Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/30/2025
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 Audio Visual System Upgrade for the Agrilife building with Ford Audio-Video Systems, LLC on behalf of the Information Technology Department submitted by the Purchasing Agent
7) PEID No: Pending
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: 5310001, 5481000, 5745000
11) Vendor: Ford Audio Video Systems, LLC
12) Vendor Contract No: TIPS 230901
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $77,000.00
16) Current Year Projected: $64,180.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 7/7/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 0706/2026
26) Contract # Issued by Purchasing Department: 227985
NOTES: Extraordinary Supplies- $23,000; Other contract Services- $26,000; Technology Hardware- $28,000