Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/17/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: County Auditor’s Office
5) Department Contact: Randall Rice CPA
6) Description: Gabriel Roeder Smith & Company provides actuarial valuations for the county, as required by GASB 74/75
7) PEID No: 710317
8) Req No:
9) Orgkey: 1101-110000
10) Object Code: 5481000
11) Vendor: Gabriel Roeder Smith & Company
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
15) Current Year Budgeted: 425,500.00
16) Current Year Projected: 7,855.50
17) Year 2: 10,474.00
18) Year 3: 7,855.50
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 6/29/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 6/30/2025
26) Contract # Issued by Purchasing Department: CM18189
NOTES:
Cost is $26,185, pble as per agreement over this year and the ensuing two years on a 30%, 40%, 30% split.