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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />RF&%U*. <br />Sgt. Goben Department <br />BPW Date 02/13/18 Phone Extension 7520 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller Controller review is required for all Contracts $5,000.010 or more and <br />greater than one year in length per the City Purchasing Policy <br />23N��QE <br />2 Agreement <br />El Contract El Proposal El Addendum <br />F] <br />Professional Services <br />F­1 Resolution <br />F-1 <br />Bid Opening <br />F-1 <br />Bid Award ❑ Req. to Advertise F] Title Sheet <br />M Quote Opening <br />El <br />Quote Award <br />E] Change Order No., <br />0 <br />C/O & PCA No. F-1 PCA <br />F-1 Ease/Encroach. <br />ElTraffic <br />Control <br />F-1 <br />Other: <br />Company or Vendor Name ADSi <br />New Vendor Li Yes 0 No El If Yes, Approved by Purchasing <br />MBE[WBE Contractor [:] MBE R WBE <br />MBEIWBE Contractor Requested F No 0 Yes Name ofCompany <br />_ <br />Project Name ADSi Interface Support <br />Project Number <br />Funding Source IT PD Allocation <br />Account No. 279-0672-415-36-04 <br />Amount $57,912.98 <br />Terms of Contract Annual <br />Purpose/Description The South Bend Police Dept. requests that the Board of Public Works <br />approve the annual service agreement with AD& for software maintenance of <br />the SBPD's Records Management System., <br />0 Required Contractor's Certification Form Attached (Noin- <br />Collusion, Man -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of LJ Increase $ <br />Fj Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy Original <br />z F Sgt. Goben <br />El El <br />El El <br />