Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/17/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
Description: Peplink LTE Software/Hardware subscription for Sheriff and Constable vehicle communications with GTS Technology Solutions submitted by Information Technology
6) PEID No: 706927
7) Req No: FR403885
8) Org key: 1101-159100
9) Object Code: 5423000
10) Vendor: GTS Technology Solutions
11) Vendor Contract No: DIR-CPO-4751
Expenditure Budget/Revenue Projections
12) Fund Name: General Fund
13) Fund #: 1101
14) Current Year Budgeted: $8000.00
15) Current Year Projected: $ 7338.26
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 1/22/2024
22) Auto Renewal Contract: No
23) Bid No: NA
24) Contract End Date: 1/19/2025
25) Contract # Issued by Purchasing Department: CM24132
NOTES: - HB1295 Requested