HomeMy WebLinkAboutRequest to Advertise - Spec AB - Equipment Installation in 2017 Ford Police Interceptor SedansDate
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
9/13/17
Jeff Hudak
Department Central Services
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Agreement
Professional Services
Bid Opening
Quote Opening
Change Order No.
Ease/Encroach.
Other:
❑ Contract ❑ Proposal U Addendum
❑ Resolution
❑ Bid Award ® Req. to Advertise ❑ Title Sheet
❑ Quote Award
❑ C/O & PCA No. ❑ PCA
❑ Traffic Control
Required Information
Company or Vendor Name
New Vendor
El Yes ❑ No If Yes, Approved by Purchasing
MBEMIBE Contractor
❑ MBE ❑ WBE
MBEMIBE Contractor
Requested
❑ No ❑ Yes Name of Company
Spec AB -- Equipment Installations in 2017 Ford Police Interceptor
Project Name
Sedans
Project Number
2017 Police Department Capital Principal 404-0401-415-37-11 &
Funding Source
Interest 404-0401-415-37-12 (subject to lease funding)
Account No.
Amount
$
Terms of Contract
Purpose/Description
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non -
Collusion. Non -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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Dispersal After Approval
Jeff Hudak & Sheila Enos
Ken Glowacki, Chris Voros, Don Galeziewski