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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Julv 315", 2020 <br />Name PFC Aaron M. Kneaner #2174 Department SBPD <br />BPW Date August l It",2020k^Mgq Phone Extension 9018 <br />_ - e q ired Prior to S.u_mb.m�...._ al to B..oard_�—__ __ <br />_... mmm.m................... _ <br />�..W..... <br />Diversity Compliance ❑ <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Geovanny Martinez <br />Purchasing <br />Check the Apriate Item T I,)S, . Rel <br />Professional Services Agreement Contract <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />R C/O & PCA No. <br />Q 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 />Amount of <br />Previous Amount <br />h-eel' l°car All Submissions <br />H Proposal <br />EJ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />[:1 PCA <br />® Resolution <br />Ease./Encroach mmm <br />uired Information <br />❑ Title Sheei <br />Yes❑ If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached El Yes <br />F] WBE ❑] No <br />Retirement Gift of SBPD Duty Firearm to Brian Galbreath <br />The South Bend Police Department requests the Board declare Officer Brian <br />Galbreath's Smith & Wesson M&P9 handgun, serial #NDT0126 as surplus <br />property no longer useful to the City. This declaration will authorize the <br />presentation of the above listed firearm as a tribute for his 20 years of service <br />Galbreath retired on July 25"�', 2020, <br />the Cit Officer Ga wetlOtl ....._ mm ...,.... .. . <br />For (: h in e Orders OnI <br />❑ Increase $ <br />❑ Decrease <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase <br />% <br />....�...........� <br />Decrease <br />% <br />Increase <br />���..................... % <br />........o....... <br />Decrease <br />( /o <br />