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 Change order for Accutime Time Keeping System to add biometric capabilities with Accu-Time Systems Inc submitted by Information Technology
7) PEID No: 723287
8) Req No: FR406192
9) Orgkey: 1101159100
10) Object Code: 5481000
11) Vendor: Accu-Time Systems Inc.
12) Vendor Contract No: CM23333
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $84,196.00
16) Current Year Projected: $12,800
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: TBD
23) Auto Renewal Contract: No
24) Bid No: B232021
25) Contract End Date: TBD
26) Contract # Issued by Purchasing Department: CM23333
NOTES: Change Order #1 - HB1295 Not Required - Public Company - Estimated Go Live date 12/16/2024