Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/22/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Smartsheet software maintenance renewal
7) PEID No: 703308
8) Req No:FR405593
9) Org key: 1101159100
10) Object Code: 5419301
11) Vendor: SHI GOVT SOLUTIONS
12) Vendor Contract No: DIR-TSO-4288 - QUOTE NUMBER - 24646162
Expenditure Budget/Revenue Projections
13) Fund Name: GENERAL
14) Fund #: 1101
15) Current Year Budgeted: $6,000.00
16) Current Year Projected: $4,204.20
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 6/8/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 6/8/2025
26) Contract # Issued by Purchasing Department:
NOTES: HB1295 Requested - DIR-TSO-4288