Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/27/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Engineering
5) Department Contact: Michael Shannon
6) Description: 2025 Bond Program Management- Larger Cities
7) PEID No: 720465
8) Req No: B242018
9) Orgkey: 1101190100
10) Object Code: 541000
11) Vendor: Schaumburg & Polk Inc.
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
15) Current Year Budgeted: $573,139.00
16) Current Year Projected: $184,877.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $184,877.00
To Be Completed by Purchasing Department
22) Contract Start Date: TBA
23) Auto Renewal Contract: No
24) Bid No: B242018
25) Contract End Date: TBA
26) Contract # Issued by Purchasing Department: CM24223
NOTES: HB1295 Requested