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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />June 18, 2018 <br />Toni Laisure <br />Department Central Services <br />BPW Date June 26, 2018 Phone Extension 574-235-9132 <br />U Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />I-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />❑ No ❑ Yes Name of Company <br />Janitorial Supplies 2018 <br />Various <br />Amount $ - - <br />Terms of Contract July 1, 2018 — June 30, 2019, 1 year <br />Purpose/Description Award Janitorial Supplies 2018- Paper Products & Trash Bag Liners <br />Central Stores Quote <br />❑ Required Contractor's Certification Form 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 />Dispersal After Approval <br />Copy Original <br />❑ ® Toni Laisure, Central Services Division/ Purchasing <br />El M <br />® ❑ Michael Schmidt, Purchasing <br />