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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11./27/2019 <br />Name Mark Dollin er Department SBPD <br />BPW Date 12/10/2019 Phone Extension 7677 <br />_....... Required Prior to Submittal to Board <br />._ .. _.........._........ _..... _ <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney F<C Attorney Name Geovannv Martinez <br />Purchasing [ <br />Check the Appropriate Item 'Type -w equir°eel iv All Submissions <br />El <br />Professional Services Agreement [:] Contract <br />0 <br />Open Market Contract ❑ Amendment/Addendum <br />E] <br />Bid Opening E] Bid Award <br />Quote Opening El Quote Award <br />E] <br />Proposal Opening ❑I C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />E] Other: <br />Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />R(Ject Bids/Quotes <br />F-1 PCA <br />Required. Information <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />❑Yes ❑ _ _...._ <br />If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />EJ MBE Completed E-Verify Form Attached' Nos <br />❑' <br />Project Name <br />Retirement Gift of SBPD firearm to Meredith Hanle! IT ITITITIT_mmmmmmmmmmwwmm ._....._..� <br />Project Number <br />.............. .._w_ __..._._. _..._ ........__. <br />Funding Source <br />Account No. <br />Amount <br />__ �.� __ ..._.... _��........._ <br />Terms of Contract <br />Purpose/Description <br />The South Bend Police Department requests the Board declare Officer Meredith <br />Hanley's Smith & Wesson M&P9 handgun, serial 4NDT0140 as surplus property <br />no longer useful to the City. This declaration will authorize the presentation of the <br />above listed firearm as a tribute for her 20 years of service to the City. Officer <br />Hanley retired on November 21, 2019. <br />For t�.al�a�� c� Order-.._.ITIT ._ <br />..��.s <br />Amount of El <br />Increase $_ _....... <br />Decrease a <br />Previous Amount <br />$ <br />Increase % �...�._......�. ..... _ ��_ ............ <br />_._ ...._ ...... ..... .............. ......W ..... . <br />Current Percent of Change: <br />g°........................ <br />Decrease /o ...................... _ _w www wwwwwm_ ........w <br />New Amount <br />$ .�....� <br />�.� % <br />Increase ............. ... ..... _.m <br />Total Percent of Change: <br />Decrease %.......NIT <br />Time Extension Amount: <br />New Comy)letion Date: <br />