Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/6/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
Description: Dispatcher Paragon Suite to manage printing environment with Konica Minolta submitted by Information Technology
6) PEID No: 714928
7) Req No: FR404235
8) Org key:1101-159100
9) Object Code: 54193010
10) Vendor: Konica Minolta
11) Vendor Contract No: DIR-TSO-4439
Expenditure Budget/Revenue Projections
12) Fund Name: General Fund
13) Fund #: 1101
14) Current Year Budgeted: $25,000.00
15) Current Year Projected: $20,991.20
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 3/30/2023
22) Auto Renewal Contract: No
23) Bid No: NA
24) Contract End Date: 3/31/2025
25) Contract # Issued by Purchasing Department: CM23164
NOTES: - DIR-TSO-4439