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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/18/20 <br />Name Christine Villaire Department HR <br />BPW Date 12/8/20 Phone Extension 9957 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ Officer Name Michael Patton <br />and Inclusion Officer <br />BPW Attorney <br />❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Clara McDaniels <br />Danielle Weiss <br />Purchasing ❑ Michael Schmidt <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 />Purpose/Description <br />Information <br />Teamster Local Union No. 364 <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />® No <br />E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />N/A <br />N/A <br />N/A <br />N/A <br />Teamster CBA <br />Agreement to extend the current terms of the Teamster Master Agreement <br />through 12/31 /21. Increases Union employee base rate by 1 %. <br />For Change Orders Only 41 <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />Increase % <br />Decrease ( % <br />Increase % <br />Decrease ( %) <br />New Completion Date: <br />