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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />11INKI-M <br />Div. Chief Tim Lancaster <br />Department SBPD <br />BPW Date 09-25-18 Phone Extension 9301 <br />F_ Required Prior to Submittal to Board' <br />Legal Attorney Name Clara McDani'els <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Z <br />Check the Appropriate <br />Item Type — Required for All Submissions <br />F] Agreement <br />❑ Contract El Proposal El Addendum <br />El Professional Services <br />F-1 Resolution <br />F-1 Bid Opening <br />El Bid Award F1 Req. to Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />El Quote Award <br />F-1 Change Order Nlo. <br />F-1 C/O & PCA No. ❑ PCA <br />F-1 Ease/Encroach, <br />❑ Traffic Control <br />Z Other. Special Purchase <br />Required Information <br />Company or Vendor Name <br />New Vendor <br />E:1 Yes Z No El If Yes, Approved by Purchasing <br />MBEAA/BE Contractor <br />❑ MBE F-1 WBE <br />MBEAIVBE Contractor Requested F] No 0 Yes Name of Company <br />Project Name <br />Purchase of undercover vehicles <br />Project Number <br />Funding Source <br />Vehicle Lease <br />Account No. <br />299.0801.421.43-02 <br />Amount <br />$ 27025.55 -$6000 trade in value = $22,1100.00 <br />Terms of Contract <br />Purpose/Description <br />The SBPD reguest board approval to purchase one undercover <br />vehicle for the DIU narcotics unit. <br />F] Required Contractor's Certification Form Attached (Noin- <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of EJ increase $ <br />F-1 Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy <br />Original <br />F] <br />Dispersal After Approval <br />Div. Chief Tim Lancaster <br />