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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />June 10t". 2020 <br />PFC Aaron M. Kneoper #2174 Department SBPD <br />BPW Date June 23"d„ 2020 Phone Extension 9018 <br />�r�s&NPRAWfd"NJ;'4'lJ�9u.?'Y.{'!rf/�flNM.WW�IW� Ya:W%IiC��VIIWYNHBd1J9W N1!5ifilf0f.: : i ,"A'9,IdNF�b!MINNfNMP!%f:W:ll%I:�dmIA�VYIAAFVdINn /�Rm 'rin �YM1R'W'PoIIWIifi9�iiiiiiimlN�N ""l@iHPiNlf v'NPfWNk+t�a. <br />Required Prior to Submittal to Board oard <br />Diversity Compliance El <br />and Inclusion Officer Officer Naine <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Geovanny Martinez <br />Purchasing � .._�......................... �._..�,�_ <br />�... Check the Ap Lyra Itemmm I �..I�.e . Re, <br />❑ Professional Services Agreement Contract <br />El Open Market Contract <br />0 Amendment/Addendum <br />F] Bid Opening <br />El Bid Award <br />j Quote Opening <br />I Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />Ej 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 />❑ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />uired Information <br />❑ Title Sheel <br />................. -... _ ..... <br />Yes Ipproved y ... <br />Purchasing <br />❑ No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Retirement Gift of SBPD Dutv Firearm to Nathan Cannon <br />The South Bend Police Department requests the Board declare Sergeant <br />Nathan Cannon's Smith & Wesson M&P9 handgun, serial #NDS9973 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 36 years of <br />service to the City. Sgt. Cannon retired on June 5"', 2020. <br />_ For Clian <br />.,,,,..,, <br />Amount... Increase $ <br />of............................�.......w�w�w,.......m�xw...�..m...Decrease ,:,,,._ <br />..,�������$_�_..............._... <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />,,e Orders <br />Increase <br />% <br />Decrease( <br />% <br />. m„ <br />....% <br />Increase <br />Decrease <br />��.�.�.�.�.�.�.�.�.�.�.�... % <br />