Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/9/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Mark Garcia
6) Description: Hunton Services “Service Agreement” for HVAC mechanical services.
7) PEID No: 706976
8) Req No:
9) Orgkey: 1101170100
10) Object Code: 5481000
11) Vendor: HUNTON SERVICES
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: 1101170100
14) Fund #:
15) Current Year Budgeted:
16) Current Year Projected: $8,018.30
17) Year 2: $8,432.11
18) Year 3: $8,8,797.68
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: Click or tap to enter a date.
23) Auto Renewal Contract: Choose an item.
24) Bid No:
25) Contract End Date: Click or tap to enter a date.
26) Contract # Issued by Purchasing Department:
NOTES: