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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM. <br />Gate 10/15/2018 <br />Name Christina Newgent Department Admin & Finance/HR <br />BPWV' Date 10/23118 Phone Extension 5935 <br />Legal <br />Controller <br />Purchasing <br />Agreement <br />® Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />Ease/Encroach. <br />❑ Other: <br />Attorney Name Clara McDaniels <br />rector than one year <br />for all Contacts $5,000.00 or more and <br />Controller review is re <br />g y in length per the City Purchasing Policy <br />❑ Contract U Proposal ❑ Addendum <br />0 Resolution <br />Bid Award ❑ Req. to Advertise El Title Sheet <br />❑ Quote Award <br />❑ C/O &PCANo. ❑PCA <br />❑ Traffic Control <br />Company or Vendor Name New Avenues <br />New Vendor El Yes ❑ No 0 If Yes, Approved by Purchasing <br />MBEANBE Contractor ❑ MBE ❑ WVBE <br />MBE/VWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Employee Assistance Program (EAP) <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Health Insurance Fund <br />711-0401-671-34-1 <br />See Exhibit A; $3.60 PEPM for Non -Public Safety employees; $4.05 <br />PEPM for Public Safety employees. <br />Agreement is for a one year period, option to renew. (Increase of <br />$.05 PEPM for Non -Public Safety employees. <br />This is a renewal contract with the City's Employee Assistance <br />Program provider. Services will include: short-term counseling, EAP <br />orientation training, telephonic consultation, management referral <br />Program, critical incident response, fatness for duty evaluations <br />work -life resource center, brochures reports, and 4 hours of <br />trainings/workshops. <br />Required Contractor's Certification (Form Attached (Non - <br />Collusion, Non -Discrimination: Non -Debarment, E-Verifv. Iran, etc.) <br />Amount of H Increase $ <br />❑ 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 />0 0 Jennifer Hockenhull and Kyra Clark <br />