Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/11/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Open Text Prime Support for RightFax with Open Text Inc. submitted by Information Technology
7) PEID No: 715148
8) Req No: FR403814
9) Org key: 1101-159100
10) Object Code: 5419301
11) Vendor: Open Text Inc.
12) Vendor Contract No: SR-23792 Quote No: RC734039
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
1) Current Year Budgeted: $13,000.00 ($31.50 will be taken from the Granicus Maintenance savings account 1101-159100-5419301)
2) Current Year Projected: $13,031.50
3) Year 2:
4) Year 3:
5) Year 4:
6) Year 5:
7) Totals:
To Be Completed by Purchasing Department
8) Contract Start Date: 2/1/2024
9) Auto Renewal Contract: Yes
10) Bid No: NA
11) Contract End Date: 1/31/2025
12) Contract # Issued by Purchasing Department: CM21345
NOTES: - HB1295 not required, Public Traded - DIR-CPO-4405 on file for this renewal
Sequence restarted as IT has an updated quote. (DF)