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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/16/2019 <br />Name Mark Department SBPD <br />BPW Date 8/27/2019 Phone Extension 7677 <br />MNM <br />. . <br />Required Prior to Submittal to Board <br />. . . . ................ <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Geovangy, Martinez. <br />Purchasing <br />Check the Appropriate Item "Iype -- <br />0 Professional Services Agreement E] Contract <br />0 Open Market Contract <br />El Amendment/Addendum <br />E] Bid Opening <br />1:1 Bid Award <br />0 Quote Opening <br />El Quote Award <br />E] Proposal Opening <br />[:] C/O & PCA No. <br />El Chg. Order, No. <br />E] Traffic Control <br />ELOther: <br />Rqpired Information <br />All Submissions <br />E] Proposal <br />[:] Special Purchase, QPA <br />E] Req. to Advertise <br />rl Reject Bids/Quotes <br />PCA <br />Resolution gj- �,(� <br />lease./l� ncro.dch <br />0 Title Sheet <br />Company or Vendor Name <br />New Vendor --OYesEllf Yes, Approvedby Purchasing <br />F1 No <br />MBE/WBE Contractor MBBECompleted E-Verify Form Attached Nos <br />W <br />Project Name Retirement Gift of SBPD firearm to AnthonyBontraaer <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />- - ------ - - <br />Terms of Contract <br />Purpose/Description The South Bend Police Department requests the Board declare Officer <br />Anthony Bontrager's Smith & Wesson M&P9 handgun, serial #NDS9957 as <br />surplus property no longer useful to the City. This declaration will authorize <br />the presentation of the above listed firearm as a tribute for his 21 years of <br />service to the Cqy Otficq Bontra retired on A 8, 2ai1 <br />C� Au&T <br />�*or Oc qn.pn <br />Amount of Increase <br />E] Decrease <br />Previous Amount <br />Increase % <br />. . . . ...... <br />............... <br />Current Percent of Change: Decrease <br />New Amount <br />Increase % <br />Total Percent of Change: Decrease --- <br />Time Extension Amount: <br />New Completion Date: <br />