Request to Advertise - Spec A - Two or More 2019 or Newer 3-4 Ton Extended Cab Four Wheel Drive Pick Up Truck

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 2/22/2019 Jeff Hudak Department Central Services BPW Date March 12, 2019 Phone Extension 574-235-9316 IBM=.... ......... _ ._..... ....�Re ..... rio....................___..................................... _.............................................................._...... _ _.m..�.._...m..�....... ......... eeeee........... qm....... m.. Board o Submittal to Legal Attorney Name Clara McDaniel s Controller review is required for all Contracts $5,000.00 or more Controller El and greater than one year in length per the City Purchasing Policy Purchasing Z _ Check the A Agreement Professional Services ❑ Bid Opening �] Quote Opening El Chg Order No. Ease./Encroach. Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Michael Schmidt bro rate Item T 3 e Required for All Submissions .mm Contract Proposal Addendum Amendment FI Bid Award ® Req. to Advertise ❑ Title Sheet ❑ Quote Award ❑ C/O & PCA No. ❑ PCA ❑ Traffic Control ❑ Resolution 0 Claim ----.A�. ,wired .... � ��...._ _..... Information � w.w_..._......... ....... a ❑I Yes E If Yes, Approved by Purchasing F-1 No MBE Completed E-Verify Form Attached El Yes ❑ WBE ❑ No Spec A — Two (2) or more 2019 % Ton Extended Cab Trucks Capital Budget Fund 642-0621-415.4302 Motor Equipment Opening Bid Date: April 9, 2019 ._. _..�............._...... .. u.� .... ._...w �_...... ....._......... for Change Orders Only .. ,. Amount of F] Increase $ E] Decrease $ Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension: Dispersal After Approval Copy Original ® ❑ Jeff Hudak ® ❑ Terri Swift ❑ ❑ W