Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/10/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Emergency Management
5) Department Contact: Brad Burness
6) Description: Consideration for approval to renew Everbridge Mass Notification system through Petrosys Solutions Inc.
7) PEID No:
8) Req No:
9) Orgkey: 1101291010
10) Object Code: 5481000
11) Vendor: Petrosys Inc.
12) Vendor Contract No: DIR-CPO-5297
Expenditure Budget/Revenue Projections
13) Fund Name: 1101291010
14) Fund #:
15) Current Year Budgeted: 2025
16) Current Year Projected: 2026
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 02/14/2025
23) Auto Renewal Contract: Yes
24) Bid No: N/A
25) Contract End Date: 2/13/2026
26) Contract # Issued by Purchasing Department: 226063
NOTES: HB1295 to be requested