Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/6/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
Description: Signature only cancellation of temporary business internet connection for Road and Bridge with Comcast submitted by Information Technology.
6) PEID No: 711376
7) Req No: N/A
8) Org key: N/A
9) Object Code: N/A
10) Vendor: Comcast
11) Vendor Contract No: CM21635 (This was originally approved in CC 09/16/2022)
Expenditure Budget/Revenue Projections
12) Fund Name: N/A
13) Fund #: N/A
14) Current Year Budgeted: N/A
15) Current Year Projected: N/A
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 10/1/2022
22) Auto Renewal Contract: No
23) Bid No: NA
24) Contract End Date: 11/30/2023
25) Contract # Issued by Purchasing Department: CM21635
NOTES: - For signature only