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F.M" B10, U.16 I 1310 1110 DMA 1, DMALYA194 K1411 1 Itt <br />Date 12/1'4/17 <br />Name Sgt. Goben Department SBPD <br />BPW Date 12-21-17 Phone Extension 7520 <br />F- Required Prior to Submittalto Board <br />Legal Attorney Name Clara McDaniels <br />Controller z 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 />ED Agreement <br />Ell: Contract LJ Proposal Addendum <br />El <br />Professional Services <br />El Resolution <br />F-1 <br />Bid Opening <br />F Bid Award El Req. to Advertise Title Sheet <br />* <br />Quote Opening <br />El <br />Quote Award <br />* <br />Change Order No. <br />F <br />C/O & PCA No. Ej PCA <br />Ease/Encroach. <br />E] <br />Traffic Control <br />Other: <br />Company or Vendor Name ASAP Towing <br />New Vendor F-1 Yes R No 0 If Yes, Approved by Purchasing <br />MBE/WBE Contractor [] MBE R WBE <br />MBENVBE Contractor Requested F] No R Yes Name of Company <br />Project Name SBPD Impounds <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />The South Bend Police Dept. requests that the Board of Public Works <br />approve the agreement with ASAP Towing & Recoven(to, continue to tow <br />vehicle for the South Bend Police Department. There is no cost associated <br />with this renewal from the agreement last year. <br />FIRequired Contractor's Certification Form Att I ached(Non- <br />Collusion. Nan -Discrimination. Non -Debarment. E-Verifv, Iran, etc.) <br />Amount of 0 increase $ <br />F-1 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 />0 Sgt. oben <br />11 <br />El <br />F-1 <br />El <br />