Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/18/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Emergency Management
5) Department Contact: Brad Burness
6) Description: Food Catering Services
7) PEID No: 721457
8) Req No: N/A
9) Orgkey: 1101291010
10) Object Code:
11) Vendor: Cotton Culinary
12) Vendor Contract No: N/A
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #:
15) Current Year Budgeted:
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/29/2024
23) Auto Renewal Contract: No
24) Bid No: B242008
25) Contract End Date: 10/28/2025
26) Contract # Issued by Purchasing Department: CM24184
NOTES: HB1295 Requested