Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/31/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Human Resources
5) Department Contact: Rebecca Gilliam
6) Description: Subscription fee for Governmentjobs.com with NEOGOV
7) PEID No: 720636
8) Req No: N/A
9) Orgkey: 1101 155000
10) Object Code: 5419301
11) Vendor: NEOGOV
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Software Licensing & Maintenance
14) Fund #: 5419301
15) Current Year Budgeted: $3,906.27
16) Current Year Projected: $3,906.27
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $3,906.27
To Be Completed by Purchasing Department
22) Contract Start Date: 11/5/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 11/4/2025
26) Contract # Issued by Purchasing Department: CM25031
NOTES: