HomeMy WebLinkAboutAward Bid - One or More 2017 or Newer LP Powered Lift Truck - Spec N - Hull Lift TruckBID NAME
FOR BIDS DUE
BID/PROPOSAL
CITY OF SOUTH BEND
Spec N — One (1) or More 2017 or Newer LP Powered Lift Truck
May 23, 2017 at 9:30 a.m.
1 7
190
Description
Year/Make/Model
Unit Price
Estimated number of days for delivery from award
date.
Bidder (Firm)
Address:
City/State/Zip
Telephone Number:
r 'I) L;'C� '1rAc"
;2- �-7 W 7 Old W 33 W esi
lyhatl, .x z-11,04
S ?YJ-H4S'I
91-4
BOARD OF PUBLIC
O�RKS_
ary A. Gilot, President
Suzanna M. Fritzberg, Member
James A. Mueller, Member
Fax Number: r7`%-.2'o "-g747
12
(Signature)
(Printed Name)
(Title)
4 ,-� L Lu-k
�-A
Elizabeth A. Maradik, Member
T e ese J. Dor , Member
-'
t est: Linda M. Martin, lerlc
1' �' 3 �_ ' ;_:��
�` "� �: +�
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1" r+
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 5/31/17
Name Jeff Hudak
Department Central Services
BPW Date 6/13/17
Phone Extension 574-235-9316
Re' uired'Prior:to Submittal to Board
Legal ®
Attorney Name Michael Schmidt
Controller ❑
Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ®
George King
C heck` the Appropriate:
l#em T pe Required far All Submissions
❑
Agreement
Contract ❑ Proposal ❑ Addendum
❑
Professional Services
❑
Resolution
❑ Bid Opening
®
Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Opening
❑
Quote Award
❑
Change Order No.
❑ CIO & PCA No. ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control
n
Other:
Company or Vendor Name
New Vendor
MBEMIBE Contractor
MBEIWBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Hull Lift Truck
F1 Yes __ No ❑ If Yes, Approved by Purchasinq
MBE U WBE
_❑ No ❑ Yes Name of Company
Spec N -- One (1) or more 2017 or Newer LP Powered Lift Truck
2017 Waste Water Capital Budget
642-0630-415-43-02
$ 29,459.00
Previous Amount $
Current Percent of Change: %
New Amount $
Total Percent of Change: %
Dispersal After Approval
Copy Original
® ❑ Jeff Hudak & Sheila Enos
® ❑ Al Greek, Ken Smith, Carol Kurzhal