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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />October 22., 2018 <br />Pam M <br />Department DCI <br />BPW Date November 13 2018 Phone Extension 5845 <br />IIIIXIII11i%YYiXINIXINIMM`�iiIIIIIIIIlY11111111111YIT1Yi �V'v`N +�sF._dSim"p'MIYnYl84,i"�w,,;^!%YMBYI�'r°IY�I'�d1�bYl Yll+—'w f�1�+�^,.m�,2__�ni.,�r��.rdd;'JAM'MXIYPWdIM'i����llt't�Yd'H'�:�"��v:..._Rau'we1'^'„„#eA(pAldOdiGP�A0M1�%IMm'MFiA(NVIiMbi�lYrYRki�l`lyYYi����3#;3UfWeW1ftF2W�IGlIVNHVkr�t`fy rm,va�aa n,"p9A&Y1 16�n'�4,�'rv2,t�.+Y�IVIW' <br />uire6 Pm rlor to Submittal to Board <br />Legal Attorney Name Sandra Kennedy <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Agreement <br />Contract Proposal _ ...... <br />p Addendum <br />Professional Services <br />Resolution <br />❑ Bid Opening <br />FJ <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ Change Order No. <br />F1 <br />C/O & PCA No. ❑ PCA <br />r_J Ease/Encroach. <br />E] <br />Traffic Control <br />Other: <br />Company or Vendor Name Communuty Homebuyers Corporation <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ❑ WBE <br />Project Name <br />2019 Agreement for Staff Support <br />Project Number <br />Funding Source <br />Account No. <br />�..... ___. ......... ........ ........ ....... <br />211 <br />Amount <br />$ 15,000.00 <br />Terms of Contract <br />.... ... _ <br />199__.......... <br />Purpose/Description <br />_1/01/19-12/31/ <br />Payment to DCI for staff services related to the administering CHC's <br />Homeownership Asssistance Program. <br />® Required Contractor's Certification Form Attached (Non- <br />...��. n, Non -Debarment, arment Iran, etc. ... <br />- <br />m ....v ._._.� .. _ <br />Rquired For Charme Or <br />�.ro......... _.. Orders <br />Viers O1 � � �_ <br />Amount of ❑ <br />�� <br />Increase $ <br />F1 <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change; %.—....._ — _._.m_.... —...-. <br />New Amount <br />. $ _....... .......----- <br />.. o.-......_. . ....__.... _.. _ _ ..... ..... _ .... <br />Total Percent of Change: /o <br />_ <br />Dispersal After Approval _....._... V.__. .._. �� _ .. w. — --- .__.------..�. <br />Copy Original <br />® ® <br />Pam Meyer, DCI <br />C 1:1 <br />I. ..... --- ... .. .... <br />