Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 7/3/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Emergency Management
5) Department Contact: Brad Burness
6) Description: Consideration for authorization to utilize cooperative purchasing agreement in lieu of competitive bidding requirement to purchase FirstNet Compact Rapid Deployable (CRD) Communication System.
7) PEID No: 709784
8) Req No:
9) Orgkey: 2784291160
10) Object Code: 4851010 / 5741000
11) Vendor: AT&T FirstNet
12) Vendor Contract No: SourceWell #080119-ATT
Expenditure Budget/Revenue Projections
13) Fund Name: 2784291160
14) Fund #:
15) Current Year Budgeted: $85,000.00
16) Current Year Projected: $85,000.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 7/8/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 7/7/2025
26) Contract # Issued by Purchasing Department: CM24237
NOTES: SourceWell #080119-ATT
A grant funded award is being utilized to purchase this equipment.