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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/10/19 <br />Name Mark Dollineer Department SBPD <br />BPW Date 12/10/19 Phone Extension 7677 <br />. fHwn Pmm11111111�Nmmiiwmmw <br />Regt�mred Review Pnor to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Geovanny Martinez <br />Purchasing ❑.........._..��������........._. <br />..._...._.eC._....t..._e Appropriate Item �clw hire <br />.....__ <br />Professional Services Agreement ❑ Contract <br />❑ Open Market Contract ® Amendment/Addendum <br />❑ Bid Opening ❑ Bid Award <br />❑ Quote Opening ❑ Quote Award <br />E] Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. Traffic Control <br />❑ Other: <br />Requir cal Information <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 />ASAP Ts <br />❑I YesE <br />No <br />MBE <br />❑� WBE <br />All Submissions <br />LJ Proposal <br />E] Special Purchase, QPA <br />EJ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />❑ Ease./Encroach <br />If Yes, Approved by Purchasing <br />❑ Title Sheei <br />❑ Yes <br />❑ No <br />The South Bend Police Department requests the Board to approval an <br />amendment to the agreement with ASAP Towing & Recovery to extend its <br />term until April 2, 2020. <br />For Change Orders On] ...... _...._ ._ <br />Amount of Increase $ <br />❑ Decrease$ ) <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Comnletion Date: <br />Increase % <br />Decrease % <br />Increase % <br />Decrease ( % <br />