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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />Date June 4, 2018 <br />Name Michael Divita`l�fb <br />Department DCI <br />BPW Date June 12, 2018 Phone Extension 5,843 <br />Legal Attorney Name Elliot Anderson <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing [:1 <br />H Agreement <br />H Contract <br />❑I Proposal X Addendum <br />El <br />Professional Services <br />El Amendment <br />El <br />Bid Opening <br />El Bid Award <br />El Req. to Advertise ElTitle Sheet <br />F1 Quote Opening <br />F] Quote Award <br />0 Chg Order No. <br />nI C/O & PCA No. <br />F-1 PCA <br />F-1 Ease./Encroach. <br />F-1 Traffic Control <br />F] <br />Resolution <br />n <br />Other: <br />F1 <br />Claim <br />Company or Vendor Name <br />� 124 M 7A ym= I q rem <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />Urban Enterprise Association of South Bend, Inc. <br />El Yes 0 If Yes, Approved by Purchasing <br />N No <br />El MBE <br />F-1 kA10M Completed E-Verify Form Attached <br />West Side Main Streets Matchina Grant Proaram <br />COIT <br />4014.1001.4160.39.30 / 18JX01 <br />$200,000 <br />Provide additional funding for fagade matching grant program for <br />Lincolnway West and Western Avenue <br />Increase <br />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 />El 0 Michael Divita (for DCI) <br />F] M Michael Divita (for UEA) <br />F-1 El <br />