HomeMy WebLinkAboutRequest to Advertise - Spec Y One or More 2017 or Newer One Ton Four Wheel Drive Pickup Truck including Animal Transport Module�•� � ;€sue �, �
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
814117
Jeff Hudak
Department Central Services
BPW Date 8/22/17 Phone Extension 574-235-9316
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
Agreement
Contract Proposal Addendum
❑
❑
Professional Services
Bid Opening
❑ Resolution
❑ Bid Award ® Req. to Advertise ❑Title Sheet
❑ Quote Opening
❑ Change Order No.
❑
❑
Quote Award
CIO & PCA No. ❑ PCA
❑ Ease/Encroach.
❑ Traffic Control
7 Other:
Company or Vendor Name
New Vendor
MBEIWBE Contractor
MBEIWBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of ❑
❑ No ❑ Yes Name of Company
Spec Y — One (1) or more 2017 or Newer One Ton Four Wheel
Drive Pickup Truck Including Animal Transport Module
Previous Amount
Current Percent of Change: %
New Amount $
Total Percent of Change: %
Dispersal After Approval
Copy Original
® ❑ Jeff Hudak & Sheila Enos
® ❑ Ron O'Connor, Randy Wilkerson