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Date <br />Name <br />1111ptau-0 <br />. Sgt. Globen Department <br />BPW Date 02-13-18 Phone Extension 7520, <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller E] 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 />Purchasing El <br />LJ Agreement <br />El Contract El Proposal F-1 Addendum <br />F-1 Professional Services <br />M Resolution-7 <br />F-1 Bid Opening <br />El Bid Award ❑ Req. to Advertise El' Title Sheet <br />El <br />Quote Opening <br />El <br />Quote Award <br />El <br />Change Order No. <br />F1 <br />C/O & PCA No. F1 PCA <br />F-1 Ease/Encroach. <br />r_1 Traffic Control <br />F-1 Other: <br />Company or Vendor Name <br />New Vendor El Yes [I No <br />MBEANBE Contractor [:1 MBE F-1 WBE <br />If Yes, Approved by Purchasing <br />M'BEANBE Contractor Requested E] No El Yes Name of Company _ <br />Project Name Retirement gift of firearm to Terrance Santa <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Eli <br />The South Bend! Police D@pLreq <br />uests that the Board of Public <br />Works declare Officer Terrance Santa, Smith & Wesson handclun, <br />as surplus property no longer useful to the city. Serial No <br />HKB6693.This declaration will authorize the presentation of the <br />above listed firearm as a tribute for his 30 yrs of service to the City. <br />Retired: 04-26-18 <br />El 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 />Copy <br />Original <br />M <br />El <br />El <br />F-1 <br />0 <br />F <br />6R 14, <br />Goben <br />Dispersal After Approval <br />