HomeMy WebLinkAboutContract - SBPD Officer Angie Kline - Purchase of Retired K-9` " .
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Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
07-25-17
Caot. Voros
Purchasing ❑
Department SBPD
U Agreement
Contract F1 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
F-1 Other:
Company or Vendor Name South Bend Polic
New Vendor ❑ Yes ® No [
MBEIWBE Contractor ❑ MBE ❑ WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
If Yes, Approved by Purchasing
Name of Company
Purchase of retired K9 Otter by handler Officer Kline
$ 1.00
The South Bend Police De artme approval p ,,nt requests BPW a rova of the,,.....
resolution for the retirement the 10yr old K9 Otter and the purchase
of Otter by the handler An ie Kline for $1.00 and all expenses
incurred in connection with the dog after its retirement.
❑ Required Contractors Certification Form
m Attached (Non -
Collusion, Nan -Discrimination Non -Debarment, E-Verify, Iran, etc.)
Amount of ❑ Increase $
❑ Decrease $
Previous Amount $
Current Percent of Change: %
New Amount $
Total Percent of Change: %
Copy
Original
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Capt. Voros
Dispersal After Approval