Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/1/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Facilities condition assessment for capital improvement project
7) PEID No: 723281
8) Req No:
9) Orgkey: 1101 170100
10) Object Code: 5481000
11) Vendor: Turner & Townsend Heery
12) Vendor Contract No: CM24226
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $170,000.00
16) Current Year Projected: $189,500.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: Click or tap to enter a date.
23) Auto Renewal Contract: Choose an item.
24) Bid No: B231028
25) Contract End Date: Click or tap to enter a date.
26) Contract # Issued by Purchasing Department:
NOTES: HB1295 On File - Awarded on 06/24/2024, Item 20
Bond Issue preparation-proposed cost $189,500.00 budget amendment 24-120-0624-N for $170,000.00 approved 06/24/2024 requesting additional funding $19,500.00 on 08/19/2024