Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/10/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Chris Martinez
6) Description: Consideration for authorization to utilize cooperative purchasing agreement in lieu of competitive bidding requirements to procure the Computer Refresh on behalf of the Information Technology Department submitted by the Purchasing Agent
7) PEID No: 701478
8) Req No: FR406848
9) Orgkey: 1101159106
10) Object Code: 5310001
11) Vendor: CDWG
12) Vendor Contract No: DIR-TSO-3763
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $523,000.00
16) Current Year Projected: $404,660.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 6/10/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 6/9/2025
26) Contract # Issued by Purchasing Department: CM24221
NOTES: DIR-TSO-3763 - HB1295 Requested