HomeMy WebLinkAboutRequest to Advertise - Spec N One or More 2019 or Newer LP Powered Lift Truck120ON County -City Building
227 W. Jefferson Blvd.
South Bend, Indiana 46601-1830
April 10, 2019
Phone 574/235-9216
TTY 574/235-5567
Fax 574/235-9928
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
EPARTMENT OF ADMINISTRATION AND INANCE
Board of Public Works
1308 County -City Building
South Bend, IN 46601
Dear Board Members,
The Central Services Division requests your permission to advertise for one (1) or more 2019 or
Newer LP Powered Lift Truck for Equipment Services. This unit will be funded by the 2019
Capital Lease Budget.
We ask the board to proceed with all necessary legal requirements and post notice of the attached
specifications to all qualified vendors.
SPECIFICATION NUMBER OF UNITS
N. One (1) or more
DESCRIPTION
2019 or Newer LP Powered Lift Truck
If I can be of further assistance, please contact me at your convenience.
Sincerely,
-t-1l
Ppildie
J #ffr(,,y D. Iudak, Director
Central Services Division
JDH/wss
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 4/10/19
Name Jeff Hudak Department Central Services
BPW Date 4/25/17 Phone Extension 574-235-9316
Her m��W�rtm R,ufia��aa
Re uired Pnor to Sub _....... ...._� ....
mittal to Board
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
Check the
Lj Agreement
❑ Professional Services
❑ Bid Opening
❑ Quote Opening
E] Change Order No. _
El Ease/Encroach.
E 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
)ropriate ItemType -
Contract
❑ Resolution
❑ Bid Award
❑ Quote Award
E C/O & PCA No. _
❑ Traffic Control
for All Submissions
Proposal
® Req. to Advertise
Required Information
❑ PCA
Yes LJ No Jj If Yes„ Approved by Purchas
MBE F� WBE
rOS-oe .0
❑ Title Sheet
No ❑ Yes Name of Compaq
Spec . .........................
N — One (1) or more 2019 or Newer LP Powered Lift Truck
201....9 Equipment Services Capital Lease Budget
....
224-0605-419 3801 Principal 224-0605 419-3802 Interest
... _...__ .............................
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non-
_. er
... � ollusion,wwNon-Discrimination, Non -Debarment, E-V_ww , Iran, etc.
uwre _ __,....�
e�,! o han e O Orders ....
Amount of El Increase $
Fj Decrease $
Previous Amount $
Current Percent of Change: %
New Amount $ w...._.......
Total Percent of Change: %
Dispersal After Approval
Copy Original
® F_� Jeff Hudak
❑ Mary Wisniewski