Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/30/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of iJuror application annual software maintenance renewal with Judicial Systems Inc. submitted by Information Technology
7) PEID No: 719948
8) Req No: N/A
9) Orgkey: 1101159100
10) Object Code: 5419301
11) Vendor: Judicial Systems Inc
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $14,000.00
16) Current Year Projected: $15,004.22
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2022
23) Auto Renewal Contract: Yes
24) Bid No: B171022
25) Contract End Date: 9/30/2024
26) Contract # Issued by Purchasing Department: CM21634
NOTES: HB1295 on file