information <br />D Proposal D Special Purchase, QP A D Req. to Advertise <br />D Reject Bids/Quotes <br />OPCA D Resolution D Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />Rescue Inc. d/b/a/ HQpe Ministrie · Inc. <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />D YesD If Yes, Approved by Purchasing <br />�gNo <br />OMBE0 WBE Completed E-Verify Form Attached <br />Buildiqg Access for Weather Amne ty <br />NIA NIA NIA <br />October 8, 2020-April 30, 2021 <br />D Title Shee1 <br />OYes □No <br />Terms of Contract <br />Purpose/Description To allow acces to 510 S. Main Street to conduct weather amne <br />services------------------------ <br />Amount of <br />Previous Amount <br />□ □ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />For Ch&nge Orders Only <br />Increase <br />Decrease <br />$ <br />$ <br />$ <br />Increase <br />Decrease <br />$ <br />Increase <br />Decrease <br />% <br />%) <br />% <br />%)