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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/21 /17 <br />Name Jeff Hudak Department Central Services <br />BPW Date 6127/17 Phone Extension 574-235-9316 <br />U Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />F-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE 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 />U Contract II Proposal L Addendum <br />❑ Resolution <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ CIO & PCA No. ❑ PCA <br />❑ Traffic Control <br />Required Information <br />Wade Ford, Inc. <br />❑ Yes ® No Ll If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Spec E — Thirty -Nine (39) more or less 2017 or Newer All Wheel <br />Drive Police Patrol Vehicles <br />2017 Police Department Capital Principal 404-0401-415-37-11 & <br />Interest 404-0401-415-37-12 (subiect to lease funding) <br />$ 974,142.00 (39 @ $24, 978.00) <br />Bid Opening Date: 5/23/17 <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Amount of ❑ 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 />® ❑ Ken Glowacki, Chris Voros, Don Galeziewski <br />