Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/19/2023
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Timeclock Replacement for Workday
7) PEID No: 723287
8) Req No: TBD
9) Orgkey: 1101-1591-00
10) Object Code: 5481000
11) Vendor: Accu-Time Systems Inc.
12) Vendor Contract No: CM23333
Expenditure Budget/Revenue Projections
13) Fund Name: Other Contract Services
14) Fund #: 1101
15) Current Year Budgeted: $120,000.00
16) Current Year Projected: $113,479.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 3/1/2024
23) Auto Renewal Contract: No
24) Bid No: B232021
25) Contract End Date: 3/1/2029
26) Contract # Issued by Purchasing Department: CM23333
NOTES:
COM Approval: 09/05/23 Meeting - Item: 83 - Bid: B232021
HB1295 Not Required - Public Company
60 month term