Extend Bid Award - Spec V – Two (2), More or Less, 2019 or Newer Tandem Axle Stainless Steel Multi-Use Dump Trucks - Truck Centers, Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name January 17. 2020 Jeff Hudak Department Central Services BPW Date Janua 28, 2020 Phone Extension 574-235-9316 mmmin mi _._ ... R ...� ...._............. -..�.............. Required Prior t..._�. _ q o Submittal to Board_ Legal Attorney Name Clara McDaniels mITITmm m Controller review is required for all Contracts $5,000.00 or more Controller F-1 and greater than one year in length per the City Purchasing Policy Purchasing Z Michael Schmidt ........� Check �the A ro riate Item T e Required for All Submissions ..___. .. mm.. __..... __.._......_ Agreement Contract ❑ Proposal ❑ Addendum Professional Services l] Amendment Ej Bid Opening E] Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening El Quote Award ❑ Chg Order No. El C/O & PCA No. ❑ PCA ❑ Ease./Encroach. Traffic Control ❑ Resolution ® Other: Award ❑ Claim Extension _:...._.. _ Required Information Company or Vendor Name Truck Centers, Inc. New Vendor ❑ Yes E] If Yes, Approved by Purchasing ® No MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑ ❑ WBE E] Yes No Spec V — Two (2) More or Less 2019 or Newer Tandem Axle Project Name Stainless Steel Multi -Use Dumo Truck Project Number Funding Source Street Department Capital Lease & Interest Account No. 202-0607-431.38.0E & 202-0607-431.38.02 Amount $472,218.00 Terms of Contract ._ ......... Purpose/Description Opening Bid Date: October 22, 2019 Amount of El Increase F Decrease Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension: 9 Dispersal After Approval Copy Original ® ❑ Jeff Hudak ® ❑ Terri Swift ® .. .............. .........................................._.........................i El Ward 3