Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 11/5/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Professional Services
5) Department Contact: Betsy Thomas
6) Description: Grant Administration for the TDA - CDBG-Community Development Fund grant projects.
7) PEID No: 720167
8) Req No: #B24-023
9) Orgkey: 1101-151900
10) Object Code: 5481000
11) Vendor: GrantWorks, Inc.
12) Vendor Contract No: TBD
Expenditure Budget/Revenue Projections
13) Fund Name: Professional Services - Contract Services
14) Fund #: 1101-151900-5493100
15) Current Year Budgeted:
16) Current Year Projected: $53.250.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 11/12/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 11/11/2025
26) Contract # Issued by Purchasing Department: CM25046
NOTES: