Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/4/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Change Order for Training of IT Policies with Securance Consulting submitted by Information Technology
7) PEID No: N/A
8) Req No: PO-0008059
9) Orgkey: 1101159100
10) Object Code: Other Contract Services
11) Vendor: Securance Consulting
12) Vendor Contract No: SC-0000993
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $19,890.00
16) Current Year Projected: $4,320.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 12/8/2025
23) Auto Renewal Contract: No
24) Bid No: 25-060
25) Contract End Date: 12/7/2026
26) Contract # Issued by Purchasing Department: 232120 (SC-0000993
NOTES: Contract executed in CC 12/08/2025 - HB1295 requested
GR-0000786