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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08-16-16 <br />Name Capt. Chris Voros Department Police <br />BPW Date 08-23-16 Phone Extension 7770 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller El greater <br />review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award <br />❑ Change Order No. ❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. ❑ Traffic Control <br />I-1 Other: <br />Required Information <br />Company or Vendor Name <br />New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEM/BE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Police Department Towing Services <br />Project Number <br />Funding Source <br />Account No. <br />Amount $ <br />Terms of Contract The South Bend Police Department request Board of Public Works <br />approval to go out to advertise for RFP's for Towing Services for the <br />Police Department. This RFP is being sought to request pricing and <br />proposals for Removal, Towing, and Storage Service for passenger <br />vehicles and light trucks for a twelve month period. <br />Purpose/Description <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion; Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Required For Chance Orders Only <br />Amount of <br />❑ Increase $ <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of CI <br />New Amount <br />Total Percent of Char <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />