Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 11/13/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Cyber Security and Incident Planning grant with Securance LLC submitted by Information Technology
7) PEID No: N/A
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: TBD
11) Vendor: Securance LLC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: TBD
14) Fund #: TBD
15) Current Year Budgeted: $92,000.00
16) Current Year Projected: $86,304.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 11/24/2025
23) Auto Renewal Contract: No
24) Bid No: 25-060
25) Contract End Date: 11/23/2026
26) Contract # Issued by Purchasing Department: 232120 (SC-0000993)
NOTES: Awarded in CC - Item 78 (10/27/25 MF)
TBD grant funding information