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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date July 31", 2020 <br />Name PFC Aaron M. Knemoer #2174 Department SBPD <br />BPW Date August 1 lt�' 2020 Phone Extension 9018 <br />... .Y M".rN:�.,_v:�r-r ..': e�5— '.,aAru�...M1 "�tt"t"DII0.'G MINn11�i'i'6wVtSiAJY� vns yr cc?¢Gs,'v:..vs""Fldl %d Mfd'�MM�%d%�N'M8'M'I�Y�YNFAd�vIiTYGYIBI�I�Mfl614iik'mnev x m_�CAvf ". VY�FT✓wYvk�� ['e_. v fin.*,.—p AOP..... VT'-ki�Cv:a'""'— L.vwJke/Je'�"ddA'Or VIVI"Y"IIN <br />,. .,., .»... .. ., ... .we, , , .�., ..................... ...mm ......�.��.,.a.w.... <br />�tired .nor to Submittal to Board ... �.r.. ........... _.... _. .m_ �....... <br />Diversity Compliance El Officer Name Michael Patton <br />and Inclusion Officer <br />BPW Attorney, Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Geovanny Martinez <br />.... ............._ �. <br />Purchasing <br />�s <br />It Type Reel a��i _'ll Su„bmissions <br />_ <br />LJ Professional Services Agreement ❑ Contract <br />❑ Open Market Contract <br />n 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 />[_l Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />® Resolution <br />F1 Ease./Encroach <br />_-_... _ _............ . <br />l� quircd Information <br />❑ Title Sheei <br />Company or Vendor Name <br />Fiber Brokers International, LLC <br />.Yes_....If <br />_.�.. _. .. m, ..... <br />Yes, Approved bPurchasing <br />pP y Pu rchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />MBE I WBE Completed E-Verify Form Attached ❑ Nos <br />Project Name <br />Dis op sal of Obsolete. Equipment (Shotgunsm <br />Project Number <br />m <br />_,,,_...................................................._w.. <br />Funding Source <br />m._,._� ��......................�................. ... ._.......... .... <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Requesting wg1i ��oy to dispose of obsolete guiI <br />�„ _tit no loner use <br />- ......_. tee ui„ ....... d <br />� <br />by the South Bendw Polwicew 1 eRLirtrneiit.._These items are 100wwoxilired ballistic <br />vests turned in by officers. These ballistic vests are no ]on It r viable for safe <br />use lay officers and cannot be issued out. As �,vlar fibers are toxic. if brol u <br />do,x, tl�soc <br />dual niatealcci <br />_� ._r—_....�. .. <br />_ .-_ <br />Only" _. <br />.. For Change .. Orders �.�a .... <br />Amount of <br />Increase $ ..,., w.. <br />Decrease ($ <br />Previous Amount <br />...................._...........,...............................�_ ................... _._.................................................... _.. ........... <br />$ _ ........ ....... ..._. <br />Increase_. _ ... _-www ..._...... <br />�.�.. u........ % <br />Current Percent of Change: <br />Decrease /0—._..... �........................... <br />o <br />New Amount <br />$ <br />_...Increase..................................................�--- ___... ._....._.,__ <br />____....______,...........................�.�..............�... <br />_ <br />Total Percent of Change: <br />_.. o u_ .._...._.�.. <br />Decrease ( /o) <br />Time Extension Amount:. <br />n .m.W. <br />New Completion Date: <br />. ................ .... ...___m...---.....m. _.. ... _... .......... <br />