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BOARD OF PUBLIC WOR1,CS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/08/18 <br />Name <br />Lory Timmer <br />Department <br />_DC I <br />BPW Date <br />2/27/18 <br />Phone Extension <br />. .... .. . .... <br />5841 <br />Legal Z Attorney Name Clara McDaniels <br />Controller z 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 M <br />LJ Agreement <br />M Contract H Proposal LJ Addendum <br />El Professional Services <br />n Resolution <br />n Bid Opening <br />El Bid Award El Req. to Advertise El T'itle Sheet <br />n Quote Opening <br />El Quote Award <br />F-1 Change Order No. <br />F-1 C/O & PCA No. [J P CA <br />El Ease/Encroach. <br />❑ Traffic Control <br />F-1 Other: Amendment <br />Company or Vendor Name Neighborhood Resources and Technical Services Corporation <br />New Vendor El Yes No El If Yes, Approved by Purchasing <br />MBEMBE Contractor F-1 MBE [:] WBE <br />MBEMBE Contractor Requested M No R Yes Name ofCompany <br />_ <br />Project Name Neighborhood Capacity Building Activity <br />Project Number 17-JC-86 <br />Funding Source Community Development Block Grant (CDBG) <br />Account No. 212.1001 A60.39.30 <br />Amount $16,000 <br />Terms of Contract 1/01/17 — 12/31/18 <br />Purpose/Description Provide technical assistance to neighborhood groups in low -mod <br />neighborhoods; administer the Neighborhood Leadership Academy <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verjfv, Iran, etc. <br />Amount of [I increase $ <br />F-1 Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Origina <br />z <br />F1 <br />El <br />El <br />El <br />El <br />Judv Love <br />Dispersal After Approval <br />