Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/26/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: To electronically modify and collaborate permit documents with OpenGov
7) PEID No: N/A
8) Req No: N/A
9) Org key: 1101159100
10) Object Code: 5419301
11) Vendor: N/A
12) Vendor Contract No: QUO-41515-J8B5G
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
15) Current Year Budgeted: $5000.00
16) Current Year Projected: $4171.20
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 4/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 3/30/2025
26) Contract # Issued by Purchasing Department: CM24174
NOTES: HB1295 to be requested upon PEID