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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11 /6/18 <br />Name Chief Tim Lancaster Department Police Department <br />BPW Date 11/13/18 Phone Extension 574-235-9301 <br />� _ L Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <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 <br />Check the P <br />U Agreement <br />El Professional Services <br />E] Bid Opening <br />El Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />F-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of II <br />Michael Schmidt <br />mate Item T�ypem-mmRequired for All Submissions <br />3. 't act-" .._ __.. ❑ITITAddendum <br />Contract Proposal <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ C/O & PCA No. PCA <br />❑ Traffic Control M Resolution <br />Claim <br />Required Information <br />Yes _ ...�---------------------___ <br />El❑ If Yes, Approved by Purchasing <br />❑ No <br />❑ MBE Completed E-Verify Form Attached F1 Yes <br />[] WBE ❑ No <br />Request for Proposals - Police Vehicle Decal Design and <br />Application <br />10108014213603 <br />Police Department - 20206074313801mm and 20206074313802 <br />Solicit Proposals: <br />�P <br />For Charge Orders Only <br />Increase <br />Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />PO No. <br />Dispersal After Approval <br />Copy <br />Original <br />® <br />❑ Chief Tim Lancaster, Police Department <br />® <br />❑ ..........._......... ..........__............. <br />Bob Simmons, Police Department <br />