Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/22/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Galveston County IT
5) Department Contact: Lauren Michaels
6) Description: Cisco Enterprise 3.0 Terms and License Delivery-signature only with Cisco
7) PEID No: N/A
8) Req No: F405528
9) Orgkey: 1101159100
10) Object Code: 5419301
11) Vendor: Cisco
12) Vendor Contract No: N/A
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101159100
15) Current Year Budgeted: $0
16) Current Year Projected: $0
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: 3/31/2029
26) Contract # Issued by Purchasing Department: CM24167
NOTES: DIR-TSO-4137