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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/23/2020 <br />Name Mark Department SBPD <br />BPW Date 2/11/2020 <br />Phone Extension 7677 <br />Reauiredm Prior to Submittal to Board ....u� <br />BPW Attorney..._...._.____.._ <br />® Attorney Name Clara McDaniels <br />Dept. Attorney <br />® Attorney Name Geovann i'4 amine <br />Purchasing� <br />.. �.._.__...�__....................__ �...�._....___�....._.._ __.._.....__.._� ... ._ <br />���� Alpl Submi <br />�� _ _ fessional Servic s Agreement Contrac � ���-r <br />t ,Pro osal <br />Open Market Contract <br />❑Amendment/Addendum ❑Special Purchase, QPA <br />Bid Opening <br />❑Bid Award ❑ Req. to Advertise ❑Title Sheet <br />Quote Opening <br />❑ Quote Award ❑ Reject Bids/Quotes <br />❑ Proposal Opening <br />❑ C/O & PCA No. ❑ PCA <br />Chg. Order, No. <br />Traffic Control ® Resolution <br />Other: <br />Ease./Encroach <br />l e riired, Information <br />Company or Vendor Name <br />. ....... ._..,_............. <br />❑ Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />❑ No <br />El <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />MBE Nos <br />Project Name <br />Retirement Gift of SBPD firearm to David Turk <br />--- ... ._.... _.. _._ <br />Project Number <br />�_..._.. ..__................ ............ <br />Funding Source <br />............. w.� �� ..�.�........_. _._n . .......__ ._......��.� <br />Account No. <br />Amount <br />.___._.....___. __w...�_... �__...�.,...� ...... <br />Terms of Contract <br />Purpose/Description <br />...._................_ �.___..... <br />The South Bend Police Department requests the Board declare Officer David <br />Turk's Smith & Wesson M&P9 handgun, serial #NDT6837as surplus property <br />no longer useful to the City. This declaration will authorize the presentation of <br />the above listed firearm as a tribute for his 32 years of service to the City. <br />Officer Turk retired on January 23, 2020. <br />Or C11 e Odro:?, <br />Amount of <br />❑ <br />Increase $ <br />Decrease ($ <br />Previous Amount <br />$ <br />Increase % <br />Current Percent of Change: <br />Decrease %) <br />New Amount <br />$ <br />------ .---------- .w_..._..........._....._....._.____.................. <br />Increase <br />Total Percent of Change: <br />Decrease ( %) <br />Time Extension Amount: <br />New Completion Date:._,._ <br />