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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />12/15/16 <br />Lory Timmer <br />Department DCI <br />BPW Date 12/27/16 Phone Extension 5841 <br />Requirod Prior to Submittal toftard <br />Legal ® Attorney Name Michael Schmidt <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 />X <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 />❑ <br />Other: Amendment <br />ny or venaor <br />Resources & Technical Services <br />d/b/a Neighborhood Resources Connection. <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ® No ❑ Yes Name of Company <br />Project Name Agreement for Programs and Services <br />Project Number <br />Funding Source EDIT <br />Account No. 408.1001.460.39.30 <br />Amount $25,000 <br />Terms of Contract 1/01/17 — 12/31/17 <br />Purpose/Description Educational leadership and technical training services to <br />neighborhood residents <br />® Required Contractor's Certification Form Attached (Non - <br />Amount of ❑ increase <br />❑ Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy Original <br />® ❑ Judy Love <br />❑ ❑ <br />❑ ❑ <br />