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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />7/27/18 <br />Jeff Hudak <br />Department Central Services <br />BPW Date 8/14/18 Phone Extension 574-235-9316 <br />U Agreement <br />Ll Contract Ll Proposal Ll Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />I-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />MBE/WBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Best Equipment Co., Inc. <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />n MBE F WBE <br />❑ No ❑ Yes Name of Company <br />Spec R — One (1) or more 2018 or Newer Combination Jet <br />RodderNacuum Machine with Cab & Chassis <br />2018 Sewer Department Capital Budget <br />64206214154302 <br />$ 343,195 after the trade in. <br />Bid Opening Date: <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination. Non -Debarment. E-Verifv. Iran. etc. <br />Amount of ❑ Increase <br />❑ Decrease <br />Previous Amount $ <br />