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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE VIEW REQUEST FORM <br />Kara M. Boyles <br />Department Engineering <br />Division/Bureau DPW <br />BPW Date 6./12/18 Phone Extension 5933 <br />Legal M Attorney Name: C. McDani:els <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 El <br />Bid Opening <br />Quote Opening <br />Change Order No <br />Ease/Encroach. <br />Other-, <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBENVBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />El Req. to Advertise F-1 Title Sheet <br />Indiana Michigan Power Com <br />El Yes n No <br />Purchasing <br />❑ MBE 0 WBE <br />❑ No E] Yes Name of Com <br />AEP Easement 227 <br />If Yes, Approved by <br />118-042 <br />N/A <br />N/A <br />N/A <br />N/A <br />Supplemental Easements for, South Bend 138kV Transmission <br />Line Rebuild Project — adjacent to Hepler Basin <br />F] Required Contractor's Certification Forms Attached _(Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of F1 increase $ <br />n Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Chancie: % <br />Copy <br />Original <br />F <br />F <br />F-1 <br />El <br />1-1 <br />El <br />