Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/24/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Fleet Management
5) Department Contact: Lee Crowder
6) Description: Annual Renewal of Fuel Management Software
7) PEID No: 720041
8) Req No: REQ-0002575
9) Orgkey: 1101 172111
10) Object Code: 5419301
11) Vendor: Multiforce Systems Corp.
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Fleet Management
14) Fund #: 1101 172111
15) Current Year Budgeted: 20,146.41
16) Current Year Projected: 8,250.00
17) Year 2: 8250.00
18) Year 3: 8250.00
19) Year 4: 8250.00
20) Year 5: 8250.00
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 5/1/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 4/30/2026
26) Contract # Issued by Purchasing Department: 223038
NOTES: