Special Purchase - JG Uniforms - SBPD Ballistic Vest Outer Carriers

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 03/15/19 Div. Chief Tim Lancaster Department SBPD BPW Date March 26t", 2019 Phone Extension 9301 wired Prior to Submittal to Board Legal ® Attorney Name Geovanny Martinez Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing Agreement wwwwwwwCheck the o ppmr Contract Type Require for All Submissions g �] ❑Proposal ❑ Addendum Fj Professional Services ( Resolution ❑ Bid Opening ❑, Bid Award ❑ Req. to Advertise ❑ Title Sheet EJ Quote Opening 0 Quote Award F1 Change Order No. 0 C/O & PCA No. ❑ PCA Ease/Encroach. Traffic Control ® Other: Special Purchase IC 5-22-10-8 & 5-22-10-9 I+quired Information Company or Vendor Name JG Uniforms New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name South Bend Police Department Ballistic Vest Outer Carrier Project Number Funding Source . Supplies-Operating/Uniforms mm.... ................... Account No. 101-0801-421-22.05 Amount $ 29,12................a.a.........�........___............ __ 6.60 Terms of Contract ............ __ .. .................... Purpose/Description --------------- Re uestinq special purchase for custom fit ballistic vest outer carriers from JCS Uniform in Chicago, IL. See attached letter. ❑ Required Contractor's Certification Form Attached (Non - Collusion Non -Discrimination Non -Debarment„ E-Vedfy, Iran, etc. - Reuired ForwwChane Orders Onl+`mmmmmmmm _�. Amount of ❑ increase ............. ❑ Decrease $ Previous Amount $ ........ . ..................... Current Percent of Change: % New Amount $ Total Percent of Change: % _........ _ _..... _ ..._ ..... Dispersal After Approval Copy Original ® Div. Chief Tim Lancaster 1:1 .........-....... .............................. ..