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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8-19-2016 <br />Santiago Garces Department <br />Innovation <br />BPW Date 8-23-16 Phone Extension 7652 <br />Legal ® Attorney Name Huntington <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the Appropriate <br />Item Type —Required for All Submissions <br />❑ <br />Agreement ❑ <br />Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services ❑ <br />Resolution <br />❑ <br />Bid Opening ❑ <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening ❑ <br />Quote Award <br />❑ <br />Change Order No. ❑ <br />C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. ❑ <br />Traffic Control <br />M <br />Other: MOU <br />Information <br />Company or Vendor Name The Johns Hopkins University <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBENVBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Project Number <br />Funding Source None <br />Account No. N/A <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />$0 <br />8/23/2016 — 12/31/2016 <br />MOU Between CoSB and Johns Hopkins University, for <br />practitioners from their Center for Government Excellence to help <br />the CoSB reboot its Performance Management/Stat program. <br />Support will come in the form of technical assistance resources <br />and tools. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc.) <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy Original <br />® ❑ Brian <br />® ❑ E anti <br />® ❑ Andr( <br />ioghue <br />Garces <br />For <br />After Approval <br />