Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/17/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Road and Bridge Department
5) Department Contact: Zach Smith
6) Description: Authorization to utilize cooperative purchase agreement in lieu of competitive bidding requirements to purchase a Gradall XL 4100
7) PEID No: 715709
8) Req No:
9) Orgkey: 2370 296100
10) Object Code: 5741000
11) Vendor: Associated Supply Company
12) Vendor Contract No: BuyBoard 685-22
Expenditure Budget/Revenue Projections
13) Fund Name: Flood
14) Fund #: 2370
15) Current Year Budgeted: 660,000
16) Current Year Projected: 629,333.26
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 9/29/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 9/28/2026
26) Contract # Issued by Purchasing Department: 236494
NOTES: HB1295 Not Required