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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 4, 2019 <br />Name Sandra Kennedy Department Legal <br />BPW Date November 12 2019 Phone Extension 9294 <br />ImiAXI�'� ,P WINMNNN IWINNNIWIWIIWi�IIMWIWIIif�MiIIWYMIWII�INMtlMWWIWINNN�MMhWMNWlild/ <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑] <br />Professional Services Agreement Contract <br />E' <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />❑ Traffic Control <br />F-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />ired brAll Submissions_ <br />Proposal .�............. _._.....� <br />[❑ Special Purchase, QPA <br />EJ Req. to Advertise ❑ Title Sheei <br />❑ Reject Bids/Quotes <br />❑ PCA <br />x Resolution <br />Ease./Encroach <br />on <br />❑ ❑ s' Ap._W........................y.................................�s_ _ <br />Yes If Ye ........................._........... <br />proved b Purchasing <br />F] No <br />WBECompleted E-Verify Form Attached Nos <br />ouble Tracking Bonds <br />South <br />Sore..D..............._..................................._............�.�.�........... ...... <br />�. <br />Resolution to transfer vrovertv transfer to Redevelopment ment. Authoritv i s orc <br />to effectuate issuance of bonds for the South Shore Double Tract in iro"e <br />For Ch jige Orders Only <br />Amount of crease $ _ _.. __...._... ___...... ... <br />[❑ Decrease ($ ) <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease% <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease. µmmmmmmmmmmmmm% <br />Time Extension Amount„ <br />New Completion Date: <br />