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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/20/2020 <br />Name Patrick Sherman Department VPA <br />BPW Date 02/2/2020 Phone Extension 5601 ...._.. <br />Review and Approv l l squire l Prior to Submittal to Board <br />....... . �._ ......__ . <br />Diversity Compliance Officer Name <br />and Inclusion Officer <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />u <br />Check the A <br />Professional Services Agreement <br />Open Market Contract <br />Bid Opening <br />❑ Quote Opening <br />Proposal Opening <br />�] Chg. Order, No. <br />Other: <br />Attorney Name <br />Michael Schmidt <br />Clara McDaniels <br />Contract <br />® Amendment/Addendum <br />❑ Bid Award <br />❑ Quote Award <br />�] C/O & PCA No. <br />❑ Traffic Control <br />Company or Vendor Name Lochmueller Grog p, Inc. <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 />___.i Proposal <br />EJ Special Purchase, QPA <br />�] Req. to Advertise ❑ Title Sheel <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />YesL If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached Yes <br />❑ WBE F] No <br />Howard Park Insp <br />ection Services <br />117-047C <br />_..... w ..... �� ....... ........... <br />.�__......._ <br />Re tonal Cities <br />201-1111-452.42-01 <br />New total of $ 60.000 <br />Professional Services Agreement _ <br />Amendment to lower contract amount as full contract amountwillnot be_._... <br />used. <br />...._ . .... : For Chian w Ourders, Only <br />Amount of El Increase $ <br />Decrease ($ <br />Previous Amount $ <br />. .... .............. <br />Incre. �.......... <br />ase % <br />Current Percent of Change: Decrease ( %)mm ......... <br />New Amount $ <br />Increase % <br />Total Percent of Change:: Decrease ( /° <br />Time Extension Amount: <br />New Completion Date: <br />