Laserfiche WebLink
N <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Q3ober 20"', 2020 <br />PFC Aaron M. Knepper #2174 <br />October 27"', 2020 <br />Department SBPD <br />Phone Extension 9018 <br />Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />Officer Name <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 J <br />❑ Professional Services Agreement ❑ Contract ❑ Proposal <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 _ <br />Yes ❑ If Yes, Approved by Purchasing <br />New Vendor ❑ No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached ❑ Nos <br />Project Name Retirement Gift of SBPD Duty Firearm to James Maxey <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terins of Contract <br />Purpose/Description The South Bend Police Department requests the Board declare Sergeant James <br />Maxey's Smith & Wesson M&P9 handgun, serial #NDT0753, 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 to <br />the City. Sgt. Maxey retired on September 25"', 2020. <br />For Change Orders Only <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 ( %) <br />Time Extension Amount: <br />New Completion Date: <br />