Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/28/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration for authorization to utilize cooperative purchasing agreement in lieu of competitive bidding requirements to purchase Guidehouse Workday post Production Support with Guidehouse on behalf of the Information Technology Department submitted by the Purchasing Agent
7) PEID No: N/A
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: 5481000
11) Vendor: Guidehouse
12) Vendor Contract No: DIR-CPO-4947
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $125,000
16) Current Year Projected: $128,689
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 2/3/2025
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 2/3/2026
26) Contract # Issued by Purchasing Department: 206658
NOTES: HB1295 to be requested