Municipal Advisory Services - H.J. Umbaugh & Assoc - Financial Advisory Services for LTCP

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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 ursnsronnumm��ur m�r.�m�wu�wenn+are.... mm�mnnn � n�a�w� au .—......... .,....... _....... ..—.......... �..�.,...,�......_.��...... _..... ..................... ___�,.,�..._._...._ required Prior to Submittal to Board_ _.._.. Legal ® Attorney Name Clara McDaniels Controller ❑I 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 H Agreement Professional Services E] Bid Opening El Quote Opening ❑] Change Order No. _ El Ease/Encroach. E] Other: ......................................... ariate Item Tie Contract Resolution F] Bid Award ❑ Quote Award ❑ C/O &PCANo. ❑ Traffic Control Company or Vendor Name: Umbaugh for All Submissions 1 Proposal Addendum ❑'' Req. to Advertise ❑ Title Sheet uired Information ❑ PCA New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/MBE Contractor Requested ® No ❑ Yes Name of Company Project Name LTCP capital funding Ian Project Number NA ....._._ ............. .. �_ ..... m ............... Funding Source Wastewater (LTCP)_mmmm mmm� Account No. 641-0630-793-31-02 Amount $ 25,000 Terms of Contract Purpose/Description Financial advisory services ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination„ Non -Debarment, E-Verify, Iran, etc. f!g iredfor Cam Orders Only �.mm ....._.... Amount of � Increase $ __ _... ._ .......... a EJ Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: ..........w %............. ��...........m��.�.�.�...��......... �� Dispersal After Approval Copy Original ❑ ❑ ❑ ❑ ❑ ❑