Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 7/16/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Amendment 1 to Architectural Services Huitt Zollars
7) PEID No: 709352
8) Req No:
9) Orgkey: 2901 412110
10) Object Code: 5781000
11) Vendor: Huitt-Zollars
12) Vendor Contract No: CM23293
Expenditure Budget/Revenue Projections
13) Fund Name: American Rescue Plan
14) Fund #: 2901
15) Current Year Budgeted:
16) Current Year Projected: $209,000.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 7/28/2023
23) Auto Renewal Contract: No
24) Bid No: B231022
25) Contract End Date: 12/31/2024
26) Contract # Issued by Purchasing Department: CM23293
NOTES: HB1295 on file - Amendment #1