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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 03/03/2020 <br />Name Scott Matthew Coats Department Admin & Finance <br />BPW Date 3/10/2020 Phone Extension 5817 <br />to Submittal to Bo ..........__....__ <br />..................................�.IT Review and Approval �r��v��l l and <br />._._._..� 1 1 Required Prior.. ...............�a <br />Diversity Compliance ❑ Officer Name Michael Patton �...._. _. <br />and Inclusion Officer <br />BPW Attorney Attorne y Name lay a licl)aniels <br />Dept. Attorney Attorney Name Sandia Kennedy,Elliot Anderson <br />Purchasing ® Michael Schmidt � <br />Check the A <br />............ <br />❑ Professional Services Agreement <br />Open Market Contract <br />E] Bid Opening <br />Quote Opening <br />❑ Proposal Opening <br />❑ Chg. Order, No. <br />L] Other: <br />Ite Item Type- <br />Contract <br />® Amendment/Addendum <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />RcVired.ln.formation <br />All Submissions <br />Proposal <br />LJ Special Purchase, QPA <br />E] Req. to Advertise <br />E] Reject Bids/Quotes <br />[] PCA <br />Resolution <br />Ease./Encroach11 <br />❑ Title Sheel <br />Company or Vendor Name Crowe LLP <br />m. ❑ ..Nos.❑....I� f..Y�e�s....Approved by Purchasing.........................................................................�.� <br />New Vendor <br />MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached E] Nos <br />WBE <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Other Professional Services <br />40406724153106 <br />$0.00 <br />N/A <br />This addendum reflects a net reduction of project costs after reductions and <br />expansions to this project's scope of work. At this time, we do not wish to <br />reduce the amount we expect to pay throughout the project and wish to kee <br />the on Final pEo mect amount available to use in the project. See memo. <br />For Iagg Orders On <br />Amount of ❑ <br />Increase $ <br />E] <br />Decrease$ <br />Previous Amount <br />$ <br />..................................�.�.�.�.......................o� <br />Increase...........�.� <br />�o <br />Current Percent of Change: <br />Decrease <br />( % <br />New Amount <br />$ <br />Increase <br />% <br />.............................................. <br />Total Percent of Change: <br />Decrease <br />% <br />Time Extension Amount: <br />New Completion Date: <br />