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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/2/17 <br />Name Jeff Hudak Department <br />Central Services <br />BPW Date 5/9/17 Phone Extension 574-235-9316 <br />Re "uired, Prior',to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ElController review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ® George King <br />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEMIBE Contractor <br />MBE/WBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />❑ No ❑ Yes Name of Company <br />Soec H — Ten (10) more or less Commercial Riding Mowers <br />Nine (9) will be funded by the 2017 Venues, Parks, & Arts Capital <br />Lease Principal 201-1101-452-37-11 & Interest 201-1101-452-37- <br />12 (subject to lease funding) & Five (6) will be funded by the 2017 <br />Capital Budget 201-1101-452-43-02 <br />$ 142,800.00 <br />Bid Opening Date: 4/11/17 <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy Original <br />® ❑ Jeff Hudak & Sheila Enos <br />® ❑ Paul Moreland & Aaron Perri & Cecil Eastman <br />❑ ❑ <br />