Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />12-05-16 <br />Sgt. Chadwick Goben Department SBPD <br />BPW Date 12-22-16 Phone Extension 7520 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ❑ Controller 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 />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. _ <br />Ease/Encroach. <br />Company or Vendor Name <br />New Vendor <br />contract I �r� 0 <br />Resolution U'J <br />Bid Award <br />Quote Award <br />C/O & PCA No. <br />Traffic Control <br />Yes <br />Proposal <br />❑ Req. to Advertise <br />No LJ If Yes, Approved by Purchasing <br />MBE/WBE Contractor "MBE U WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Retirement gift of firearm to James Andrews <br />Project Number <br />Funding Source <br />Account No. <br />Amount $ <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />❑ Title Sheet <br />The South Bend Police Dept. requests that the Board of Public <br />Works declare Officer James Andrews Smith & Wesson handgun as <br />surplus property no longer useful to the city. Serial No <br />HKB6699.This declaration will authorize the presentation of the <br />above listed firearm as a tribute for his 24 vrs of service to the Citv. <br />Retired: 01-2-17 <br />❑ Required Contractor's Certification Form Attached (Non <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑. <br />❑ <br />❑ <br />❑ <br />❑ <br />Goben <br />