HomeMy WebLinkAboutTemporary Access Agreement - 510 S. Main Weather Amnesty – Rescue Incorporated Hope MinistriesSeptember 28, 2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 9.15.21
Name Pam Meyer Department DCI
BPW Date 9.28.21 Phone Extension 5845
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney Attorney Name Sandra Kennedy
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award Reject Bids/Quotes
Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution
Other: Access Agreement Ease./Encroach
Required Information
Company or Vendor Name Rescue Incorporated d/b/a Hope Ministries
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor
MBE
WBE
Completed E-Verify Form Attached Yes
No
Project Name Temporary Access Agreement-510 S. Main Street
Project Number
Funding Source N/A
Account No. N/A
Amount N/A
Terms of Contract October 1, 2021-April 30, 2022
Purpose/Description Access to property to conduct weather amnesty services
For Change Orders Only
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