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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/13/2018 <br />L,.-J Agreement <br />U Contract U Proposal ❑ Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ 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 ADSi <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 <br />Project Name _Professional Services — ADSi for South Bend Police Department <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of ❑ <br />IT Professional Services <br />279-0672-415-31-06 <br />$ 12,000 One time expense <br />Payment to be made in conjunction with the successful <br />implementation of the new development for ADSi reportina. <br />Professional Services Quotation to have additional <br />development for SBPD CAD and RMS Reporting <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />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 <br />Original <br />11 <br />❑ <br />® <br />❑ <br />® <br />❑ <br />Daniel O'Connor <br />Ann Orr <br />Danielle Fulmer <br />