Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/17/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of amendment of Bluebeam OpenGov Permitting application for Engineering Department with Print-o-stat submitted by Information Technology
7) PEID No: N/A
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: 5419310
11) Vendor: Print-O-Stat
12) Vendor Contract No: Bonfire 217737 SC-0000822
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $5,300.00
16) Current Year Projected: $2,625.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: Click or tap to enter a date.
23) Auto Renewal Contract: Choose an item.
24) Bid No:
25) Contract End Date: Click or tap to enter a date.
26) Contract # Issued by Purchasing Department: 217737
NOTES: Prior approved in CC - Item 38 (3/31/25 MF) Amendment to change QTY and ending ProRate to 12/31/25 - HB1295 on file