Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/31/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Fleet Services
5) Department Contact: Lee Crowder
6) Description: Emergency Equipment
7) PEID No: 720490
8) Req No:
9) Orgkey:
10) Object Code: 5361001
11) Vendor: Dana Safety
12) Vendor Contract No: TIPS 240102
Expenditure Budget/Revenue Projections
13) Fund Name: Fleet/S/O
14) Fund #: 1101 230100
15) Current Year Budgeted: 711,432.00
16) Current Year Projected: 554,100
17) Year 2: 400,000
18) Year 3: 400,000
19) Year 4: 400,000
20) Year 5: 400,000
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 2/17/2025
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 3/31/2027
26) Contract # Issued by Purchasing Department: SC-0000785 / 207155
NOTES: HB1295 to be requested