Agreement - US Army Corps of Engineers - Flood Induation Mapper for SB

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 12/03/2018 Kieran Fa Department Public Works BPW Date 12/11 /2018 Phone Extension 5993 "i wrmuomoiuiuiummmmmmmmmmmdmreeien mr wW�r � Re uir d Prior to Submittal t... .... _e �.....__ o Board Legal ® Attorney Name Clara McDaniels Controller © Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing Check the A Agreement Professional Services F Bid Opening E Quote Opening ❑ Change Order No. 0 Ease/Encroach. ❑ Other: xro Ro_n�t tItem Type ract Resolution ❑ Bid Award El Quote Award F1 C/O & PCA No, Traffic Control for All Submissions F Proposal 0 Addendum E Req. to Advertise ❑ Title Sheet Required Information ❑ PCA .......... Company or Vendor Name: The US Department of the Army & US Department of the Interior. New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE F] WBE MBE/WBE Contractor Requested ❑ No n Yes Name of Company Project Name Flood Inundation Mapper Project Number 118-045 FundingSource �u Wastewater ...............................� 6 �_.�.................�.�.�.�.�.�.�. � . ............. ..�.�............._..-_. Account No. 641-0630-793-3 i"62. "E neerin " .._ Amount $.. ._ m 71,000 Terms of Contract Purpose/Description To create a flood inundation mapper for South Bend Required Contractor's Certification Form Attached (Non - Non -Debarment, E-Verify, etc. Required or Chan a Order ._..�.........w _� o qusion, Non -Discrimination, s O��.� rt�y__m. w El increase Amount of E1 Decrease $ � � Previous Amount $ Current Percent of Change: /o New Amount Total Percent of Change: /o Dispersal After Approval Copy Original ❑ ❑ 11 ❑ El 0