Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/19/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Change Order to remove Enterprise licensing and add Badge licensing capabilities for Access Control System with Securitas Technology submitted by Information Technology
7) PEID No: 710680
8) Req No: FR407098
9) Orgkey: 1101159100
10) Object Code: 5419301
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: $20,828.50
16) Current Year Projected: -$429.62
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 12/12/2022
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 12/11/2024
26) Contract # Issued by Purchasing Department: CM23114
NOTES: Change Order #1 - HB1295 Not Required - Publicly Traded Co.