Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date9/9/2020 <br />Department SBPD <br />Name Mark Dollinger <br />BPW Date9/22/2020 Phone Extension 7677 <br />Required Prior to Submittal to Board <br />Diversity Compliance <br />Officer NameMichael Patton <br />and Inclusion Officer <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Geovanny Martinez <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br />Professional Services AgreementContractProposal <br />Open Market Contract Amendment/Addendum Special Purchase, QPA <br />Bid Opening Bid Award Req. to Advertise Title Sheet <br />Quote Opening Quote Award Reject Bids/Quotes <br />Proposal Opening C/O & PCA No. PCA <br />Chg. Order, No. Traffic Control Resolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Tire Rack <br /> Yes If Yes, Approved by Purchasing <br />New Vendor <br /> No <br /> MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br /> WBE No <br />Project NameIndemnification agreement between COSB and Tire Rack <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of ContractSeptember 30, 2020-October 2, 2020 <br />Purpose/DescriptionThe South Bend Police Department requests board approval of the <br />indemnification agreement between the City of South Bend and Tire Rack for the <br />use of Tire Rack’s training track for police emergency vehicle operations (EVO) <br />training <br />For Change Orders Only <br />$ <br />Increase <br />Amount of <br />Decrease ($ ) <br />Previous Amount$ <br />% <br />Increase <br />Decrease( %) <br />Current Percent of Change: <br /> <br />New Amount $ <br />% <br />Increase <br />Decrease( %) <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />