First Amendment to Agreement - NIWB, Inc. - Pathways Program

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date November 19, 2018 Name Jacob Alexander Department DCI BPW Date November 27, 2018 Phone Extension 9278 wrm�, ,....,eu�, � ww�w�anawommmmmuwummwverrur�u� mommmm�mmwswu irvtt��vimmv�ruwuw�ri . "� ,,r�ai�rmv i ,w,v�v o�.mmm�wrmmmirvxsmr�ne� IT Prior to Submittal to Board Legal Attorney Name Sandra Kennedy Controller review is required for all Contracts $5,000.00 or more Controller ❑ and greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the A "Agreement El Professional Services ❑ Bid Opening ❑ Quote Opening ❑ Chg Order No. Ease./Encroach. F-1 Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description iro ri�ate�Item Type - E Contract X Amendment Bid Award ❑ Quote Award ❑ C/O & PCA No. Traffic Control for All Submissions Proposal ❑ Req. to Advertise PCA Resolution F-1 Claim Addendum ❑ Title Sheet Required Information Northern . hern Indiana Workforce Board NIWB �Inc. __ ......m_�.�. El Yes R If Yes, Approved by Purchasing X No ElMBE Completed E-Verify Form Attached ❑� No WBE Pathways Program EDIT 404-1001-460-39.30 $.5.�1.....2�69;...._New total$401�.m.26.9 ........ Training Training programs to train necessary skills to under skill ed workers to meet labor needs in the communitv Amount of H Increase El Decrease $ Previous Amount $ ............................................ Current Percent of Changer % New Amount $ Total Percent of Change: % Time Extension: Dispersal After Approval Copy Original X Jacob Alexander, Community Investment X [� Judy Love, Community Investment��.....,,�.�.............................��..�._.._ m. _....,�........m X �j Daniel Buckenmeyer, Community Invest �..y ....... .�..._...�_�. Investment—.m...�.�.�......................................��.� ��..�_m.�.........�