Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/21/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Criminal Investigations Division
5) Department Contact: Hargrove 5245
6) Description: Video surveillance
7) PEID No: 717793
8) Req No: N/A
9) Orgkey: 1101211121
10) Object Code: 5481000
11) Vendor: Covert Track
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #:
15) Current Year Budgeted: $3,780
16) Current Year Projected: $3,780
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2024
23) Auto Renewal Contract: Yes
24) Bid No: NA
25) Contract End Date: 9/30/2025
26) Contract # Issued by Purchasing Department: CM23408
NOTES:
HB1295 Requested