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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />5/13/19 <br />Mark Dollinaer <br />Department SBPD <br />BPW Date 5/28/19 Phone Extension 7677 <br />�v�muww.wn w rm� nwr rw zr � xxur�uu�a a�x: suer ffu� = <br />Required Prior to Submittal to Board .. _._ .. ....._ ..... . <br />Legal X Attorney Name Geovanny Martinez/Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />Check the <br />Agreement <br />Professional Services <br />Bid Opening <br />I.. Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />Other: <br />Company.o�............ _ _......... . ......M <br />r Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />roriate Item ypt— <br />El <br />Contract <br />Amendment <br />Bid Award <br />El Quote Award <br />❑ C/O &PCANo. <br />_ <br />❑ Traffic Control <br />for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />ired Information <br />❑ PCA <br />Resolution <br />Claim <br />Addendum <br />❑ Title Sheet <br />ASAP Towing .mm.._ ___.._.... <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />® No <br />WBECompleted E-Verify Form Attached El <br />SBPD Towinq <br />Annual _ <br />The South Bend _Police De artme �...... �.s <br />nt re waste the Board approve <br />renewal of the a reement with ASAP Twin & R,ecovery to - <br />continue towing vehicles for the department. There is no cost; <br />associated with this renewal from the a regiment of revious <br />For. Ch�i�Orders <br />Amount of EJ Increase '$ <br />] Decrease $�.�........... .�W......A._ __� .. .... <br />Previous Amount $ <br />