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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE,VIEW REQUEST FORM <br />Date 1/8/18, <br />Name Jen HockenhuIl <br />BPW Date 1/23/18 <br />Department A/F <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Nmmm� <br />Agreement <br />Professional Services <br />R Bid Opening <br />R Quote Opening <br />El Chg Order No. <br />El Ease./Encroach. <br />El Other: <br />" Contract LJ Proposal <br />[] Amendment <br />F] Bid Award ❑ Req. to Advertise <br />❑ Quote Award <br />C/O & P,CA No. PCA <br />Traffic Control ❑ Resolution <br />El Claim <br />LJ Addendum <br />Title Sheet <br />Required Information <br />Company or Vendor Name <br />Crowe Horwath <br />D Yes El If Yes, Approved by Purchasing <br />New Vendor <br />M No <br />MBENVBE Contractor <br />Completed E-Verify Form Attached <br />RF-1 WBE <br />❑Nos <br />Project Name <br />Fire Station #9 <br />Project Number <br />n/a <br />Funding Source <br />2018 Fire Station Bond Proceeds <br />Account No. <br />n/a <br />Amount <br />$,50,000 <br />Terms of Contract <br />Due upon close of bond <br />Purpose/Description <br />The City is required to retain a municipal financial consultant for <br />all bond issuance matters. Crowe will assist us with <br />financial <br />Amount of ❑ <br />1:1 <br />Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy Original <br />M F-1 <br />❑ ❑ <br />11 11 <br />Ell <br />Jen Hockenhull <br />