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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Auaust 7. 2018 <br />Name <br />Benjamin Dougiherty <br />Department <br />Admin & Finance <br />BPW Date <br />August 14, 2018 <br />Phone Extension <br />7678 <br />Reauired Prior, to Submittal to Board <br />Legal X Attorney Name Elliot Anderson <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F-1 <br />Agreement <br />" Contract Ll Proposal L] Addendum <br />Professional Services <br />E] <br />Amendment <br />[:1 <br />Bid Opening <br />El <br />Bid Award El Req. to Advertise Title Sheet <br />F-1 <br />Quote Opening <br />F-1 Quote Award <br />F-1 Chg Order No. <br />F-1 C/O & PCA No. F] PCA <br />F] Ease./Encroach. <br />F-1 Traffic Control F-1 <br />Resolution <br />El <br />Other: <br />El <br />Claim <br />Required Information <br />Company or Vendor Name <br />Crowe LLP <br />El Yes ❑ if Yes, Approved by Purchasing <br />New Vendor <br />Z <br />No <br />MBENVBE Contractor <br />1:1 MBE Completed E-Verify Form Attached El Yes <br />Fj WBE D No <br />Project Name <br />Econ. Dev. Rev. Bonds, Series 2018 (Potawatomi Zoo Project) <br />Project Number <br />Funding Source <br />Account No. <br />453-1104-452.38-04 <br />Amount <br />$53,000.00 <br />Terms of Contract <br />Fixed fee, payable from bond proceeds. <br />Purpose/Description <br />Municipal advisor services for preparation and issuance of tax- <br />exempt, 501(c)(3) qualified bonds in support of zoo capital <br />Droiects (r)ursuant to PZS Lease and Manaaement Aareement). <br />Amount of <br />For Chancie Orders Onlv <br />n increase $ <br />F] Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy <br />Original <br />F-1 <br />F-1 <br />El <br />