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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date January 15th, 2025 <br />Name Sat. Aaron M. Kneaaer #2174 Department SBPD <br />BPW Date January 281h, 2025 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 Michael Schmidt <br />Dept. Attorney ® Attorney Name <br />Kylie Connell <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re uired or 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 />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 />Information <br />Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />El MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />Retirement Gift of SBPD Dutv Firearm to DET Gary Hasbrook <br />Purpose/Description The South Bend Police Department requests the Board declare DET Gary <br />Hasbrook's Smith & Wesson M&P handgun, serial #NDT0141, 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 36 years of service tc <br />the Cit . DET Kendall retired on Janua 1 lth, 2025. <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 />