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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />March 16", 2020 <br />PFC Aaron M. KneDDer #2174 Department SBPD <br />BPW Date March 24", 2020 Phone Extension 9018 <br />raruae✓srtm amniro, rreau;muw��u�umwwwu!ui�wwwwwuwr„i¢�y; war�ro. ..�iwgywTv10 uumvm�maxirc�w... ... <br />Rex Prior to Submittal to Board <br />... d..Inclus......�, � ._�... w. <br />DiversityCompliance ❑ Officer Name <br />Inclusion Officer <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Geovanny Martinez <br />Purchasing � ............. ........... <br />Check the Appropriate Item Type <br />Ej Professional Services Agreement EContract <br />Ej Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />❑ C/O & PCA No. <br />Chg. Order, No. <br />❑ Traffic Control <br />❑ 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 />Amount <br />Terms of Contract <br />Purpose/Description <br />All Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />. — -- ------ <br />Information <br />U YesU If Yes, Approved by Purchasing <br />❑ No <br />❑ MBE Completed E-Verify Form Attached <br />❑ WBE <br />Retirement Gift of SBPD Dutv Firearm to Kenneth Milliken <br />❑ Title Sheei <br />FlYes <br />No <br />The South Bend Police Department requests the Board declare Officer <br />Kenneth Milliken's Smith & Wesson M&P9 handgun, serial #NDT0762 as <br />surplus property no longer useful to the City. This declaration will authorize <br />the presentation of the above listed firearm as a tribute for his 51 years of <br />service to the Citv,Officer Milliken retired on March 17, 2020, For Chan Orders 0 <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ _.._� � ....._._...... <br />Increase %� <br />...................... <br />Current Percent of Change: Decrease % <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />ate: <br />New Completion D....,, <br />