Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/29/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Agreement for Engineering Services for Road and Bride Geothermal Pumping System
7) PEID No: 709352
8) Req No:
9) Orgkey: 3210 311215
10) Object Code: 5781000
11) Vendor: Huitt-Zollars Inc
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #: 3210
15) Current Year Budgeted:
16) Current Year Projected: $138,550.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 9/16/2024
23) Auto Renewal Contract: No
24) Bid No: B231028
25) Contract End Date: 9/15/2025
26) Contract # Issued by Purchasing Department: CM23475
NOTES:
Approved firm from B231028; Budget amendment requested - HB1295 to be requested