Laserfiche WebLink
130ARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 16, 2018 <br />Name Stephen Cox, Fire Chief Department SBFD <br />BPW Date 2/27/18 Phone Extension '9255 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Anderson <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing EJ <br />N Agreement L-] Contract LJ Proposal L-] Addendum <br />F-1 Professional Services El Amendment <br />F] Bid Opening El Bid Award El Req. to Advertise El Title Sheet <br />[:] Quote Opening F-1 Quote Award <br />E] Chg Order No. n C/O & PCA No. -E] PCA <br />E] Ease./Encroach. F-1 Traffic Control F-1 Resolution <br />F-1 Other: n Claim <br />Company or Vendor Name <br />Northern Indiana Commuter Transportation District <br />El Yes F] If Yes, Approved by Purchasing <br />New Vendor <br />[:] No <br />1:1 s <br />MBEANBE Contractor <br />F-1 WBE EINoCompleted E-Verify Form Attached <br />Project Name <br />N/A <br />Project Number <br />N/A <br />Funding Source <br />N/A <br />Account No. <br />N/A <br />Amount <br />N/A <br />Terms of Contract <br />N/A <br />Purpose/Description <br />I nterlocal exchange of equipment for services — no cost transfer <br />of refurbished railcar from NICTD to CitV of South Bend, far use <br />in training by public safety personne <br />For Change Orders Only <br />" ' <br />Amount of F-1 Increase $ <br />0 Decrease <br />Previous Amount <br />$ <br />Current Percent of Change- <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />Time Extension: <br />Dispersal After Approval <br />Copy Original <br />❑ Z SBFD <br />z 0 Legal <br />1:1 El <br />