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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE' VIEW REQUEST FORM <br />05-30-17 <br />Capt. Voros <br />Purchasing El <br />Department SBPD <br />LJ Agreement <br />F-1 Professional Services <br />L Contract F1 Proposal D Addendum <br />M Resolution 01 <br />n Bid Opening <br />El Bid Award El Req. to Advertise n Title Sheet <br />Quote Opening <br />n Quote Award <br />Change Order No. <br />F1 c/o & PCA No. El PCA <br />El <br />Ease/Encroach. <br />Traffic Control <br />F-1 Other: <br />Company or Vendor Name South Bend Police Dept. <br />New Vendor El Yes Z No 0 If Yes, Approved by Purchasing <br />MBE/WBE Contractor F] MBE F] WBE <br />MBE/WBE Contractor Requested [:] No E] Yes Name of Company <br />Project Name K9 vehicle donation <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />The South Bend Police Department reguests BPW approval to <br />transfer a 2009 Dodge Charger K9 vehicle vin# <br />2B3KA43T29H641888 to the Alexandria Police Department to be <br />used by their K9 unit. This vehicle is a spare vehicle for the SBPD <br />K9 unit. <br />n Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of F-1 Increase $ <br />n Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />N <br />F-1 <br />F] <br />F-1 <br />El <br />r] <br />—Capt. Voros <br />