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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE VIEW REQUEST FORM <br />Date December 18,2017 <br />Name Pam Meyer Department DCI <br />December 21, 2017 <br />BPW Date Phone Extension 5845 <br />. . . .......... <br />Required Prior to, Sub m ittal'to Board <br />Legal Z Attorney Name Ben Dougherty <br />Controller z Controller review is required for all Contracts $5,000.010 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing EJ <br />N Agreement <br />F] Professional Services <br />Bid Opening <br />❑ Quote Opening <br />El Change Order No. <br />❑ Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />Ll Contract <br />F-1 Resolution <br />F] Bid Award <br />n Quote Award <br />El C/O & PCA No. <br />F-1 Traffic Control <br />Notre Dame Clnical Law Center <br />2= <br />0 Req. to Advertise <br />sm <br />New Vendor El Yes M No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor E] MBE [:] WBE <br />Project Name Resident Legal Assistance Program <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />EDIT <br />408.1001.460.39.30 <br />$ 66,250 PO Balance <br />Addendum <br />El Title Sheet <br />March 15, 2016- December 31, 2019 <br />To extend term and allow for assistance with any residential vacant lot <br />put -chase through tax sale process <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc, <br />Amount of H Increase <br />R Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy Original <br />z Z Pam M <br />F-1 R <br />11 11 <br />Dispersal! After Approval <br />DCI <br />