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Date <br />Name <br />BOARD OF PUBLIC: WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Sgt. G�oben Department SBPD <br />BPW Date 02/13/18 Phone Extension 7520 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <br />Controller M 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 0 <br />Check the Appropriate Item Type — Required for All Submissions <br />N Agreement ❑ Contract ❑ Proposal ❑ Addendum <br />F] Professional Services ❑ Resolution <br />❑ Bid Opening n Bid ,Award ® Reg. to Advertise ❑ Title Sheet <br />❑ Quote Opening ®Gluote Award <br />❑ Change Order No. El C/O & PCA No. PGA <br />® Ease/Encroach. Traffic Control <br />Other: <br />Company or Vendor Name <br />Virtual Academy <br />New Vendor <br />❑ Yes ❑ No F� If Yes, Approved by Purchasing <br />MBEIWBE Contractor <br />[] MBE 'BE <br />MBEIWBE Contractor Requested ❑ No ® Yes Name of Company <br />Project Name <br />Virtual Academy Training <br />Project Number <br />Funding Source <br />PD Non -Reverting <br />Account No. <br />220-0801-421.39-70 <br />Amount <br />1.4,160 <br />Terms of Contract Annual <br />Purpose/Description The South Bend Police Dept. requests that the Board of Public Works <br />approve the annual agreement with Virtual Academy for On -Line training <br />Officers can complete as part of their mandated re uirements. <br />Required Contractor's Certification Form Attached (Non - <br />Collusion, Non Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Required For Change Orders Only <br />Amount of ❑ Increase $ <br />[� Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />0 FI Sgt. Goben <br />0 11 <br />