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Date 8/19/2020 <br />Department <br />Name Sue Ellen Doudrick Engineering <br />BPW Date 8/25/2020 Phone Extension <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer ❑ Officer Name <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Clara McDaniels <br />Purchasing ❑ <br />Check the Appropriate Item Type —Required or All Submissions <br />❑ Professional Services Agreement ❑ Contract ❑ Proposal <br />❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA <br />❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution <br />n Other: M 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 />Information <br />EIR <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />E] MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes <br />❑ <br />AEP Colfax-Drewrys 69 kV Underground Transmission Project — Phase I <br />DP18-107 <br />n/a <br />n/a <br />$10 payment to the City <br />lump sum <br />AEP needing a temporary construction easement for use of the workspace <br />necessary for the construction of the nearby electric facilities and for the storage <br />of materials, equipment and vehicles to be used by Grantee and its contractors <br />and subcontractors for construction related activities. Work is for construction of <br />a 69kV line including staging, equipment, and occupancy. See attached. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Increase % <br />Decrease ( % <br />Increase % <br />