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HomeMy WebLinkAboutSpecial Purchase - Brown Equipment Company - Heavy Duty 14,500lb Truck GVWR Truck & Multiconductor TV Lateral Inspection System}��� � � _ ,�: ,. � � n; ,. �. ;r• ,:: ,' k i�� I � �I Nf d: 7 -V�-. _� _ � - �; � ii i.. I � A r�\ `/J ©©*« %- : \� /^ �^�+� - � . � .. . . «§ �� \� ,� . . . 6« ©©z �-x.--� - *�. ® � « w . � m �.� �^����-zz�. . BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 7/17/17 Name Matt Chlebowski Department Central Services BPW Date 7/25/17 Phone Extension 574-235-9316 ❑ 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 Other: Special Purchase Company or Vendor Name Brown Equipment Compan New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company Special Purchase X — One (1) 2017 or Newer Heavy Duty 14,500 Project Name lb. GVWR Truck & Multiconductor TV/Lateral Inspection System Project Number Funding Source 2017 Sewer Department Capital Budget Account No. 642-0621-415-43-02 Amount $ 285,000.00 Terms of Contract Purpose/Description Bid Opening Date: NIA ❑ Required Contractor's Certification Form Attached (Non= Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. Re' u�red For:Chari e Orders Oily, Amount of ❑ ❑ Increase $ Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: % Dispersal After Approval Copy Original ® ❑ Matt Chlebowski & Sheila Enos ® ❑ Terri Swift, Derick Roberts, Dale Helpingstine ❑ ❑