Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/16/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Microsoft Professional Services for Microsoft hardening with Alchemy Technology Group submitted by Information Technology
7) PEID No: 722398
8) Req No: FR409525
9) Orgkey: 1101159100
10) Object Code: 5481000
11) Vendor: Alchemy Technology Group LLC
12) Vendor Contract No: DIR-TSO-4351
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $110,699.69
16) Current Year Projected: $48,625.00
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: NA
25) Contract End Date: 9/15/2025
26) Contract # Issued by Purchasing Department: CM24301
NOTES: HB1295 Requested - DIR-TSO-4351