HomeMy WebLinkAboutRequest to Advertise - Spec V - Four More or Less 2017 or Newer Mid Size Four Door Hybrid Sedan AutomobilesDate
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
6/30/17
Jeff Hudak
Department Central Services
BPW Date 7/11/17 Phone Extension 574-235-9316
❑
Agreement
'❑
Contract U Proposal L 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
I -I
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
j__.,J Yes j___.J No Lj If Yes, Approved by Purchasing
❑ MBE ❑ WBE
❑ No ❑ Yes Name of Company
Spec V - Four (4) more or less 2017 or Newer Mid -Size Four Door
Hybrid Sedan Automobiles
2017 Waste Water Capital Budget 642-0630-415-43-02
2017 Fire Department Capital Budget 287-0902-422-43-02
Bid Opening Date:
F ] Required Contractor's Certification Form Attached (Non -
Collusion. Non -Discrimination. Non -Debarment, E-Verifv. Iran. etc.
Increase $
Decrease $
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
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Dispersal After Approval
Jeff Hudak & Sheila Enos
-Al Greek, Ken Smith, Carol Kurzhal
Todd Skwarcan