Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/19/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Emergency Management building Access Control upgrade with Securitas Technology submitted by Information Technology
7) PEID No: 710680
8) Req No: FR408805
9) Orgkey: 1101159100
10) Object Code: 5423000, 5745000
11) Vendor: Securitas Technology
12) Vendor Contract No: Sourcewell 030421-SCS
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $462,584.24
16) Current Year Projected: $63,030.07
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 8/19/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 8/18/2025
26) Contract # Issued by Purchasing Department: CM24261
NOTES: Awarded to use Cooperative in lieu of bidding - SourceWell contract #030421-SCD Approved in CC - Item 13 (5/24/24 MF)