Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/15/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Purchasing
5) Department Contact: Veronica Van Horn
6) Description: Digital supplier onboarding for secure & compliant business payments
7) PEID No: 713601
8) Req No:
9) Orgkey: 1101-151800
10) Object Code: 5481000
11) Vendor: Carahsoft
12) Vendor Contract No: DIR-CPO-5687
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected: $53,410.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 8/29/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 8/28/2026
26) Contract # Issued by Purchasing Department: 232644
NOTES: HB1295 Requested - DIR-CPO-5687 valid until 5/31/2031
BAT-000246 in progress