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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 2nd, 2021 <br />Name PFC Aaron M. Knepper #2174 Department SBPD <br />BPW Date December 14th, 2021 Phone Extension 9018 <br /> <br />Required Prior to Submittal to Board Diversity Compliance <br />and Inclusion Officer Officer Name BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Kylie Connell <br /> <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <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 />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name Retirement Gift of SBPD Duty Firearm to Erik Schlegelmilch <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description The South Bend Police Department requests the Board declare PFC Erik <br />Schlegelmilch’s Smith & Wesson M&P handgun, serial #NDT0957, 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. PFC Schlegelmilch retired on November 29th, 2021. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> Time Extension Amount: <br />New Completion Date: