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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />09-14-18 <br />Div. Chief Tim Lancaster <br />Department SBPD <br />BPW Date 09-25-18 Phone Extension 9301 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller ❑ 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 F-1 <br />L Agreement <br />F-1 Professional Services <br />H Contract H Proposal L] Addendum <br />M Resolutiono+,'U <br />n Bid Opening <br />n Bid Award F-1 Req. to Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />n Quote Award <br />E] Change Order No. <br />F-1 C/O & PCA No. E] PCA <br />El Ease/Encroach. <br />F-1 Traffic Control <br />n Other: <br />Company or Vendor Name SBPD <br />New Vendor El Yes El No if Yes, Approved by Purchasing <br />MBEANBE Contractor F1 MBE F WBE <br />MBE/WBE Contractor Requested 0 No F Yes Name of Company <br />Project Name Equipment disposal <br />Project Number <br />Funding Source <br />Account No. <br />Amount $ <br />Terms of Contract <br />Purpose/Description The South Bend Police Department requests BPW approval to <br />dispose of outdated UHF portable radios through sale, donation, <br />trade or recycling. These radios are now obsolete due to upgrade o <br />the State of Indiana 800mhz radio initiative andl are not functional <br />with the new system. <br />F-1 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of F-1 increase <br />El 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 />E <br />EJ Div. Chief Tim Lancaster <br />1-1 <br />El <br />El <br />El <br />