Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 5/1/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Professional Services
5) Department Contact: Betsy Thomas
6) Description: Technical grant writing contract for mitigation-related projects. This is a no-cost time extension for one year.
7) PEID No: 721984
8) Req No: B222013
9) Orgkey: 1101-1100
10) Object Code:
11) Vendor: I.E.M.
12) Vendor Contract No: CM21413
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101-1100
15) Current Year Budgeted: $480,000.00
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 5/2/2022
23) Auto Renewal Contract: No
24) Bid No: B222013
25) Contract End Date: 5/1/2026
26) Contract # Issued by Purchasing Department: CM21413
NOTES: No Cost Change Order for to amend the time on Change Order 2 and 4