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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06-08-118 <br />Name Genevieve Crum Department —Community investment <br />BP W Date 06-12-18 Phone Extension 5896 <br />sm <br />Controller <br />Purchasing <br />N Agreement <br />F] Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />F-1 Change Order No. <br />R Ease/Encroach. <br />F-1 Other. <br />Z Attorney Name Kennedy <br />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 />N <br />H Contract LJ Proposal Ll Addendum <br />F-1 Resolution <br />F-1 Bid Award ❑ Req. to Advertise El Title Sheet <br />0 Quote Award <br />F-1 C/O & PCA No. ❑ PCA <br />n Traffic Control <br />Company or Vendor Name Hurry Home, Inc. <br />New Vendor M Yes 0 No Ellf Yes, Approved by Purchasing <br />MBENVBE Contractor H MBE M WBE <br />MBENVBE Contractor Requested Z No F-1 Yes Name ofCompany <br />_ <br />Project Name Homeownership Financina Proararn <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Am <br />Funding: EDIT (408.1001.460,,39.30) <br />$80,000 <br />6/12/18 — 6/12,/19 <br />Purpose/Description Homeownership pilot program offering alternative financing to small <br />dollar mortgages <br />r_1 Required Contractor's Certification, Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc.) <br />Amount of F-1 Increase $ <br />F-1 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 />M F-1 Alkeyna Aldridge <br />F-1 James Mueller <br />❑ Jen Hockehull <br />