Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 12/13/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of subscription renewal of Firepower Management Centers with Datavox submitted by Information Technology
7) PEID No: 700678
8) Req No: FR503123
9) Orgkey: 1101159100
10) Object Code: 5419310
11) Vendor: Datavox Inc.
12) Vendor Contract No: TIPS 230105
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $6000.00
16) Current Year Projected: $4455.36
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 12/23/2024
23) Auto Renewal Contract: Yes
24) Bid No: NA
25) Contract End Date: 12/22/2025
26) Contract # Issued by Purchasing Department: CM25066
NOTES: 36 month lease for $4,455.36 - HB1295 Requested