Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/22/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Cisco Smartnet Service maintenance renewal with Datavox submitted by Information Technology
7) PEID No: 700678
8) Req No: FR501561
9) Orgkey: 1101159100
10) Object Code: 5423000
11) Vendor: Datavox Inc.
12) Vendor Contract No: TIPS 230105
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $100,000.00
16) Current Year Projected: $98,395.14
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/28/2024
23) Auto Renewal Contract: Yes
24) Bid No: NA
25) Contract End Date: 10/27/2025
26) Contract # Issued by Purchasing Department: CM25025
NOTES:
HB1295 Requested - TIPS 23105