Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/17/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Fire Inspection Services
7) PEID No: 723688
8) Req No: 1101
9) Orgkey: 170100
10) Object Code:5481000
11) Vendor: Summit Fire & Security LLC
12) Vendor Contract No: BuyBoard # 751-24
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected: $42,953.29
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 12/1/2024
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 11/30/2025
26) Contract # Issued by Purchasing Department: 219495
NOTES: HB1295 to be requested