Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/22/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Construction Materials Testing Proposal for Mental Health Wellness Center
7) PEID No: 408924
8) Req No:
9) Orgkey: 2901 412110
10) Object Code: 5781000
11) Vendor: Paradigm dba CMT Technical Services
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: ARPA
14) Fund #: 2901
15) Current Year Budgeted: $16,291,717.00
16) Current Year Projected: $9,926.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 4/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 3/30/2025
26) Contract # Issued by Purchasing Department: CM24326
NOTES: