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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST" FOR <br />Date 01-24-18 <br />Name Sgt. Goben Department. <br />r-� <br />BPI/' Date 02-13-18 Phone Extension 7520 <br />Required Prior to Submittal to Board <br />Legal 01 Attorney Name Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />❑ Agreement ❑ Contract U Proposal ❑ Addendum <br />❑ Professional Services ® Resolution . �l ?) <br />Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />EJ Quote Opening ❑ Quote Award <br />❑' Change Order No. ❑ C/O & PCA No. ❑ PCA, <br />❑ Ease/Encroach. ❑ Traffic Control <br />❑ Other: <br />Required Information <br />Company or Vendor Name <br />New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBEA/\/BE Contractor ❑ MBE [] WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Retirement__gift of firearm to Eldon Bradley <br />Project Number <br />Funding Source <br />Account No. <br />Amount $ <br />Terms of Contract <br />Purpose/Description The South Bend Police Dept. requests that the Board of Public <br />Works declare Officer Eldon Bradley, Smith &'Wesson handgun as <br />surplus property no longer useful to the city. Serial No <br />HKB5070.This declaration will authorize the presentation of the <br />above listed firearm as a tribute for his 35 yrs of service to the City. <br />Retired: 01-03-18 <br />Required Contractor's Certification Farm Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc.) <br />Amount of H Increase <br />❑ Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Goben <br />Dispersal After Approval <br />