Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/13/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Sheriff’s Office
5) Department Contact: Margo Ihde
6) Description: Add Emergency Dispatch Pre-Arrival module in the Computer Aided Dispatch program
7) PEID No: 720912
8) Req No: FR404105
9) Orgkey: 1101, 211171
10) Object Code: 5419301
11) Vendor: CentralSquare Technologies, LLC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Software Licensing and Maintenance
14) Fund #: 5419301
15) Current Year Budgeted: $7340.00
16) Current Year Projected: $7340.00
17) Year 2: $2340.00
18) Year 3: $2340.00
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 3/4/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 3/3/2025
26) Contract # Issued by Purchasing Department: CM24150
NOTES: HB1295 Requested