HomeMy WebLinkAboutPurchase-Service Form`& MIAMI POLICE DEPARTMENT
I�URCHASE / SERVICE REQUEST FORM
UNIT: SWAT ,t'
CONTACT PERSON:Ofc. Francisco Fernandez
AGENT / BID -CONTRACT #:
SECTION:Specialized Operations
PHONE NUMBER: 305 579-6674
DATE DELIVERY REQUIRED
TYPE OF FUNDS
❑ GENERAL FUND
❑ L.E.T,F.
❑ L.E.T.T.F.
D NOT KNOWN / DECIDED
GRANT (SPECIFY):
UASI Grant
3
TYPE OF PURCHASES
® REGULAR PURCHASE
❑ BLANKET PURCHASE
❑ EMERGENCY
❑ SOLE SOURCE PURCHASE
❑ OTHER
❑ OTHER (SPECIFY):
(IF NECESSARY, FINAL DETERMINATION OF FUNDING WILL BE MADE BY BUSINESS MANAGEMENT SECTION)
BUDGETED ®YES ❑ NO
(If not, please attached transfer of funds request indicating
how you wish to accommodate this request or identify
other funding source)
Account Code # 1011 I .$3 t b ' ` 11540
(Budget Unit Use Only)
SUGGESTED SOURCE (CAN LIST MORE THAN ONE)
NAME: Tactical Electronics
ATTENTION: Aaron Walton
ADDRESS: P.O. Box 162, Broken Arrow, Oklahoma, 74013
PHONE: (918) 2498326
FAX: 918 2498328
ITEM DESCRIPTION (BE AS DESCRIPTIVE AS POSSIBLE)
PCSS1 Pole Camera Kit
NO SUBSTITUTIONS
UNIT OF ESTIMATED SHIPPING ESTIMATED
QTY: 2 MEASURE: each UNIT PRICE: $ 8,500,00 CHARGES: TOTAL: $ 17,000,00
MANUFACTURER:Tactical Electronics MODEL: PCSS1
SIZE: COLOR: Black ASSEMBLY / SET-UP REQUIRED: ® YES ❑ NO
JUSTIFICATION (BE THOROUGH. THIS INFORMATION MAY BE UTILIZED TO PREPARE LEGISLATION. —GIVE HISTORY, EXPAND ON NEED,
ETC. UTILIZE BACK OF THE FORFOR& WAW.gtray,0440.19T ADEQUATE).
This system will be used by A team members during actual operations to be able to look into such denied areas as crawl
spaces, attics, through small pin holes in walls and doors and around corners. ( NO SUBSTITUTIONS)
STYLE:
Computer Support Approval
(Required on conpnter related Items only)
Date
APPROVALS:
Lieutenant
Captain
Commander
Majo
Division Chief
Business Mgt. Section Co.
Budget Unit Co.
P.I.N. CA260. Date: 40 -c—
P.I.N. �V Date: pe
P.I.N. Date:
P.I.N. 0692/ Date: —2/// flS
P.I.N.f6 Date: //,
P.I.N. Date:
P.I.N. 4422-- Date:
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MPD RF N
Rerleed 02-26414
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ITEM DESCRIPTION (BE AS DESCRIPTIVE AS POSSIBLE)
VFS1 Video Fiberscope Kit
VFS1 Video Fiberscope Kit
UNIT OF ESTIMATED SHIPPING ESTIMATED
QTY: 2 MEASURE: each UNIT PRICE: $ 19,600.00 CHARGES: TOTAL: $ 39,200.00
MANUFACTURER: Tactical Electronics MODEL:VFS1 STYLE:
SIZE: COLOR: ASSEMBLY / SET-UP REQUIRED: ® YES ❑ NO
JUSTIFICATION (BE THOROUGH. THIS INFORMATION MAY BE UTILIZED TO PREPARE LEGISLATION. GIVE HISTORY, EXPAND ON NEED,
ETC. UTILIZE BACK OF THE FORM IF SPACE GIVEN IS NOT ADEQUATE).
This system will be used by SWAT team members during actual operations to be able to look into such denied areas as crawl
spaces, attics, through small pin holes in walls and doors and around corners. (NO SUBSTITUTIONS)
ITEM DESCRIPTION (BE AS DESCRIPTIVE AS POSSIBLE)
UDC1 Under door camera kit
UNIT OF ESTIMATED SHIPPING ESTIMATED
QTY: 2 MEASURE: each UNIT PRICE: $ 5,900.00 CHARGES: TOTAL: $ 11,800.00
MANUFACTURER: Tactical Electronics MODEL: UDC 1 STYLE:
SIZE: COLOR: ASSEMBLY / SET-UP REQUIRED: ® YES ❑ NO
JUSTIFICATION (BE THOROUGH. THIS INFORMATION MAY BE UTILIZED TO PREPARE LEGISLATION. —GIVE HISTORY, EXPAND ON NEED,
ETC. UTILIZE BACK OF THE FORM IF SPACE GIVEN IS NOT ADEQUATE).
This system will be used by SWAT team members during actual operations to be able to look into such denied areas as crawl
spaces, attics, through small pin holes in walls and doors and around corners. ( NO SUBSTITUTIONS)
ITEM DESCRIPTION (BE AS DESCRIPTIVE AS POSSIBLE)
UNIT OF ESTIMATED SHIPPING ESTIMATED
QTY: MEASURE: UNIT PRICE: CHARGES: TOTAL:
MANUFACTURER: MODEL: STYLE:
SIZE: COLOR: ASSEMBLY / SET-UP REQUIRED: ❑ YES ❑ NO
JUSTIFICATION (BE THOROUGH. THIS INFORMATION MAY BE UTILIZED TO PREPARE LEGISLATION. --GIVE HISTORY, EXPAND ON NEED,
ETC. UTILIZE BACK OF THE FORM IF SPACE GIVEN IS NOT ADEQUATE).
GRAND TOTAL: $ 66800.00