Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 5/6/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name:
5) Department Contact:
6) Description: Managed Print Services with Flex Technology Group
7) PEID No: N/A
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: 5481000
11) Vendor: Flex Technology Group
12) Vendor Contract No: DIR-CPO-4439
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
15) Current Year Budgeted: $150,000
16) Current Year Projected: $34,720
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 5/14/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 5/13/2025
26) Contract # Issued by Purchasing Department: CM24199
NOTES: HB1295 to be requested