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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 1s,....2.02.0................................................................ <br />Name PFC Aaron M. Knepper #2174 Department SBPD <br />BPW Date Se tember 8th 2020 Phone Extension 9018 <br />r�uumHiHiHiHiHiHiHiHiwiHiuiwuuouo�unwiwuHiHiwr�riwrr„ im�,;.__�.�t�t�ww re ,,,,�,nkn�s v ✓✓rr�v��. ,,,� �___.,,,...,. �ar�-� �...��u�.���w�w�wsraa�nm�mwrumr:�v�i,�uu�ioioiomvwr�m„�,n,u.e�e��wranra�ur�wa r.�,w:� �::-....A. �_�,-�.�� <br />,,,,,,,,,..�.� ._.. _....,.,..,.__�.,...,.... _ ....___m ,,,,.,�........,... ..........� ... ...... <br />nisi r ed Prior to Submittal to Board �. u��.. <br />Diversity Compliance ❑ Officer Name <br />and Inclusion Officer <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Geovanny Martinez <br />............................................ <br />Purchasing <br />Check the At)d� plj� � temItem 1 yfa lbw <br />❑ Professional Services Agreement Contract <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />❑ Bid Award <br />[J 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 />A11 Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />] Req.. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />® Resolution <br />EJ Ease./Encroach <br />Required Information <br />❑ Title Sheel <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />[] WBE ❑ No <br />Retirement Gift of SBPD Duty Firearm to David Leda <br />The South Bend Police Department requests the Board declare Detective Da-V <br />Leda's Smith & Wesson M&P9 handgun, serial #NDT0618 as surplus proper <br />no longer useful to the City. This declaration will authorize the presentation <br />the above listed firearm as a tribute for his 20 years of service to the City, <br />Detective Leda retired on Augxt 2"', 2020 <br />I$or Change Orders C <br />Amount of ❑ Increase $ <br />❑ Decrease <br />Previous Amount <br />Increase�_�..............................................................%... <br />Current Percent of Change: Decrease( % <br />New Amount $ <br />�...Increase % <br />Total Percent of Change: Decrease �Ln.n.. <br />Time Extension Amount: <br />New C:;oinoletion Date: <br />