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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11 -29-17 <br />Name Capt, Voros Department <br />Purchasing ❑ <br />N Agreement <br />U Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services <br />❑Resolution <br />El <br />Bid Opening <br />El Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />n Other: <br />Company or Vendor Name <br />New Vendor ® Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company Savant Learning Systems <br />Project Name 90 trial of on line trainina <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />General fund <br />101-0801-421.39-89 <br />$ 1475 <br />Purpose/Description The South Bend Police Department requests BPW approval for the <br />attached agreement for a 90 trial of -on line training for officers.. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. 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 />® ❑ Capt. Voros <br />❑ ❑ <br />❑ ❑ <br />