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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/4/2019 <br />Name Mark Doll ln er Department SBPD <br />BPW Date 10/22/2019 Phone Extension 7677 <br />.. <br />Required <br />BPW AttorneyA uired Prior to Submittal to Board <br />�..... _ ._..__. ,� .mm.............. _...._ Attorney Name Clara Mc lkaniels <br />Dept. Attorney Z Attorney Name Geovann Martinez <br />Purchasing <br />Check the Appropriate Item' <br />Professional Services Agreement R Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />Bid Award <br />Quote Opening <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />❑ Traffic Control <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Information <br />All Submissions <br />Proposal <br />j Special Purchase, QPA <br />❑ Req. to Advertise ❑ Title Sheet <br />E] Reject Bids/Quotes <br />EJ PCA <br />D Resolution 2 0( <br />Ease./Encroach <br />❑ Yes[:] If Yes, Approved by Purchasing <br />F-] No <br />E❑ WBE Completed E-Verify Form Attached Nos <br />Disposal of obsolete radio antennas <br />Requesting board approval to dispose of 2 radio antennas which are obsolete, <br />outdated and no longer used by the South Bend Police Department. <br />For ChLw El <br />Amount of Increase....� <br />A ........... ................. .............. <br />.._ ....._._......_. <br />n Decrease ($ ) <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Com letion Date: <br />