HomeMy WebLinkAboutProfessional Services Agreement - Baker Tilly Municipal Advisors - Low Income Customer Assistance Program1316 COUNTY -CITY BUILDING
PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
FAX 574/ 235-9171
SOUTH BEND_ INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
October 8, 2019
John Julien
Baker Tilly Municipal Advisors, LLC
112 Ironworks Ave., Ste. C
Mishawaka, IN 46544
RE: Professional Services Agreement
Dear Mr. Julien:
The Board of Public Works, at its meeting held on October 8, 2019, approved the above
referenced agreement regarding Municipal Advisory Services related to development of a
Low -Income Customer Assistance Program for Sewer Rate Credit in the amount of $8,000.
Enclosed please find a copy of the agreement for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
August 29, 2019
�� bakertilty
MUNICIPAL ADVISORS
nowjoined with
Springsted and Umbaugh
Ms. Kara M. Boyles, Deputy Director Baker Tilly Municipal Advisors, LLC
Department of Public Works 112 IronWorks Ave, Ste C
City of South Bend Mishawaka, IN 46544
227 W Jefferson Blvd, Suite 1300N
United States of America
South Bend, IN 46601 T: +1 (574) 935 5178
F: +1 (574) 935 5928
bakertilly.com
Re: South Bend (Indiana) Municipal Sewage Works — Proposed Municipal Advisory Services
Dear Ms. Boyles:
Thank you for requesting that Baker Tilly Municipal Advisors, LLC (the "Firm") provide to the City of South
Bend, Indiana (the "Client') those services more fully set forth in Exhibit A hereto (the "Services").
Fees and Costs
Fees charged for work performed are generally based on hourly rates, as set forth in Exhibit B, for
the time expended, a fixed amount or other arrangement as mutually agreed upon as more
appropriate for a particular matter. Hourly rates for work performed by our professionals vary by
individual and reflect the complexity of the engagement.
Disclosure of Conflicts of Interest with "carious Forms of Com en at
The Municipal Securities Rulemaking Board (MSRB) requires us, as your municipal advisor, to
provide written disclosure to you about the actual or potential conflicts of interest presented by
various forms of compensation. Exhibit C sets forth the potential conflicts of interest associated
with various forms of compensation. By signing this letter of engagement, the signee
acknowledges that he/she has received Exhibit C and that he/she has been given the opportunity
to raise questions and discuss the matters contained within the exhibit with the municipal advisor.
1411110411 1
Normally, you will receive a monthly statement showing fees and costs incurred in the prior month.
Occasionally, we may bill on a less frequent basis if the time involved in the prior month was minimal
or if arrangements are made for the payment of fees from bond proceeds. The account balance is
due and payable on receipt of the statement. Once our representation has been concluded or
terminated, a final billing will be sent to you. If requested to provide an estimate of our fees for a
given matter, we will endeavor in good faith to provide our best estimate, but unless there is a
mutual agreement to a fixed fee, the actual fees incurred on any project may be less than or exceed
the estimate. Any questions or errors in any fee statement should be brought to our attention in
writing within sixty (60) days of the billing date.
Termination
Both the Client and the Firm have the right to terminate the engagement at any time after
reasonable advance written notice. On termination, all fees and charges incurred prior to
termination shall be paid promptly. Unless otherwise agreed to by the Client and the Firm, the
scope of services provided in Exhibit A will terminate 60 days after completion of the services in
each Article.
Ms. Kara M. Boyles, Deputy Director
Department of Public Works
City of South Bend
Re: South Bend (Indiana) Municipal Sewage Works — Proposed Municipal Advisory Services
Establishment of Customer Assistance Program
August 29, 2019
Page 2
w9 =6
In performing our engagement, we will be relying on the accuracy and reliability of information
provided by Client personnel. The services provided may include financial advisory ,services„
consulting services, and accounting report services such as compilation, preparation, and agreed
upon procedures reports. Please see Exhibit A and Exhibit D, We will not audit, review, or examine
the information. Please also note that our engagement cannot be relied onto disclose errors, fraud,
or other illegal acts that may exist. However, we will inform you of any material errors and any
evidence or information that comes to our attention during the performance of our procedures that
fraud may have occurred. In addition, we will report to you any evidence or information that comes
to our attention during the performance of our procedures regarding illegal acts that may have
occurred, unless they are clearly inconsequential, We have no responsibility to identify and
communicate significant deficiencies or material weaknesses in your internal control as part of this
engagement.
The procedures we perform in our engagement will be heavily influenced by the representations
that we receive from Client personnel. Accordingly, false representations could cause material
errors to go undetected. The Client, therefore„ agrees to indemnify and hold us harmless for any
liability and all reasonable costs (including legal fees) that we may incur in connection with claims
based upon our failure to detect material errors resulting from false representations made to us by
any Client personnel and our failure to provide an acceptable level of service due to those false
representations.
The responsibility for auditing the records of the Client rests with the Indiana State Board of
Accounts and the work performed by the Firm shall not include an audit or review of the records or
the expression of an opinion on financial data.
It is understood that the Firm will serve in an advisory capacity with the Client. The Client is
responsible for management decisions and functions, and for designating an individual with suitable
skill„ knowledge or experience to oversee the services we provide. The Client is responsible for
evaluating adequacy and results of the services performed and accepting responsibility for such
services. The Client is responsible for establishing and maintaining internal controls, including
monitoring ongoing activities.
Exhibit Aw sets forth the scope of the Services to be provided by the Firm. From time to time,
additional services may be requested by the Client beyond the scope of Exhibit A. The Firm may
provide these additional services and be paid at the Firm"s customary fees and costs for such
services. In the alternative, the Firm and the Client may complete a revised and supplemented
Exhibit A to set forth the additional services (including revised fees and costs, as needed) to be
provided. In either event, the terms and conditions of this letter shall remain in effect.
E-ergf lro ram
The Firm participates in the E-"verify program, For the purpose of this paragraph, the E- edfy
program means the electronic verification of the work authorization program of the Illegal
Immigration Reform and Immigration Responsibility Act of 1996 (P.b. 104-208), Division C„ Title
IV, s,401(a), as amended, operated by the United States Department of Homeland Security or a
Ms. Kara M. Boyles, Deputy Director
Department of Public Works
City of South Bend
Re: South Bend (Indiana) Municipal Sewage Works — Proposed Municipal Advisory Services
— Establishment of Customer Assistance Program
August 29, 2019
Page 3
successor work authorization program designated by the United States Department of Homeland
Security or other federal agency authorized to verity the work authorization status of newly hired
employees under the Immigration Reform and Control Act of 1986 (P.L. 99-603). The Firm does
not employ any "unauthorized aliens" as that term is, defined in 8 U,S.C. 1324a(h)(3).
N� =
The Firm certifies that pursuant to Indiana Code 5-22-16.5 et seq. the Firm is not now engaged in
investment activities, in Iran. The Firm understands that providing a false certification could result
in the fines, penalties, and civil action listed in I.C. 5-22-16.5-14.
lion -Discrimination
Pursuant to Indiana Code §22-9-1 -10, Baker Tilly Municipal Advisors, LLC and its, subcontractors, if
any, shall not discriminate against any employee or applicant for employment to be employed in the
performance of this Agreement, with respect to hire, tenure, terms, conditions or privileges of
employment or any matter directly or indirectly related to employment, because of race, religion, color,
sex, disability, national' origin, ancestry, or veteran status, Breach of this covenant may be regarded
as a material breach of this Agreement.
Ant:NMgkM
Baker Tilly Municipal Advisors, LLC is aware of the provisions under Indiana Code §36-1-21 et seq.
with respect to anti -nepotism in contractual relationships with governmental entities, Baker Tilly
Municipal Advisors, LLC certifies that none of the owners of Baker Tilly Municipal Advisors, LLC is a
relative of any elected Town Council Member of Town,
Tile hone Solicitation Act. Com Nianoe
Baker Tilly Municipal Advisors, LLC certifies that, except for de minimis and non-systematic
violations, it has not violated the terms of I.C, 24-41, I.C. 24-5-12, or I.C. 24-5-14 in the previous
three hundred sixty-five (365) days, even if IC, 24-4.7 is preempted by federal law, and that Baker
Tilly Municipal Advisors, LLC will not violate the terms of LC. 24-4.7 for the duration of the
Agreement, even if N.C. 24-4,7 is preempted by federal law, Baker Tilly Municipal Advisors, LLC
further certifies that any affiliate or principal of Baker Tilly Municipal Advisors, LLC and any agent
acting on behalf of Baker Tilly Municipal Advisors, LLC or on behalf of any affiliate or principal of
Baker Tilly Municipal Advisors, LLC, except for de minimis and non-systematic violations, has not
violated the terms of I.C. 24-4.7 in the previous three hundred sixty-five (365) days, even if I.C. 24-
4.7 is preempted by federal law, and will not violate the terms of LC, 24-4.7 for the duration of the
Agreement, even if I.C. 24-4.7 is preempted by federal law.
Municir)al Advisor Rpniqtrnfio
The Firm is a Municipal Advisor registered with the Securities and Exchange Commission and the
Municipal Securities Rulemaking Board. As such, the Firm is providing certain specific municipal
advisory services to the Client, The Firm is neither a placement agent to the Client nor a
broker/dealer.
The offer and sale of any Bonds shall be made by the Client, in the sole discretion of the Client,
and under its control and supervision. The Client agrees that the Firm does not undertake to sell or
attempt to sell the Bonds, and will take no part in the sale thereof.
Ms. Kara M. Boyles, Deputy Director
Department of Public Works
City of South Bend
Re: South Bend (Indiana) Municipal Sewage Works — Proposed Municipal Advisory Services
— Establishment of Customer Assistance Program
August 29, 2019
Page 4
Mediation Provision
The Client and the Firm agree that if any dispute (other than our efforts to collect any outstanding
invoice(s)) arises out of or relates to this engagement, or any prior engagement we may have
performed for you, and if the dispute cannot be settled through informal negotiation, the parties
agree first to try in good faith to settle the dispute by mediation administered by the American
Arbitration Association under its Commercial Mediation Procedures (or such other administrator or
rules as the parties may mutually agree) before resorting to litigation. The parties agree to engage
in the mediation process in good faith once a written request to mediate has been given by any
party to the engagement. Any mediation initiated as a result of this engagement shall take place
in South Bend, Indiana, or such other location as the parties may mutually agree. If the parties are
unable to mutually agree on the selection of a mediator, the mediator shall be determined in
accordance with the American Arbitration Association's Commercial Mediation Procedures. The
results of any such mediation shall be binding only upon a written settlement agreement executed
by each party to be bound. Each party shall bear its own costs and fees, including attorneys' fees
and expenses, in connection with the mediation. The costs of the mediation, including without
limitation the mediator's fees and expenses, shall be shared equally by the participating parties.
Any ensuing litigation shall be initiated and maintained exclusively before any state or federal court
having appropriate subject matter jurisdiction located in South Bend, Indiana.
9 N - we
Baker Tilly Investment Services, LLC ("BTIS") is an affiliate of the Firm. BTIS is registered as an
investment adviser with the Securities and Exchange Commission under the federal Investment
Advisers Act. BTIS provides non -discretionary investment advice with the purpose of helping clients
create and maintain a disciplined approach to investing their funds prudently and effectively. BTIS
may provide advisory services to the clients of the Firm.
BTIS has no other activities or arrangements that are material to its advisory business or its clients
with a related person who is a broker -dealer, an investment company, other investment adviser or
financial planner, bank, law firm or other financial entity.
If the foregoing accurately represents the basis upon which we may provide Services to the Client, we ask
that you execute this letter, in the space provided below setting forth your agreement. Execution of this
letter can be performed in counterparts each of which will be deemed an original and all of which together
will constitute the same document.
On March 1, 2019, H.J. Umbaugh & Associates, Certified Public Accountants, LLP ("Umbaugh") effected a
business combination with Baker Tilly Virchow Krause, LLP, (Chicago, Illinois), a financial services and
accounting firm ("Umbaugh/Baker Tilly Combination"). Baker Tilly Virchow Krause, LLP also effected a
business combination with Springsted Incorporated, (Saint Paul, Minnesota), a municipal and management
advisory firm, that became effective April 1, 2019. The municipal advisory business unit of Baker Tilly
Virchow Krause together with Umbaugh and Springsted have formed and are operating as a wholly -owned
subsidiary doing business as Baker Tilly Municipal Advisors, LLC.
Ma. Kara M. Boyleo, Deputy Director
UeporlmertcfPublic Works
City ofSouth Bend
Re: South Bend (Indiana) Municipal Sewage Works — Proposed Municipal Advisory Services
— Establishment cfCustomer Assistance Program
August 20.2U1S
Page
Kyou have any questions, please let umknow. We appreciate this opportunity tubanfservice toyou and
the City of South Bend, Indiana.
Very truly yours,
Thacknowledges and agrees tothe foregoing letter ofengagement.
City of South Be 7,1ndiana
30mr4 Date: By: Of
Printed:
Baker Tilly Munic�pal Advisors, LLC is a registered municipal advisor and wholly -owned subsidiary of Baker"'r-my virchow Krause,
LLP, an accounting firm. Baker T�ljy V�rchow Krause, LLP trading as Baker Tilly is a member of the global network of Baker Tilly
International Ltd,, the members of which are separate and independent legal entities. @ 2019 Baker Tilly Municipal Advisors, LLC
Exhibit A
Services Provided
The Firm agrees to furnish and perform the following services with respect to the preparation of the
preliminary rate study for the Client.
MunicipalAdvisor.
ni!OA
A. Advise the client on president and procedures for establishing a low-income
subsidized utility rate.
B. Prepare financial scenarios representing various assumed programs for
providing low-income customer assistance.
C. Participate in Working Group discussions to establish the proposed Capital
Assistance Program Parameters
D. Review draft ordinances developed to establish the Capital Assistance Program
E. Attend Meetings if required.
Exhibit B
Fees
The Firm's fees for services set forth in Exhibit A will be billed at the Firm's standard billing rates based
upon the actual time and expenses incurred and will not exceed Eight Thousand Dollars ($8,000) without
further authorization from the Client,
Standard Hourly Bates
1/1/2019
Partners / Principals / Directors
$240.00
to
$550.00
Managers
$200.00
to
$325.00
Senior Consultants
$150.00
to
$250.00
Consultants
$135.00
to
$200.00
Municipal Bond Disclosure Specialists
$120.00
to
$190.00
Support Personnel
$110.00
to
$150.00
Interns
$90.00
to
$110.00
Billing rates are subject to change periodically due to changing requirements and economic
conditions. Actual fees will be based upon experience of the staff assigned and the complexity
of the engagement
The above fees shall include all expenses incurred by the Firm with the exception of expenses incurred for
mileage which will be billed on a separate line item, No such expenses will be incurred without the prior
authorization of the Client. The fees do not include the charges of other entities such as rating agencies,
bond and official statement printers, couriers, newspapers, bond insurance companies, bond counsel and
local counsel, and electronic bidding services, including Parity®. coordination of the printing and
distribution of Official Statements or any other Offering Document are to be reimbursed by the Client based
upon the time and expense for such services.
Exhibit C
lslml� V1GEM]MN1TJM=-
PART A — Disclosures of Conflicts of Interest
MSRB Rule G-42 requires that municipal advisors provide to their clients disclosures relating to any actual
or potential material conflicts of interest, including certain categories of potential conflicts of interest
identified in Rule G-42, if applicable, If no such material conflicts of interest are known to exist based on
the exercise of reasonable diligence by the municipal advisor, municipal advisors are required to provide a
written statement to that effect.
Material Conflicts of Interest — The Firm makes the disclosures set forth below with respect to material
conflicts of interest in connection with the Scope of Services under this Agreement, together with
explanations of how the Firm addresses or intends to manage or mitigate each conflict.
General Mitigations — As general Mitigations of the Firm's conflicts, with respect to all of the conflicts
disclosed below, the Firm mitigates such conflicts through its adherence to its fiduciary duty to Client, which
includes a duty of loyalty to Client in performing all municipal advisory activities for Client. This duty of
loyalty obligates the Firm to deal honestly and with the utmost good faith with Client and to act in Client's
best interests without regard to the Firm's financial or other interests. The disclosures below describe, as
applicable, any additional mitigations that may be relevant with respect to any specific conflict disclosed
below,
Affiliate Conflict. BTIS, an affiliate of the Firm (the "Affiliate"), has or is expected to provide certain
advice to or on behalf of Client that is directly related to the Firm's activities within the Scope of Services
under this Agreement. In particular, providing advice to Client regarding investment of bond proceeds.
The Affiliate's business with Client could create an incentive for the Firm to recommend to Client a
course of action designed to increase the level of Client's business activities with the Affiliate or to
recommend against a course of action that would reduce or eliminate Client's business activities with
the Affiliate. Furthermore, this potential conflict is mitigated by the fact that the Affiliate is subject to its
own comprehensive regulatory regime as a registered investment adviser with the Securities and
Exchange Commission under the federal Investment Advisers Act.
Compensation -Based Conflicts. The fees due under this Agreement are based on hourly fees of the
Firm's personnel, with the aggregate amount equaling the number of hours worked by such personnel
times an agreed -upon hourly billing rate. This form of compensation presents a potential conflict of
interest if Client and the Firm do not agree on a reasonable maximum amount at the outset of the
engagement, because the Firm does not have a financial incentive to recommend alternatives that
would result in fewer hours worked. This conflict of interest is mitigated by the general mitigations
described above.
111. Other Municipal Advisor Relationships. The Firm serves a wide variety of other clients that may from
time to time have interests that could have a direct or indirect impact on the interests of Client. For
example, the Firm serves as municipal advisor to other municipal advisory clients and, in such cases,
owes a regulatory duty to such other clients just as it does to Client under this Agreement. These other
clients may, from time to time and depending on the specific circumstances, have competing interests,
such as accessing the new issue market with the most advantageous timing and with limited
competition at the time of the offering. In acting in the interests of its various clients, the Firm could
potentially face a conflict of interest arising from these competing client interests. This conflict of
interest is mitigated by the general mitigations described above.
Exhibit C
,;.
ZAIZVM�Wli am OM . „,
MSRB Rule G-42 requires that municipal advisors provide to their clients certain disclosures of legal or
disciplinary events material to its client's evaluation of the municipal advisor or the integrity of the municipal
advisor's management or advisory personnel.
Accordingly, the Firm sets out below required disclosures and related information in connection with such
disclosures.
I. Material LegaN or Qisciofinary Event. There are no legal or disciplinary events that are material to
Client's evaluation of the Firm or the integrity of the Firm's management or advisory personnel
disclosed, or that should be disclosed, on any Form MA or Form MA-1 filed with the SEC.
II.. How to Access Form MA and Form MA-1 Filings. The Firm's most recent Form MA and each most
recent Form MA-1 filed with the SEC are available on the SEC's EDGAR system at
htt ://www.seo, ov/o i bin/browse-ed ar action elcom an i CIK=0001616096,
III. Most Recent Chancte in Legal or Disciplinary Event Disclosure. The Firm has not made any
material legal or disciplinary event disclosures on Form MA or any Form MA-1 filed with the SEC.
DART C — Future Supplemental Disclosures
As required by MSRB Rule G-42, this Disclosure Statement may be supplemented or amended, from time
to time as needed„ to reflect changed circumstances resulting in new conflicts of interest or changes in the
conflicts of interest described above„ or to provide updated information with regard to any legal' or
disciplinary events of the Firm. The Firm will provide Client with any such supplement or amendment as it
becomes available throughout the term of the Agreement.
PART D — Rule G-10: Investor and Muni+ci al Advisorv, Client Education and protection
MSRB Rule G-10 requires that municipal advisors to notify their clients of the availability of a client brochure
on the MSRB's website that provides information on the processes for filing a client complaint.
Accordingly, the Firm sets out below the required information.
I. The Firm is registered as a Municipal Advisor with the Securities and Exchange Commission (867-
00880) and the Municipal Securities Rulemaking Board (K1027).
11. The website address for the Municipal Securities Rulemaking Board is www.msrb.org.
11,1. The website for the Municipal Securities Rulemaking Board has a link to a brochure that describes (i)
the protections that may be provided by the Municipal Securities Rulemaking Board rules and (ii)
describes how to file a complaint with an appropriate regulatory authority.
Exhibit D
Compilation Accounting Services
Compilation of Historical Financial Statements
Our Responsibilities:
The objective of our engagement is to apply accounting and financial reporting expertise to assist you in
the presentation of financial statements without undertaking to obtain or provide any assurance that there
are no material modifications that should be made to the financial statements in order for them to be in
accordance with accounting principles generally accepted in the United States of America or the cash basis
of accounting based on information provided by you.
We wild conduct our compilation engagement in accordance with the Statements on Standards for
Accounting and Review Services (SSARS) promulgated by the Accounting and Review Services
Committee of the AICPA and comply with the AICPA°s Code of Professional Conduct, including the ethical
principles of integrity, objectivity, professional competence„ and due care when performing the compilation
engagement.
We are not required to, and will not, verify the accuracy or completeness of the information you will provide
to us for the engagement or otherwise gather evidence for the purpose of expressing an opinion or a
conclusion. Accordingly, we will not express an opinion or a conclusion nor provide any assurance on the
financial statements.
Our engagement cannot be relied upon to identify or disclose any financial statement misstatements,
including those caused by fraud or error, or to identify or disclose any wrongdoing within the entity or
noncompliance with laws and regulations.
We in our sole professional judgement, reserve the right to refuse any procedure or take any action that
could be construed as assuming management responsibilities.
Four Reap2gsi litie, s:
The engagement to be performed is conducted on the basis that you acknowledge and understand that our
role is to assist you in the presentation of the financial statements in accordance with accounting principles
generally accepted in the United States of America or with the cash basis of accounting. You have the
following overall responsibilities that are fundamental to our undertaking the engagement in accordance
with SSARS.
1. The selection of the cash basis of accounting or accounting principles generally accepted in
the United States of America as the financial reporting framework to be applied in the
preparation of the financial statements.
2. The preparation and fair presentation of financial statements in accordance with the cash basis
of accounting or accounting principles generally accepted in the United States of America.
3. The election to omit substantially all disclosures normally included in the financial statements
in accordance with the cash basis of accounting or accounting principles generally accepted in
the United States of America.
4. The design, implementation, and maintenance of internal control relevant to the preparation
and fair presentation of the financial statements.
5. The prevention and detection of fraud
Exhibit D
To ensure that the Client complies with the laws and regulations applicable to its activities.
7. The accuracy and completeness of the records, documents, explanations, and other
information, including significant judgments, you provide to us for the engagement.
8. To provide us with —
access to all information of which you are aware is relevant to the preparation and fair
presentation of the financial statements, such as records, documentation, and other
matters.
• additional information that we may request from you for the purpose of the compilation
engagement.
• unrestricted access to persons within the Client of whom we determine it necessary to
make inquiries.
You are also responsible for all management decisions and responsibilities and for designating an individual
with suitable skills, knowledge, and experience to oversee our compilation of your financial statements.
You are also responsible for evaluating the adequacy and results of: the services performed and accepting
responsibility for such services,
As part of our engagement, we will issue a report that will state that we did not audit or review the financial
statements and that, accordingly, we do not express an opinion, a conclusion, nor provide any assurance
on them. If, for any reason, we are unable to complete the compilation of your financial statements, we will
not issue a report on such statements as a result of this engagement.
You agree to include our accountant's compilation report in any document containing financial statements
that indicates that we have performed a compilation engagement on such financial statements and, prior
to the inclusion of the report, to ask our permission to do so,
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date October 1, 2019
Name Kara Bo
BPW Date October 8
Department: Engineering
Phone Extension 5933
..............
Re wired Prior to Submittal to Board
. ......._-......... _._...... _. _ ........ � __....-...
BPW Attorney Z Attorney Name Clara 1'" cl?anicls
Dept. Attorney Attorney Name
Purchasing Michael Schmidt
m om mmITITmm m�mCheck the Appropriate Item Type - Re u rE
Z Professional Services Agreement F-1 Contract
Open Market Contract Amendment/Addendum
Bid Opening Bid Award
E] Quote Opening E] Quote Award
Proposal Opening ❑ C/O & PCA No.
Chg. Order, No. ❑ Traffic Control
Other:
..............__- _._.__._—___... ... ...... .... __... ...... W _...._.._.. „ ..
Required Information
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
for All Submissions
❑ Proposal
Special Purchase, QPA
] Req. to Advertise ❑ Title Sheet
Reject Bids/Quotes
] PCA
Resolution
Ease./Encroach
Baker "fill..__ ..... ....
Yes If Yes, Approved by Purchasing
No
0 MBE Completed E-Verify Form Attached ❑ Nos
Municipal Advisory for LICAP
m.... ..
119-023
Eng.�......------g----- �w� � w � ,......... �..................................................�.�.._..................��....................................
ineerin Professional Services
101-0602-431.31-06
. ev
Municipal A Mu Advisory services related to the development of a Low -Income
...........
Customer Assistance Program for sewer rate credit.
x FITe Orders Onlyhat
... Amount of Decrease
crews
$
Previous Amount $
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:.
New Completion Date:
Increase _ %
Decrease ( %
Increase %
Decrease (..................%