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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Marcli ......... . ... <br />.. _....... m.. . ...... . . <br />Name N/liell"Iel 1)ivita Department DCI <br />. .......... . . . . <br />BPW Date Muuuuuuuuuuuuumi arcli 24 , 2) QLO Phone Extension 5843 <br />Diversity Compliance ❑ Officer Name NA <br />and Inclusion Officer <br />BPW Attorney F-1 <br />..................... <br />Attorney Name <br />. . ........ <br />.................. ......... . <br />Dept. Attorney Z <br />Attorney Name Saiidra Keime <br />. . . . . . ........... <br />Purchasing El <br />. . . . <br />........ <br />g7gl �;/p7g% /7 <br />emes"s '7 <br />g" <br />Z Professional Services Agreement [J Contract <br />Proposal <br />JOpen <br />Market Contract <br />[J Amendment/Addendum <br />E] Special Purchase, QPA <br />Bid Opening <br />EJ Bid Award <br />[J Req. to Advertise <br />F-1 <br />Quote Opening <br />0 <br />Quote Award <br />❑ <br />Reject Bids/Quotes <br />E] <br />Proposal Opening <br />El <br />C/O & PCA No. <br />PCA <br />E] <br />Chg. Order, No. <br />El Traffic Control <br />F-] <br />Resolution <br />E] <br />Other: <br />F-1 Ease./Encroach <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 />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />La Casa de Aulistad, Inc. <br />Yes H If Yes, Approved by Purchasing <br />No <br />El MBE <br />WBE Completed E-Verify Form Attached <br />West Side South Bend Event & Marketing Services <br />EDIT <br />-- -------- . .... <br />408-1001-460.39-79 / 20J01 I <br />. ............................ <br />............. <br />30,000 <br />El Title Sheel <br />El Yes <br />EJ No <br />Provide event niarketin g, and. servi.C.,cs.to support the Well <br />Side Main Streets Initiative <br />Increase % <br />Decrease %) <br />Increase % <br />Decrease % <br />