HomeMy WebLinkAboutRequest to Advertise - Spec Q - Four More or Less 2017 or Newer Police Motorcycles with Equipmentlk,
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 6/21/17
Name Jeff Hudak Department Central Services
BPW Date 7/11/17 Phone Extension 574-235-9316
U Agreement
❑ Professional Services
❑ Bid Opening
❑ Quote Opening
❑ Change Order No. _
❑ Ease/Encroach.
f-I Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBEIWBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
❑ No 0 Yes Name of Company
Spec Q — Four (4) more or less 2017 or Newer Police Motorcycles
with Equipment
2017 Police Department Motor Equipment Fund
220-8101-421-43-02
I
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination. Non -Debarment. E-Verifv. Iran. etc.
Amount of U Increase
❑ Decrease
Previous Amount $
Current Percent of Change: %
New Amount $
Total Percent of Change: %
Dispersal After Approval
Copy Original
® ❑ Jeff Hudak & Sheila Enos
® ❑ Ken Glowacki, Chris Voros, Don Galeziewski
❑ ❑