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BOARD Or' PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 11, 2018 <br />Name Aladean.DeRoC11 <br />Department Human Rights <br />Commission. <br />Division/Bureau <br />July 19, 2018 (Agenda Meeting) <br />BPW Date Needs Public hearing: and approval of Phone Extension 58,66 (DeRose) <br />Resolution at the Agenda Meeting <br />Legal Attorney Name: Aladean DeRose <br />Controller 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 />Agreement Amendment <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />New Vendor <br />MBEIWBE Contractor <br />MBE/BE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Contract <br />Resolution <br />Bid Award <br />Quote Award <br />C/O & PCA No- <br />Tr,g_'Yic Cgtt <br />MedPro, <br />Yes � <br />PurchaE <br />a =0 <br />[I Req. to Advertise <br />9M <br />LLC (Landlo <br />El Title Sheet <br />No (name change only) LJ If Yes, Approved by <br />IN MIN'Yes Name of Companv <br />General Fund (EEOC & HUD grant) <br />Terms of Contract/ Lease This is an extension or re -letting of a lease of office space by the <br />Purpose/Description Human Rights Commission commenced in mid- 2012. The <br />leased space was designed and configured to City specifications <br />for HRC needs. No comparable City owned property exists. Rent <br />is reasonable market rate. The lease term is 5 years beginning <br />8/1/18 subject to cancellation at $7/square foot annually (2,975 <br />sq. ft. total), payable monthly, with 3% basic rent increase per <br />year, plus,common area maintenance expense. <br />[:] Required contractor's Certification Forms Attached (Non - <br />Collusion, Nan -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Previous Amount $ <br />Current Percent of Change. <br />