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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/27/2020 <br />Name Mark Dolfinger . . ...... Department SBPD <br />BPW Date 2/11/2020 Phone Extension <br />BPW Attorney Attorney Name Clara McDaniels <br />. . ................ <br />Dept. Attorney <br />Purchasing <br />E Attorney Name <br />z <br />Checkthe <br />Professional Services Agreement <br />❑ Open Market Contract <br />❑ Bid Opening <br />Quote Opening <br />❑ Proposal Opening <br />El Chg. Order, No. <br />n Other: <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 />to Item T <br />Contract <br />Geovanny Martinez <br />Amendment/Addendum <br />❑ Bid Award <br />E] Quote Award <br />0 C/O & PCA No. <br />EJ Traffic Control <br />Information <br />All Submissions <br />F] Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />E] PCA <br />E] Resolution <br />F] Ease./Encroach <br />0 Title Sheet <br />Leeds Precision Instruments, Inc. I Leeds Forensic Systems, Inc. <br />Yes E If Yes, Approved by Purchasing <br />No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />F] WBE No <br />Forensic microscope -purchase <br />295-8192-421.43-06 <br />Amount $a--596, GSA <br />Terms of Contract 19, , qcrl <br />Purpose/Description 'nie South Bend Police Crime I,ab <br />examination. This <br />I'llicroscove. <br />For <br />Amount of F] increase " $ . ..... <br />Decrease <br />Previous Amount $ <br />Increase % <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 />. .............. - , <br />