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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />February 5, 2018 <br />David Relos <br />Department DCl <br />BPW Date February 13, 2018 Phone Extension 5836 <br />... . ...... . . ..... <br />Legal M Attorney Name Ben Dougherty <br />Controller El 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 1:1 <br />Check the Appropriate Item Type — Required for All Submissions <br />Ll Agreement El Contract E] Proposal ❑ Addendum <br />F1 Professional Services M Resolution <br />F1 Bid Opening F] Bid Award ❑ Req. to Advertise El Title Sheet <br />❑ Quote Opening F] Quote Award <br />❑ Change Order No. ❑ C/O & PCA No. PCA <br />El Ease/Encroach. Traffic Control <br />F-1 Other. - <br />Company or Vendor Name Redevelopment Commission <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Yes X No Iffl If Yes, Approved by Purchasing <br />14BErK31/BE <br />N/A <br />R, <br />Purpose/Description Transfer to the Redevelopment Commission the parking lot at 322 S. <br />Lafayette for development opportunities. <br />[:] Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, IE-Verifv, Iran, etc.) <br />Amount of El increase $ <br />El Decrease $ <br />Previous Amount <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />E ❑ D. Relos <br />N F-1 Ben Dougherty <br />El 0 <br />