Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 8/19/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of RFP 26-087 HVAC/R Equipment and supplies with Coburn Supply Co., LLC submitted by Facilities
7) Fund Name and Number: General 1101
8) Cost Center: 170100
9) Ledger Account Summary: Repair & Maintenance Supplies- Buildings
10) Spend Category: Repair and Maintenance for Buildings- Goods
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: Coburn Supply Co., LLC
14) Vendor Contract Number: ☐ Yes ☐ No: Click or tap here to enter text.
Expenditure Budget/Revenue Projections
15) Budget Amendment Requested: ☐ Yes ☒ No (if yes, provide BA request details): Click or tap here to enter text.
16) Current Year Budgeted: $323,505.26
17) Current Year Projected: $5,000.00
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 8/31/2026
24) Auto Renewal Contract: No
25) Bid No: 26-087
26) Contract End Date: 8/30/2031
27) Contract # Issued by Purchasing Department: SC-0001109
1) NOTES: Award Approved on CC Item #55 - 7/20/2026 - KM