Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/1/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
Description: Palo Alto Firewall Maintenance renewal with Layer 3 Communicated LLC submitted by Information Technology
6) PEID No: 723036
7) Req No: FR404234
8) Org key: 1101159100
9) Object Code: 5423000
10) Vendor: Layer 3 Communications LLC
11) Vendor Contract No: DIR-CPO-4864
Expenditure Budget/Revenue Projections
12) Fund Name: General Fund
13) Fund #: 1101
14) Current Year Budgeted: $1600.00
Current Year Projected: $2002.20 (The overage will come from the savings of the Lenel renewal)
15) Year 2:
16) Year 3:
17) Year 4:
18) Year 5:
19) Totals:
To Be Completed by Purchasing Department
20) Contract Start Date: 2/19/2024
21) Auto Renewal Contract: Choose an item.
22) Bid No: NA
23) Contract End Date: 2/18/2025
24) Contract # Issued by Purchasing Department: CM24145
NOTES: HB1295 Requested - DIR-CPO-4864 - This is maintenance renewal for hardware purchased on PO F314754