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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE VIEW RE QUEST FORM <br />Date 12/5/17 <br />Name John Lankowicz <br />Department Innovation &'Tech— <br />BPW Date 12/21/17 <br />Phone Extension <br />Required Prior to Submittal to Board <br />Legal <br />Attorney Name McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller <br />and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />Check the Appropriate <br />Item Type — Required for All Submissions <br />0 Agreement <br />F-1 Contract El Proposal El Addendum <br />Z Professional Services <br />F-1 Amendment <br />El IBid Opening <br />Bid Award F] Req. to Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />❑ Quote Award <br />n Chg Order No. <br />❑ C/0 & PCA No. F-1 PCA <br />F-1 Ease./Encroach., <br />❑ Traffic Control n Resolution <br />n Other: <br />F-1 Claim <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Training Services, LLC <br />F If Yes,: Approved by Purchasing <br />Completed E-Verify Form Attached Yes <br />No <br />Innovation & Technology <br />279-0672-415-39-70 <br />$7250 for 3-d <br />GISTraining <br />Amount of F-1 increase $ <br />F Decrease $ <br />Previous Amount $ <br />Current Percent of Change., % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal After Approval <br />Copy Original <br />M El John ILankowicz - jIankowi@southbendin.gov <br />E] El <br />1:1, El <br />