Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 8/4/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Misty Witmer
6) Description (language as it will appear on agenda): Consideration of approval of Amendment #2 for additional Engineering Services for Mental Health and Wellness Center with Huitt-Zollars, Inc submitted by Facilities.
7) Fund Name and Number: County Capital Projects 3100
8) Cost Center: 411010 Public Health
9) Ledger Account Summary: 5700000 Capital Outlays
10) Spend Category: Buildings- Services
11) Project Worktag (when applicable): Behavior Health Observation Unit
12) Grant Worktag (when applicable):
13) Vendor: Huitt-Zollars, Inc.
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: $64,514.93
17) Current Year Projected:
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 7/28/2023
24) Auto Renewal Contract: No
25) Bid No: B231022
26) Contract End Date: 12/31/2027
27) Contract # Issued by Purchasing Department: SC-0000394 (CM23293)
NOTES: Contract executed 07/28/2023 Item 15 - Amendment #1 for 64,514.93 approved CC - Item 27 (7/22/24)