CHECKLIST FOR "BASEBALL/SOftBALL

Transcription

Statesboro-Bulloch County Parks and Recreation Department
TO: Tom Couch, County Manager
FROM : Mike Rollins, Director Parks and Recreation
DATE: November 15, 2010
CHECKLIST FOR "BASEBALL/SOftBALL UNIFORM BID"
REMARK
ITEM
Bid opening date and time
November 11, 2010 3:00 p.m.
Location of bid opening
Icounty Annex
Staff present for bid opening
IKenneth Trapnell
._--------
•..
Total number of bids sent out by request from
advertisement or public notice
Seven
Total number of bids sent out by invitation from
vendor lists
Five
-
-.-- -
Date bid was advertised in the Statesboro Herald October 28, 2010
Bid tabulation table attached
-
Yes
.--
Statement indicating: were all bids submitted by Yes
responsible vendors; did content meet standards
. for completeness and specifications; associated
statements pointing out any aiscrepancies,
substitutions or alternatives
..----
Recommendation as to which bid is most
advantageous to the county
Sports Supply Group I BSN Sports
Copy of bid package submitted to the vendor
attached, including addenda attached
Yes
.._-
Copy of bid form and any pertinent supplemental Yes
information received from each vendor attached
Properly completed "Agenda Item Summary"
attached
----- -
----
-._- ----- --.-- --
Yes
Exhibit No.
MEMORANDUM
Date:
November 11,2010
To:
Mr. Tom Couch
From:
Kenneth Trapnell _ _ KevcvcetVJ
Subject:
Rec. Dept. Baseball Uniforms Bid Report.1l-1l-2010
Tr~l'vceLL_ _ _ _ _ _ _ __
Sealed bids were opened at the Bulloch County Annex, 115 North Main Street,
Statesboro, Georgia 30458 on November 11 , 2010 for Rec. Dept. Baseball/Softball
Uniforms to be used by the Bulloch County Recreation Department.
Seven (7) IFB's were e-mailed on October 26, 2010 and bids were received from four (4)
vendors.
The bid solicitation was advertised in the Statesboro Herald on October 28, 2010.
The bid solicitation was also advertised on the GLGA Marketplace Listing begilming on
October 26, 2010.
The bid solicitation was also advertised on the bullochcounty.net beginning on October
26, 2010.
Bids Received Are As Follows'
VENDOR
SPORT SUPPLY GROUP, INC.
PRO SPORTS TEAM OUTFITTERS
ANACONDA SPORTS, INC.
HOME TEAM ATHLETICS
RED'S TEAM SPORTS
BID PRICES
(BID PRICE FOR ALL ITEMS BID)
$28,161.65
$32,170.25
$32,351.80
$36,495.55
$37,l30.50
I am sending the original bids to Molly Durden for Mike' s agenda item summary & bid
evaluation.
If I need to do more please let me know.
BULLOCH COUNTY BOARD OF COMMISSIONERS
PURCHASING DEPARTMENT
STATESBORO, GEORGIA 30458
PHONE: 912-764-0436
INVITATION FOR BID
BASEBALL/SOFTBALL UNIFORMS
STATESBORO-BULLOCH COUNTY PARKS AND RECREATION DEPARTMENT
Sealed bids from suppliers will be received by the Bulloch County Board of Commissioners, 115
North Main Street, Purchasing Office (Room 108), Statesboro, Ga., 30458 (mailing address PO
Box 347, Statesboro, Georgia 30459) until 3:00 P.M. legally prevailing time on November 11,
2010 for: Baseball/Softball Uniforms for the Statesboro-Bulloch County Recreation Department.
After the time and in a room at place noted above, the bids for each commodity will be publicly
opened and read. No extension of the bidding period will be made.
Bid Identification: The outside of the scaled envelope shall include the wording:
Baseball/Softball Uniforms Bid, Bid Opening November 11, 2010 @ 3:00 P. M. Attention
Kenneth Trapnell, Purchasing Manager.
Award, shall be on a lump sum basis. No bid may be withdrawn for a period of 60 days after
time has been called on the date of opening.
The Commissioners 'reserve the right to reject any or all bids and to waive technicalities and
informalities.
Local Buying Preference:
Departments are encouraged to use local vendors whenever possible. However, the County
cannot pay a much higher price to do so because there is an obligation to the taxpayers to use our
financial resources wisely.
A local vendor is considered any offeror who has a principal business location within the
boundaries of Bulloch County. A principal business location shall be strictly interpreted to mean
a permanent establishment of facility with a physical location in Bulloch County having a
registered business nanle, street address and telephone number where it can be easily
demonstrated that the goods or services to be procured by the County are either made, stored,
processed, sold or rendered at such establishment or facility; and, that substantial administrative
or management activities related to the establishment or facility are performed by one or more
employees, principals, representatives or agents for the purpose of transacting business. It shall
be the responsibility of the vendor to provide clear and compelling evidence of meeting this
standard to the satisfaction of the Purchasing Department prior to ilie award of a bid or quotation.
For all purchases over $5,000.00, if the quality, service, price, and other factors are substantially
equal, then the local vendor may be given an opportunity to match the lowest cost proposal, if the
quotation or bid in within 5% of the lowest price proposal. This policy shall be so stated in all
applicable solicitations. This provision does not apply to public works construction projects or
road projects pursuant to the laws of the State of Georgia.
Award And Reservations: It is understood and agreed that in consideration of the sum of One
Dollar and No/ I 00 ($1.00) cash in hand paid, receipt whereof is hereby acknowledged, the bidder
agrees that this bid shall be an option, which is hereby given to the Purchaser to accept or reject
this bid at any time within sixty (60) calendar days from the date on which it is opened and read.
It is expressly convenanted and agreed that this proposal is not subject to withdrawal by the
bidder during the term of said option. The party submitting the bid is solely responsible for
delivering the bid to the exact location and by the time stated. The Purchaser reserves the right to
reject any or all bids and to waive technicalities and informalities in bids, to accept in whole or in
part, such bid or bids may be deemed in the best interest of the purchaser.
Award will be made to that responsive and responsible bidder with the best offer for Bulloch
County, price and other factors considered.
TERMS AND CONDITIONS
1.
CHANGES: No change shall be made to this invitation except by written modification
by the purchasing department.
2.
FOB DESTINATION POINT: Bid prices shall include shipping to Statesboro-Bulloch
County Parks and Recreation Department. Title to remain with vendor wltil fully accepted by
COWlty. Goods damaged or not meeting specifications will be rejected.
WITHDRAWAL OF BIDS: Bids may be withdrawn by written request only, if the
3.
request is received prior to the time and date set for the opening of bids. Negligence on the part
of the bidder in preparing his bid confers no right of withdrawal or modification of his bid after
bid has been opened. No bid may be withdrawn for a period of (30) thirty days after time has
been called on the date of opening.
4.
AWARD: Award will be made to that responsible bidder whose bid, conforming to the
invitation for bid, will be most advantageous to the County, price and other factors considered.
The COWlty reserves the right to reject any and/or all bids submitted and to waive any
technicalities or minor irregularities in bids received. A written award, mailed (or otherwise
furnished) shall be deemed to result in a binding contract without further action by either party.
5.
EXCEPTIONS TO SPECIFICATIONS: Any contract resulting from this invitation
shall bind the bidder to all terms, conditions and specifications set forth in this invitation.
Bidders whose bids do not conform·should so note on a separate page ifnecessary and/or on bid
schedule. While the COlmty reserves the right to make an award to a nonconforming bidder when
in the best interest of the County, such awards will not be readily made, and bidders are urged to
2
conform to the greatest extent possible. No exceptions will be considered to have been taken by a
bidder unless it is properly set out as provided above, and no exception will be deemed to have
been taken by the County unless incorporated in a contract resulting from tlus invitation and so
stated.
6.
PAYMENT: Payments will be made upon completion of all work and acceptance by
County on invoices submitted and approved by the proper County representative within (30)
thirty days receipt of invoice.
6.1
Itemize all invoices in full. Be sure our order number is on your invoice.
6.2
Vendor must furnish delivery receipt with invoice identifying that this order has been
delivered in accordance with specifications, quantities, and price as set forth on the purchase
order.
6.3
Items on this order are exempt from Federal Excise Tax and Georgia Sales and Use Tax.
Certification will be furnished if requested.
7.
INQUIRIES REGARDING PAYMENT: All inquiries regarding payment of invoices
are to be directed to Accounts Payable, (9l2) 764-6245.
8.
REGULATORY AGENCIES: Successful bidder will be responsible for all required
permits or licenses required by any regulatory agency of the City, County, State or Federal
Governments.
9.
ANTI-DISCRIMINATION CLAUSE: Bulloch County does not discriminate against
any person because of race, color, religion, national origin, or handicap in employment or
services provided.
10.
COMMODITY STATUS: It is understood and agreed that materials delivered shall \ be
new, of latest design, and in first quality condition, that all bags, containers, etc., shall be new
and suitable for storage, unless otherwise stated by Bulloch County.
11.
DELIVERY: Delivery shall be made to Bulloch County Parks and Recreation
Department, 1 Max Lockwood Dr., Statesboro, Georgia 30458.
COMPLIANCE: The county's failure to insist on compliance with any ofthe terms or
12.
conditions oft/us Invitation to Bid shall not be deemed a waiver of the county's right to insist at
any time on full compliance with any of the terms and conditions here in.
13.
PRODUCT COMPLIANCE: Bidders must submit with their bid, the latest printed
specifications and/or advertising literature to prove compliance with our specifications on the
units they propose to furnish .
3
14.
QUESTIONS: All questions concerning tlus invitation should be directed to the buyer
whose name appears on the bottom of this page unless otherwise directed.
QUALITY: Any brand names or trade names used in the specifications are for the
15.
purpose of describing and establishing general quality levels.
16.
PRICES: Bid prices shall be in affect until April 15,2011.
For teclmical questions contact:
Mitch Stafford-Athletics Superintendent
912-489-9065
For procurement questions contact:
Kenneth Trapnell - Purchasing Manager
Phone: 912-764-0436
4
ITEM
UNIFORMS
Adult Baseball Uniform
Package
DESC~IPTION
QUANTITY
Major League Replica Two Button Placket in 50/50 Poly cotton B[end by
Majestic with 6" number, Major League Replica Baseball Cap by Outdoor
Cap, Coordinating one color all sport sock. Uniforms are to come
packaged as teams.
350
Youth Baseball Uniform
Package
Major League Replica Two Button Placket in 50/50 Poly cotton Blend by
Cap, Coordinating one color a[1 sport sock. Uniforms are to come
packaged as teams.
775
Youth Softball Uniform
Package
Major League Replica in 50/50 Poly Cotton sleeve[ess Two Button
Placket by Majestic with 6" numbers, MLB replica visors by Outdoor Cap,
All Sport one Coler coordinating Sock. Uniforms are to come packaged
as teams.
120
Adu[t Softball Uniform
Package ,
Major League Replica Jersey in 50/50 Poly Cotton sleeveless Two Button
All Sport one Co [or coordinating Sock. Uniforms are to come packaged
as teams.
150
Coaches Package
Major League Rep[ica Two Button Placket in 50/50 Poly coiton B[end by
Majestic, Major League Rep[ica Baseball Cap by Outdoor Cap. Must be
packaged with teams.
145
Coaches Package
Major League Rep[ica Jersey in 100% cotton crew neck t-shirts by
Majestic MLB replica visors by Outdoor Caps. Must be packaged with
teams.
25
Baseball Pants
Pants (Youth)
Pants (Adu[t)
Don A[lison or approved equal, 100% po[yster, tapered leg, elastic
waistband with drawstring on inside, rear patch pocket, double knees,
color: grey only, varied sizes
250
Don Allison or approved equal, 100% po[yster, tapered leg with button
front and belt loops, rear patch pocket, double knees, color: grey only,
varied sizes
75
Name of Organization:
Date:
Name of Company Rep:
Signature:
PRICE
Total
Price
5
ACCEPTANCE OF PROPOSAL
Bulloch County hereby accepts the undersigned supplier's bid submitted in response to
the attached Invitation for Bids for the following items: _ _ _ _ __ _ _
By executing this Acceptance of Proposal, Bulloch County and the undersigned supplier
acknowledge and agree to be bOlmd by all terms and conditions of the attached Invitation for
Bids and all specifications and pricing stated therein.
IN WITNESS WHEREOF, Bulloch County and the undersigned supplier have caused
their authorized representatives to set their ha:nds and seals this _ _ day of
_ _ _ _ _ _ _,,2010.
BULLOCH COUNTY, GEORGIA
BY'~'CW<-Thomas M. Couch, County Manager
SUCCESSFUL VENDOR
By:
- - - - - - - -- - -
Print or type name of signator
[FORM OF ACCEPTANCE OF PROPOSAL]
The successful bidder(s) will be required to execute this Acceptance of Proposal.
6
ITEM
DESCRIPTION
UNIFORMS
Package
exactly as spec'd
Package
exactly as spec'd
Package
exactly as spec'd
Adult Softb'all Uniform
Package
exactly as spec'd
Coaches Package
exactly as spec'd
Coaches Package
exactly as spec'd
Baseball Pants
Pants (Youth)
exactly as spec'd
Pants (Adult)
exactly as spec'd
Major League Replica Two Button Placke I in SO/50 Poly cotton Blend by
Majestic wilh 6" number, Major League Replica Baseball Cap by Ouldoor
packaged as teams.
350
Major League Replica Two Button Placket in SO/50 Poly cotton Blend by
packaged as teams.
775
Major League Replica in 50/50 Poly Cotton sleeveless Two Button
All Sport one Coler coordinating Sock. Uniforms are to come packaged
as teams.
120
All Sport one Color coordinating Sock. Uniforms are to come packaged
as teams .
150
Majestic, Major League Replica Baseball Cap by Outdoor Cap. Must be
145
Major League Replica Jersey in 100% cotton crew neck t-shirts by
teams.
25
75
.fTcJ
lZufY\
-f2J, '
~ ~l'.pili Greup, I ,~.
Date:
3a~4-gb4--JD
Signature: -M..s.-~ ~
[0
ISSCf
,;l.. ~ {J If. oS
I;;>.5t1
31,3.50
LtOb
iOI~.OO
7'7't
58'3.00
il-g-/o
(.J .--'
WHEN ORDERING OFF THIS BID/QUOTE,
PLEASE REFERENCE THIS NUMBER
JO'B,Go
I'703
.
OlSSL/-,SO
Don Allison or approved equal, 100% polyster, tapered leg with button
varied sizes ~
dba BSN, Passon's,
US Games
Total
Price
IhilL/- i30S'l. co
17.03
250
-~
PRICE
/7.<:['1 6ctqro.5O
Don Allison or approved equal, 100% po lyster, tapered leg, elastic
QUANTITY
800-445-9446
J3;cl.~r
Fax: 800-523-5112
cl ~J l <c (. <o~
TOT4-L
5
the attached Invitation for Bids for the following items: _ _ _ _ _ _ __
acknowledge and agree to be bound by all terms and conditions of the attached Invitation for
Bids and all specifications and pricing stated therein,
their authorized representatives to set their hands and seals this - - day of
_ _ _ _ _ _ _,,2010,
SUCCESSFUL VENDOR Sport Supply Group, Inc.
dba BSN, Passon's,
US Games
~--"------'---RL-=---_ _
By:------,-A--=--c,.--=Os,-,-,,
-/t&.a(r,
.f2-h(i r.
en G\ fv~ (
l
6
ITEM
DESCRIPTION
QUANTITY
PRICE
Total
Price
UNIFORMS
Package
Majestic with 6" number, Major League Replica Baseball Cap by
Outdoor Cap, Coordinating one color all sport sock. Uniforms are to
come packaged as teams.
350
$19.99
$6 ,996.50
Youth Baseball Unifonm
Package
Majestic with 6" number. Major League Replica Baseball Cap by
Outdoor Cap, Coordinating one color all sport sock. Uniforms are to
775
$19.20
$14,880.00
Package
Placket by Majestic with 6' numbers, MLB replica visors by Outdoor
Cap, All Sport one Color coordinating Sock. Uniforms are to come
packaged as teams.
120
$19.30
$2316.00
Adult Softball Uniform
Package
Major League Replica Jersey in 50/50 Poly Cotton sleeveless Two
Button Placket by Majestic with 6" numbers, MLB replica visors by
Outdoor Cap, All Sport one Color coordinating Sock. Uniforms are to
150
$20.00
$3000.00-
Coaches Package
Majestic MLB replica visors b~ Outdoor Caps. Must be packaged with
teams.
145
$17.45
$2530.25
25
$14 .00
$350.00
ALLESON 250
$5.30
$1325.00
MAJESTIC 250
$4.95
$1237.50
ALLESON 75
$10.30
$772.50
MAJESTIC 75
$9.95
$746.25
. Date: November 10, 2010
ALLESON
$32,170.25
/jlj1/
MAJESTIC
$32,056.50
Coaches Package
Baseball Pants
Pants (Youth)
Pants (Adult)
Don Allison or approved equal, 100% polyester, tapered leg, elastic
Don Allison or approved equal, 100% polyester, tapered leg with button
varied sizes
Name of Organization: PRO SPORTS TEAM OUTFITTERS
n
Name of Company Rep: STEVE ALLEN
Signature:
_
J/ .
fZ!\ H~'f.. U~~~f'~'h
5
the attached Invitation for Bids for the following items:
~~~~~~~_
their authorized representatives to set their hands and seals this _ _ day of
_ _ _ _ _ _ _" 2010.
SUCCESSFUL VENDOR
By:
=-------~~~----~----Thomas M. Couch, County Manager
By: _ __
_ _ _ _ _ __
6
ITEM
DESCRIPTIO N
UNIFORMS
Package
Package
Package
QUANTITY
Majestic with 6" number, Major Leag ue Replica Baseball Cap by Outdoor
Cap , Coordinating one color all sport sock. Uniform s are to come
packaged as teams.
350
packaged as teams.
775
Placket by Majestic wi th 6" numbers, MLB repl ica visors by Outdoor Cap,
All Sport one Coler coordinating Sock. Uniforms are to come packaged as
teams.
/,-.1
120
N or AVI/ /C4t>! r::
PRICE
vlO-Ll?
Total
Pri ce
/!17/st
Ie; lr q;?7g? 2 '
/
Y-1/4
/"
0 /
I, c.//
;'3(}?
r>
~--:i{k't...
Package
Coaches Package
Coaches Package
Baseball Pants
Pants (Youth)
Pants (Adult)
Name of Organizati f f i
r.4t.
All Sport one Color coordinating Sock. Uniforms are to come packaged as
teams.
150
145
Majestic MLB replica visors by Outdoor Caps. Must be pack aged with
teams.
25
rG.'r-YLV
/{;.It
250
varied sizes
75
~
O/t-,z5
,
.\0.
'....
Lj/.;J /0313'"
/().I;3' /fJ3 7'J
/~,
Si9~
/~
c?f/Yf~
/~pv
Date:
J. C//Frt""A-Y
c797'//l
.
2:'I .
~~ "l !\l l ...
i-
C_i
. ----
13ft' 3Yt..7?
Don Allis on or approved equal, 100% polyster, tapered leg, elastic
. IU t'CYu[)11
Name of co~ep:
/!~C5
5
-;-; fill- ~ JI"3)../ 35-;' g b
.@Z57'a ~(}ff~c t'l/IJ//DC',zr
their authorized representatives to set their hands and seals this _ _ day of
_ _ _ _ __
_ ,2010.
SUCCESSFUL VENDOR
By:. _ __ _ _ _ _ ________
Thomas M. Couch, County Manager
By:. _ _ _ _ _ _ _ _ _ __
6
.:1-
their authorized representatives to set their hands and seals this ~
1 day of
_----'-N-'-''l)''-\j-'-'~'----_ _, 20 I O.
SUCCESSFUL VENDOR
Ucm2By: _ _ _ _ _ _ _ _ _ _ __
Thomas M. Couch, County Manager
--rc;~ AAk~CE:
a~~I~
=:D 6 N I'U ~ .:J:/J
£: S;
The successtltl bidder(s) will be required to execute this Acceptance of Proposal.
6
ITEM
DESCRIPTION
UNIFORMS
Package
QUANTITY
Cap, Coordinating one color all SPO~~k. Uniforms are to come
packaged as teams.
/YIAItE3 . C
/11/ K IY! 0
Major League Replica Two ButtOn Placket In SO/50 Poly cotton Blend by
Cap, Coordinating one color all sP~6,SOCk. Uniforms are to come
packaged as teams. /71-4i($
i ~ /)(}
Major League Replica in so/50 Poly Cotton sreeveless Two Button
All Sport one Coler coordinatii Sock. Uniforms are to come packaged
c. -;Il::JAJ Oi!3
as teams.
F~~ :::i~ JI.
1 I~I!.;J, 5
775
<;,q
;1./, -
c-# ;,M
Package
Total
Price
350
#
Package
PRICE
120
.Yl~~
i- H01'7~2.~
.lIj,hIo4 .t:
m,
Package
Major League Replica Jersey in 50/50 Poly Cotton sleeveless TWO Butten
150
as teams. J\'I!\(:U:hG::ii:" W 1)')(.::;
packaged with teams. MAC ....
-:Jf:/Y)t.R.:I-xo
teams.
/)1/'
j
'#-/1'153CO
Coaches Package
145
£t..:.
Coaches Package
Don Allison or.approved equal, 100% polyster, tapered leg, elastic
waistband with drawstring on inside, rear patch pocket, d0:kknees,
color: grey only, varied sizes MAI<i....J,:c. :\::l:. I"vl'il"">'-! y,
*J;)'/-
'uA
Pants (Adult)
Nam»~ Organization:
~
Don Allison or approved equal, HlO% polyster, tapered 1~9'with button
front and belt loops, rear pa!Cnpocket, double knees, color: g'tOnIY,
vaned sizes
MA-(U.frc..
uA-#-/i>
Date:
f
/ )F"» ,.,11.5
*11ltSr; A
.tI.L!. h .
/ Lrn/<£.
\. ")t;,Jc-3 .
Nov. I ,,;UJ/I 0
c..$
~
~33n,~'
9'tXl,5..i c?q7~.3~
25
Pile;, ,~ ,.Lj I'i? ~
"
Baseball Pants
Pants (Youth)
IJn1e-
tt 22..,5"3,
,,&:?")
(
-
j)n:re:
~
r
250
Jl,irl.~
1'1
75
If
i 2?-\
-/'I
~12.A
10DZ.~
I
S4tP,oE.a..0
/
.
5
'It.3 0/145
,--
I
5
BOME
TEAM
ATHLETICS
i
i
: Sporting Goods
I Trophies/Awards
I Referee/OMcial Supplies
I Custom Team Uniforms
Athletic Equipment Sales
Cbeerleader Supplies
i Sports Medicine/Training
'Varsity Jackets
I
!
I
.
RI::JK(~) --~~~~~-
I
TEAM SALES
1
I Professional Screenprinting
&Embroidery .
, 140ur
t is 0.... I ~AsinesS
TRIANGLE SHOPPING CENTER
242 S. WILMINGTON HWY 17
JACKSONVILLE,HC 28540
910-938-0862 '
\
_
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_
••• _ . _ _
_
_._
~.
~
_
• __ _ __ _
___ _ _
ITEM
DESCRIPTION
UNIFORMS
Package
QUANTITY
PRICE
Total
Price
packaged as teams.
350
Package
packaged as teams.
775 JI . qJ
Package
All Sport one Coler coordinating Sock, Uniforms are to come packaged
as teams.
120
I~ ~r
Package
as teams.
150
/1.i ' ,
;;2 9 <J 2
Coaches Package
Majestic, Major League Replica Baseball Cap by Outdoor Cap, Must be
145
,q,"I,
J..'i9:< . 7'-
Coaches Package
teams.
25
Baseball Pants
Pants (Youth)
Pants (Adult)
23 . ~,
250
varied sizes
75
K~IJL
Rl~J
.Nov . fj-, ~ "Io
Sign~ .-/l.
:l :n'i .°
0
~'G
7,
1~'1'
Lj:;z
7.'! r-
1'1 n .S'~
13 .H
/ 0 '-f(, , 2. s-
-
Date:
{l., ecJ.. 5 I e." "" 5porh
17 oll.~jJ
Don Allison or approved equal, 100% polyster, tapered leg, elastic
f 3 8';( . ,0
TOTAL"
3,
#37, 110. So
~
5
BULLOCH COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM SUMMARY
DEPARTMENT MAKING REQUEST (Box 1)
MEETING DATE (Box 2) December 7, 2010
RESOLUTION ATTACHED? (Box 3)
Parks, Recreation and Community Services
REQUESTED MOTION OR ITEM TITLE (Box 4)
I YES I
I NO J
Approve Spring 2011 Youth Baseball/Softball Uniform Bid
SUMMARY/BACKGROUND ATTACH DETAILED SUMMARY, IF NEEDED (Box 5)
See attached.
FINANCIAL IMPACT STATEMENT (Box 7)
AGENDA CATEGORY
(CHECK ONE) (Box 6)
I YES I X I AMENDMENT
I NO I I REQURED? (7b)
BUDGETED ITEM? (7a)
PRESENTATION (6a)
I YES I
I NO IX
A TTACH DETAILED ANAL YSIS, IF NEEDED (7e)
PUBLIC HEARING (6b) .
X
CONSENT (6e)
110-61210-53.1102
NEW BUSINESS (6d)
OLD BUSINESS (6e)
OTHER(6f)
DEPARTMENT
DIRECTOR
YES
I V
NO
I
INITIAL
DATE
Mvf.It}'l,.1J to
APPROVED
DENIED
DEFERRED
OTHER
PURCHASING
OFFICER
YES
I
NO
I
APPROVED FOR AGENDA (Box 8)
OTHER
COUNTY
CLERK /'
YES
YES
I
V
NO
NO
I
INITIAL
INITIAL
INITIAJ -
~4 1'-
1l'bl
COUNTY STAFF
ATTORNEY/
YES
I V
NO
I
INITIAL
DATE
DATE \
10 DATE \
COMMISSION ACTION AND REFERRAL (Box 9)
DATE TO BE RETURNED TO AGENDA
DATE
NOTES
,
(}ffA.
d./
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CHECKLIST FOR "BASEBALL/SOftBALL

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