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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 20th, 2023 <br />Name PFC Aaron M. Knenner #2174 Department SBPD <br />BPW Date March 281h, 2023 Phone Extension 9018 <br />Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney ® Attorney Name Michael Schmidt <br />Dept. Attorney ® Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Tvne — <br />Kylie Connell <br />All Submissions <br />U Professional Services Agreement U Contract U Proposal <br />❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA <br />❑ Chg. Order, No. ❑ Traffic Control ® Resolution <br />n Other: n Ease./Encroach <br />Information <br />Company or Vendor Name Kiesler's Police Supply (State of Indiana QPA #13142 <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 />Yes ❑ If Yes, Approved by Purchasing <br />® No <br />❑ WBE Completed E-Verify Form Attached ❑ Yes <br />No <br />Disposal of Obsolete Equipment (Shotguns & Handguns) <br />Purpose/Description Requesting Board approval to dispose of obsolete equipment no longer used <br />by the South Bend Police Department. This is limited to one model of <br />Remington 870 Shotguns and one model of Smith and Wesson M&P <br />Handguns. These weapons are no longer being issued to SBPD officers and <br />will be replaced by a newer and tacticallv improved model. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ 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 Completion Date: <br />