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HomeMy WebLinkAboutReal Property Transfer Agreement - 466 Works Community Development Corp - Transfer of One Parcel for New Residential ConstructionREAL PROPERTY TRANSFER AGREEMENT This Real Property Transfer Agreement is entered into as of May 14, 2019 (the "Effective Date"), by and between the City of South Bend, acting by and through its Board of Public Works, of 1300 N. County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana 46601 (the "City") and 466 Works Community Development Corporation, an Indiana non-profit corporation, with its registered address being 1620 S. Saint Joseph Street, South Bend, IN 46613 (the "Organization") (each a "Party," and together the "Parties"). RECITALS A. The City is a municipal corporation existing and operating pursuant to the laws of the State of Indiana. B. The Organization is an Indiana non-profit corporation organized exclusively to conduct, support, encourage, and assist such charitable and other programs and projects as are described both in Section 170(c)(2)(B) and 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code. C. The City and the Organization have entered into an Agreement for Programs and Services, dated December 20, 2018, as amended by the First Addendum to Agreement for Programs and Services, dated May 14, 2019 (together, the "Services Agreement"). D. The City owns the certain real property described in attached lxhibit A (the "Property"). E. In accordance with the terms of the Services Agreement, the Organization desires to acquire ownership of the Property from the City. F. Pursuant to I.C. 36-1-11-1(b)(7), a sale or lease of property by the City to an Indiana non-profit corporation organized for educational, literary, scientific, religious, or charitable purposes that is exempt from federal income taxation under Section 501 of the Internal Revenue Code is not subject to the disposition requirements of I.C. 36-1-11. G. The City, acting by and through the Board of Public Works, has determined that conveying the Property to the Organization under the terms of this Agreement and in accordance with the Services Agreement is in the best interests of the residents of the City. NOW, THEREFORE, in consideration of the mutual covenants stated herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the City and the Organization agree as follows: 1. Qualifications of ftanizatron. The Organization represents and warrants that (a) it is a non-profit corporation organized under the laws of the State of Indiana; (b) the Organization's articles of incorporation dated February 12, 2014, as amended on August 22, 2016 (the "Articles"), attached hereto as Exhibit B, have not been superseded or further amended and currently remain in full force and effect; and (c) the Organization is currently exempt from federal income taxation as stated in the Internal Revenue Service letter dated November 3, 2014, attached hereto as Exhibit C. 2. Transl'er of Pro ert r The City desires to convey the Property to the Organization for and in consideration of One Dollar ($1.00), and the Organization desires to accept the Property, and any and all improvements located on the Property, subject to the terms and conditions of this Agreement. 3. Use of Properly. The Organization agrees to use the Property only for purposes consistent with and permissible under its Articles and Section 501(c)(3) of the Internal Revenue Code and for no other purpose. 4. Closing. The City will convey title to the Property to the Organization by quit claim deed in substantially the form attached hereto as I'Ahibit 1. , on or before May 31, 2019 (the "Closing"). The Board of Public Works (the "Board") hereby authorizes and instructs Gary Gilot, President of the Board and Linda Martin, Clerk of the Board to execute and deliver the deed to the Organization. At the Organization's option, the City will record the deed at the City's expense, and the Board authorizes and instructs Andrew Netter of the City's Department of Community Investment to do so. 5. No Warranties. The Organization agrees to accept the Property in its condition on the Closing Date "as -is, where -is" and without any representations or warranties by the City concerning title to or the condition of the Property. The City offers no such representation or warranty as to title or condition, and nothing in this Agreement will be construed to constitute such a representation or warranty as to title or condition. The Organization may, at its sole cost and expense, obtain an owner's policy of title insurance or a survey prior to the transfer of such Property. 6. Taxes. The Organization, and the Organization's successors and assigns, will be liable for any and all real property taxes and assessments, if any, assessed and levied against the Property with respect to the year in which the Closing takes place and for all subsequent years. The City will have no liability for any real property taxes and assessments associated with the Property, and nothing in this Agreement shall be construed to require the proration or other apportionment of real property taxes or assessments resulting in the City's liability therefor. 7. Entire Agreement- Severabdity. This Agreement embodies the entire agreement between the Parties and supersedes all prior discussions, understandings, or agreements between the Parties concerning the transaction contemplated in this Agreement, whether written or oral. if any provision of this Agreement is held by a court of competent jurisdiction to be invalid, void, or PA unenforceable, the remainder of the provisions of this Agreement will remain in full force and effect and will in no way be affected, impaired, or invalidated. 8. Ass ,,nment. The Organization may not assign this Agreement or any of its rights hereunder, in whole or in part, without the prior written consent of the City. In the event the Organization wishes to obtain the City's consent regarding a proposed assignment of this Agreement, the City may request and the Organization will provide any and all information reasonably demanded by the City in connection with the proposed assignment and/or the proposed assignee. 9. Grrovernin - l:.aw� Venue. This Agreement will be governed by and construed in accordance with the laws of the State of Indiana. Venue for any action concerning this Agreement will be in the courts of St. Joseph County, Indiana. 10. Recitals and Exhibits. The above recitals and the attached exhibits are hereby incorporated into this Agreement. 11. Authority. Countcrnarts. Each undersigned person signing and delivering this Agreement on behalf of the Parties, respectively, represents and warrants that he or she is duly authorized and fully empowered to sign and deliver this Agreement. The Parties may execute this Agreement in separate counterparts, which taken together will constitute one original document. An electronically transmitted copy of a signature will be regarded as an original signature. [Signature page follows.] 3 VIN '�V I � 111. � I slllll'llAl 1HRETF, the Cjy and Ow OrgariV,.r-au,oirw I ranslOr Agrecament to loc Ticks as of Me EAnwe Daw, CITY(W S(MJ:TH HFND b% RD (N 1 PT I i L IC 1041 hy''S" O"ary "'WC" P�k�s Arm HAS) %Wwk, Mumber 1u Nidliel n ,4,66'Works Comnumay Develupniew Corjvratkm. an Indiana ruln profit c%qvmation w2- w, A to" pp Pr t nfi:l�l EXHIBIT A Description of Property 36 X 90 Ft Sw Pt Lot 19 Dubai Is First Add Parcel Key No. 018-7042-1677 EXHIBIT B Articles of Incorporation of 466 Works Community Development Corporation [See attached.] State of Indiana Office of the Secretary of State Certified Copies To Whom These Presents Come, Greeting: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that this is a true and complete copy of this 7 page document consisting of the following records filed in this office: Certification Date: November 30, 2016 In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, November 30, 2016 CONNIE LAWSON SECRETARY OF STATE Page I Of 8 CertificateID:9585995 State of inchana - lCe. of the Serretary of State CERTIFICATE OF INC(.)RP(:)RAT'ION of 466 NVORhS (.'(')i\IIIILTNITY DEVELOPMENT ('(_)RP(_)k-MON INC'. I, Conme Lawson, Secretary of State of Indiana, hereby- certify that Articles of Llcorporation of the ahm e Non -Profit Domestic Corporation has been presented to me at my office, accompanied b' the fees prescribed by hm and thin the documen(atlon presented conforms to law as prescribed by the provisions of the 111dimia Nonprofit Corporation Act of 1991. N(--)W. THEREH)RE. with this dc:)cument I certif-- that said transaction will become effective Wednesday. February 12, 2014, S"-rj...... _r"+..� V ,, ^ / f , , t 5 In Witness Whereof, I have caused to be aff %ed nn signature and the seal of the Slate of Indiana. at the City of Indianapolis, February 13, 2014 CONNIE LAWSO N. SECRETARY (=)F STATE RECEIVED 02112/2014 04:25 P_ . Nl APPRG . .:D AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 2/13/2014 2:28 PM ARTICLES OF INCORPORATION Formed pursuant to the provisions of the Indiana Nonprofit Corporation Act of 1991. ARTICLE I - NAME AND PRINCIPAL OFFICE 466 WORKS COMMUNITY DEVELOPMENT CORPORATION INC.. 1620 S. SAINT JOSEPH STREET, SOUTH BEND, IN 46613 ARTICLE II - REGISTERED OFFICE AND AGENT C. EUGENE HALE 715 E. IRVINGTON AVENUE, SOUTH BEND, IN 46614 ARTICLE III — INCORPORATORS C, EUGENE HALE 1620 S. SAINT JOSEPH STREET, SOUTH BEND, IN 46613 Signature: C. EUGENE HALE REVEREND RICKARDO TAYLOR 1620 S. SAINT JOSEPH STREET, SOUTH BEND, IN 46613 Signature: RICKARDO TAYLOR ARTICLE IV — GENERAL INFORMATION Effective Date: 2/12/2014 Type of Corporation: Public Benefit Corporation Does the corporation have members?: Yes The purposes/nature of business THIS CORPORATION IS A PUBLIC BENEFIT CORPORATION THAT SHALL BE ORGANIZED AND OPERATED EXCLUSIVELY TO CONDUCT, SUPPORT, ENCOURAGE, AND ASSIST SUCH RELIGIOUS, CHARITABLE, SCIENTIFIC, LITERARY, EDUCATIONAL, AND OTHER PROGRAMS AND PROJECTS AS ARE DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS (THE "CODE"). WITHOUT LIMITING THE FOREGOING GENERAL STATEMENT OF PURPOSES, THE CORPORATION SHALL, TO THE EXTENT PERMITTED OF AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE, ENGAGE IN THE PLANNING, DIRECTING, AND COORDINATING OF REVITALIZATION EFFORTS OF THE SOUTHEAST SIDE NEIGHBORHOOD LOCATED IN SOUTH BEND, INDIANA. Page 1 of 2 Transaction Id TR14021200231 Control Number 201402130282E / DCN 20140213911828 Distribution of assets on disso, ~�:)n or final liquidation UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES OF THE CORPORATION, DISPOSE OF ALL ASSETS OF THE CORPORATION EXCLUSIVELY FOR RELIGIOUS, CHARITABLE, EDUCATIONAL, SCIENTIFIC, OR LITERARY PURPOSES AS SHALL AT THE TIME QUALIFY AS AN EXEMPT ORGANIZATION OR ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE CODE AS THE BOARD OF DIRECTORS SHALL DETERMINE, OR TO FEDERAL, STATE, OR LOCAL GOVERNMENTS TO BE USED EXCLUSIVELY FOR PUBLIC PURPOSES. ANY SUCH ASSET NOT SO DISPOSED OF SHALL BE DISPOSED OF BY THE SUPERIOR COURT OF THE COUNTY IN WHICH THE PRINCIPAL OFFICE OF THE CORPORATION IS THEN LOCATED, EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATIONS, SUCH AS THE COURT SHALL DETERMINE, WHICH ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES, OR TO SUCH GOVERNMENTS FOR SUCH PURPOSES. Page 2 of 2 Transaction Id TR14021200231 Np4 O('X Control Number 2014021302826 / DCN 2014021392828 State of Indiana Office of the Secretary of State Certificate of Amendment of 466 WORKS COMMUNITY DEVELOPMENT CORPORATION INC. I, CONNIE LAWSON, Secretary of State, hereby certify that Articles of Amendment of the above Domestic Nonprofit Corporation have been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law as prescribed by the provisions of the Indiana Nonprofit Corporation Act of 1991. The name following said transaction will be: 466 WORKS COMMUNITY DEVELOPMENT CORPORATION NOW, THEREFORE, with this document I certify that said transaction will become effective Monday, August 22, 2016. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, August 23, 2016 Connie Lawson SECRETARY OF STATE 2014021302826 / 7382485 To ensure the certificate's validity, go to https://bsd.sos.in.gov/PublicBusinessSearch ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION (NONPROFIT) State Form 4161 (R1417-1e)f Corporate Farm 364-2 Approved by Slate Board of Accounts, 2016 st Approved and Filed 2014021302826/7382485 Filing Date: 0812312016 Effective :081221201611:00 CONNIE LAWSON Indiana Secretary of State Indiana Code 23-17.17-1 et. seq. 23.17.29-3 FILING FEE: $30.00 The undersigned officer of the Nonprofit Corporation named in Article I below (hereinafter referred to as the "Corporation") desiring to give notice of corporate action effectuating Amendment(s) to the Articles of Incorporation, certifies the following fads: This, 64iicrratipn exists pumuani ta' (CPMurk 171 The Indiana Net-For•Prolkl Corporation Act of 1971 (IC 23-7-1.1) as amended U Indiana General Not-For-Profrl Corporation Act (approved March'7, 1936) 0 Indiana Nonprofit Corporation Act of 1991 (IC 23.17.1) as arnended ECTION 1; The name of the Corparaean W 466 Works Community Development Corporation, Inc. February 12, 2014 m£C1 tON 3 " Aiwa name of tr o Cza+r'oiavem Pattlprr ur s malerr Paent tti.. .. �...... the Anucfes a1 Vrrrtarp 4iGellen tla: 466 Works Community Development Corporation The exact text of Article(s) L �- a _„ ,u,v„", of the Articles of Incorporation Is now as follows: Does the corporation have members: no. The purposes/nature ofbusiness: see attached Sheet IA. � o o z- s 3� G'i w wr; cw rT r�M1ru m. .,,..., ....... ,� ,�..,_ ,_....._ w. ,.........,,...,,.,".,............a.......�.w..._.�.�... ,., .... . ..._._............ StWCTt4�N �: ....... _._......... ... The data of adoption of the amendment to the Article(s) . IV was Atitr t 1 R a 2fi 16 Page 1 of 2 Page 6 Of 9 CertificateID:9585995 Approved and riled 201402130282017382405 N Id; 0012312016 rilfit _Ia , �5w1 �k ltmelrt t 1 Articles of A�11G(rd�kfiCB t ht kltlC e s li ,Iw17e71w :0e@21201611:00 CONNIE LAWSON Indiana Secrelary of State 1 ifr(IIIcrr4,(gtl)rrratnfty. l)loplrat)t t ,ttrpar� l"ott (a) The Corporation's purpose is to operate as a community development corporation as defined by 42 USCS § 13851 to plan, direct and coordinate revitalization of the southeast neighborhood of South Bend, Indiana consisting of the area bounded on the north by Sample Street, on the east by Miami Street, on the south by Ewing Avenue, and on the west by Michigan Street, including the provision of low-income housing or community economic development projects. In furtherance of the aforesaid purpose, to transact any and all lawful business for which corporations may be incorporated under the Indiana Nonprofit Corporation Act of 1991 (IC 23-17-1 et seq.), provided such business is not inconsistent with the Corporation being organized and operated exclusively for charitable educational purposes and Section 501(c)(3) of the Internal Revenue Code. (b) No part of the net earnings of the organization shall inure to the benefit of, or be distributable to its members (if any), directors, trustees, officers, or other private persons, except that the organization shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of its charitable purposes. (c) No substantial part of the activities of the organization shall be the carrying on of propaganda, or otherwise attempting to influence legislation, and the organization shall not participate in, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of any candidate for public office. Notwithstanding any other provision of this document, the organization shall not carry on any other activities not permitted to be carded on by (1) an organization exempt from federal income tax under section 501(ex3) of the Internal Revenue Code, or corresponding section of any future federal tax code, or (2) by an organization, contributions to which are deductible under section l 70(c)(2) of the Internal Revenue Code, or corresponding section of any future federal tax code. (d) Upon the dissolution of the organization, its assets shall be distributed for one or more exempt purposes within the meaning of section 50I (cx3) of the Internal .Revenue Code, or corresponding section of any future federal taxi code, or shall be distributed to the federal government, or to a state or local government, for a public purpose, and any such assets not disposed of shall be disposed of by the Circuit Court of St. Joseph County, Indiana, in which the principal office of the organization is located, exclusively for such purposes or to such organization or organizations, as said Court shall determine, which are organized and operated exclusively for such purposes. (e) Notwithstanding any other provision of these Articles of Incorporation, the Corporation shall not carry, on any other activities not permitted to be carried on: (i) By a corporation exempt from Federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1986,-as amended, or corresponding provisions of any subsequent Federal tax laws, or (ii) by a corporation, contributions to which are deductible under Section 170(c)(2), Section 2055(a)(2), or Section 2522(a)(2) of the Internal Revenue Code of 1986, as amended, or corresponding provisions of any subsequent Federal tax laws. Sect,ion 4.2_ Powers. Subject to any limitation imposed by the Indiana Nonprofit Corporation Act, Section 501(c)(3) of the Internal Revenue Code, or other applicable law, the Corporation sliall have the power to do everything necessary, advisable or convenient for the accomplishment of any of the purposes hereinbefore set forth, or which shall at any time appear conducive to or expedient for the protection or benefit of the Corporation, and to do all of the things incidental thereto or connected therewith which are not forbidden by law. Scc(iQ1 ale rrri ot'17 islence. The Corporation shall have perpetual existence. Page 7 Of 8 CertificatelB:9585995 Ap roved and Filed 20'I d0,2130202017382405 Filing Oatm 0812312010 Effective :081222016 11:00 CONNIE LAVWSON SECTION 1: Action by the Board of Directors The Board of Directors duly adopted a resolution proposing to amend the ARicie(s) of Incorporation: (Select one.) m At a meeting an held Arr,?.w,,,•• $w 20 16 , at which a quorum of such Board was present. ❑ By written consent executed on w.. .................._._................,,,m....................,,,,, , 20 , and signed by all members of such Board, SECTION 2: Action by members IF APPROVAL OF MEMBERS WAS NOT REQUIRED: The Axnenduw ml(s) were approved by a sufTclent vote of the Board of Directors or incorporators and approval of members was not required, [A Yes L-1 No The Amendment(s) were approved by a person other than the members, and that approval pursuant to Indiana Code 23-17-17-1 was obtained, ❑ Yes ❑ No IF APPROVAL OF MEMBERS WAS REQUIRED:.-.. ...» .n. ... ....... .......... . MEMBERS OR DELEGATES ENTITLED TO VOTE MEMBERS OR DELEGATES VOTED IN FAVOR S TOTAL ENU � O VOTE sS z �w MEMBERSA R DELEGATES VOTED AGAINST ,.... � ...._...�........_.�-.�. ® The manner of the adoption of the Articles of Amendment and the vote by which they were adopted constitute full legal compliance with the provisions of the Act, the Articles of Incorporation, and the By -Laws of the Corporation,. I hereby verity, subject to penalties of perjury, that the facts contained herein are true. Required It registered agent inrarmedan was updated: mmm ❑ By checking the box, the Signator(s) represent(s) that the Registered Agent named In the application has consented to the appointment _ ofBegistered Agent. Title of OU Secretary 'anted name of off C. Eugene Wale Page 2 of 2 Page 8 Of 9 CertificatelD:9585995 EXHIBIT C IRS 501(c)(3) Qualification Letter [See attached.] INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: NOV 0 3 2014 466 WORKS COMMUNITY DEVELOPMENT CORPORATION INC 1620 S SAINT JOSEPH STREET SOUTH BEND, IN 46GI370000 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 46-5523814 DLN: 26053697001744 Contact Person: CHI.UNGLAN CHUNG ID# 31721 Contact Telephone Number: (859) 669-4138 Accounting Period Ending: December 31 Public Charity Status: 170 (b) (1) (A) (vi) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: February 12, 2014 Contribution Deductibility: Yes Addendum Applies: No We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170, You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further Classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required. to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter 114221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Letter 5436 466 Works CDBG Application Page 14 -2..� 466 WORKS COMMUNITY DEVELOPMENT Sincerely, Director, Exempt Organizations Letter 5436 466 Works CDBG Application Page 15 EXHIBIT D Form of Quit Claim Deed AUDITOR'S RECORD TRANSFER TAXING UNIT DATE KEY NO._L) �8-7041 �.- 1677 QUIT CLAIM DEED THIS INDENTURE WITNESSETH THAT the City of South Bend, Indiana, by and through its Board of Public Works (the "Grantor" or the "City") CONVEYS AND QUIT CLAIMS TO 466 Works Community Development Corporation, an Indiana non-profit corporation, "rid i its registered address being 1620 S. Saint Joseph Street, South Bend, IN 46613 (tile "Grantee") for and in consideration of One Dollar ($1,00) and other good and valtiable consideration, the receipt of which is hereby acknowledged, the fiollowing real estate in St. Joseph County, Indiana (the "Property"): 36 X 90 Ft Sw Pt Lot 19 Dubai Is First Add Parcel Key No. 0 18-7042-1677 Grantor hereby conveys the Property subject to all covenants, restrictions, and casements of record. The undersigned persons executing this Quit Claim Deed on behalf of the Grantor represent and certify that each has been fully empowered and authorized to execute this Quit Claim Deed and that all action necessary to complete this conveyance on Grantor's behalf has been duly taken. Dated this� , day off �4 __,2019. GRANTOR: City of South Bend, Indiana, by and through its Board of Public Works By: Gary Gilot, President ATTEST: By: (_ 'Linda M STATE OF INDIANA SS: ST. JOSEPH COUNTY Bef'ore me, the undersigned, a Notary Public for and in said County and State this . day of" 2019, personally appeared Gary Gilot and Linda Martin, to me known to be the President ind Clerk, respectively, ofthe (,ity (,),f Soudi Bend, Indiana, Board of Public Works, the Grantor, and acknowledged execution of the foregoing Quit Claim Deed. IN WITNESS WHEREOF, I have hereunto subsc i i ne and affixed my official seat. s. . . ...... . ......... 1 7710.1 LORY L. TIMMER !�V `.-P, St Joseph County Xyla Notary Public County, % My CommIssion Expires Residen September 23,2026 Coninussion expircs: I affirm, under the penalties for perjury, that I have Laken reasonable care to redact each Social Security number in this document, unless required by law. Sandra Kennedy. Prepared by Sandra Kennedy, Assistant City Attorney, 1200 S. County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana 46601 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 'Mal l 7 019 Name.Andrew Netter Department DCI .....�e...—_m � _ BPW Daqy,� nmdl�-kf',�� alHw�M . Phone EXtewalnllllllliu ......... n 5931 ' 1,IMN­MM " pryYRIIO Nkkkku�(.NM� iced Prior to Submittal to Board ne ..... BPW Attorney AttorneyName la a McD—anic _ s _. 6 .. . _.�.......ro Dept. Attorney Purchasing Professional Sci-vies Open Market Contra ❑ Bid Opening E] Quote Opening Proposal Opening Chg. Order, No. Other: [I Attorney Name ❑ Michael Schmidt Mgr et meta L] Contract Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Sandra Kennedy n Amendment/Addendum E] Bid Award [❑ Quote Award 0 C/O & PCA No. ❑ Traffic Control aired Information 'r All P oposabmissions --' . Special Purchase, QPA Req. to Advertise ❑ Title Sheet Reject Bids/Quotes PCA 'Resolution, Ease./Encroach ❑YWorks466 Cc. a n Lr� i De rcl Ippic 'o poi ation e If Yes, Approved by Purchasing ��- ® No ❑ MBE Completed E-Verify Form Attached � Yes ❑ WBE [I No �rtv Transfer for New HoLrsi Construction-466 Works �.�.. 18JO15 _...----- a �.... _. _. _,_ ....... ............. _ ....... 14.2019 Transfer residential constructionper ne w Housing Construction Agreement and Firs Addendum 466 Works ..._...� .._ .. $ _ age Orders O> For Chaj Amount of El Increase [:1 Decrease $ ) � � Previous Amount Incr '...— ... ease / $ 0 Current Percent of Change: Decrease /o) New Amount Increase /o Total Percent of Change: Decrease %) Time Extension Amount: New Completion Date: