Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 5/17/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Fleet Management
5) Department Contact: Lee Crowder
6) Description: Uniform Service
7) PEID No: 710385
8) Req No: FR402743
9) Orgkey: 1101 172111
10) Object Code: 5312101
11) Vendor: Munro’s Uniform Services LLC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Fleet Management
14) Fund #: 172111
15) Current Year Budgeted: $2,718.00
16) Current Year Projected: $1,902.00
17) Year 2: $5,950.00
18) Year 3: $5,950.00
19) Year 4: $5,950.00
20) Year 5: $5,950.00
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 5/24/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 5/23/2025
26) Contract # Issued by Purchasing Department: CM24212
NOTES: HB1295 Requested