Contract Approval Request Form
 
To Be Completed by Requesting Department (#1-21)
 
1)                     Date of Request: 10/8/2024
2)                     Contract Type: Expense
3)                     Renewal Contract: Yes
4)                     Department Name: Information Technology
5)                     Department Contact: Misty Witmer
6)                     Description: Consideration of approval of Cisco Smartnet Service maintenance renewal with Datavox submitted by Information Technology
 
7)                     PEID No: 700678
8)                     Req No: N/A
9)                     Orgkey: 1101159100
10)                     Object Code: 5423000
11)                     Vendor: Datavox Inc
12)                     Vendor Contract No: DIR-TSO-4167
 
Expenditure Budget/Revenue Projections
 
13)                     Fund Name: General
14)                     Fund #: 1101
15)                     Current Year Budgeted:  $100,000.00
16)                     Current Year Projected: $98,395.14
17)                     Year 2: 
18)                     Year 3: 
19)                     Year 4: 
20)                     Year 5: 
21)                     Totals: 
 
To Be Completed by Purchasing Department
 
22)                     Contract Start Date: 10/31/2024
23)                     Auto Renewal Contract: Yes
24)                     Bid No: NA
25)                     Contract End Date: 11/1/2025
26)                     Contract # Issued by Purchasing Department: CM25008
 
NOTES: