Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 11/1/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
1) Description: Consideration of approval of change order 6 for staff augmentation for financials and payroll support with Koa Hills Consulting submitted by Information Technology
2) PEID No: 722283
3) Req No: N/A
4) Orgkey: 1101159115
5) Object Code: 5481000
6) Vendor: Koa Hills Consulting
7) Vendor Contract No: CM21337
Expenditure Budget/Revenue Projections
8) Fund Name: General
9) Fund #: 1101
10) Current Year Budgeted: $364,200
11) Current Year Projected: $364,200
12) Year 2:
13) Year 3:
14) Year 4:
15) Year 5:
16) Totals:
To Be Completed by Purchasing Department
17) Contract Start Date: 11/15/2024
18) Auto Renewal Contract: No
19) Bid No: NA
20) Contract End Date: 5/31/2025
21) Contract # Issued by Purchasing Department: CM21337
NOTES: Professional Services will be entering in a budget amendment - Change Order #6 - HB1295 on file