Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/27/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of F5 renewal for local traffic manager and web application filter with World Tech IT submitted by Information Technology
7) PEID No:Pending
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: 5419310
11) Vendor: World Tech IT
12) Vendor Contract No: DIR-CPO-5362
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $70,000.00
16) Current Year Projected: $68,735.73
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 5/12/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 5/11/2026
26) Contract # Issued by Purchasing Department: 218545
NOTES: HB1295 to be requested