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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />ril 16. 2018 <br />Jeff Hudak <br />Department Central Services <br />❑ Agreement <br />❑ Contract LJ Proposal U Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />❑ <br />Other: <br />Required Information <br />Company or Vendor Name <br />Central Indiana Truck Equipment Corporation <br />New Vendor <br />❑ <br />Yes ® <br />No ❑ If Yes, Approved by Purchasing <br />MBEMIBE Contractor <br />❑ <br />MBE ❑ WBE <br />MBE/WBE Contractor <br />Requested <br />❑ No ❑ Yes Name of Company. <br />Spec G -- three (3) more or less 2018 or Newer 28 cubic yard front <br />Project Name <br />loading refuse trucks for Solid Waste. <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />2018 Capital Lease - principle 611-0610-415.37-11. 'Interest 611- <br />0610-415.37-12 <br />Total price - $1,122,960.00 <br />Award Bid: <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 />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />Jeff Hudak <br />% <br />Dispersal After Approval <br />Mike Bronstetter <br />