Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 7/20/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Misty Witmer
6) Description Consideration of approval of Electrical and Wiring Services with Crescent Electric submitted by Facilities.
7) Fund Name and Number: General 1101
8) Cost Center: 170100
9) Ledger Account Summary: Maintenance and Repairs- Buildings
10) Spend Category: Repair and maintenance for buildings- services
11) Project Worktag:
12) Grant Worktag:
13) Vendor: Crescent Engineering Co. Inc. DBA Crescent Electric
14) Vendor Contract Number: ☐ Yes ☐ No: Click or tap here to enter text.
Expenditure Budget/Revenue Projections
15) Budget Amendment Requested: ☐ Yes ☐ No (if yes, provide BA request details): Click or tap here to enter text.
16) Current Year Budgeted: $5000.00
17) Current Year Projected: $5000.00
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 7/20/2026
24) Auto Renewal Contract: No
25) Bid No: 26-092
26) Contract End Date: 7/19/2031
27) Contract # Issued by Purchasing Department: SC-0001089
NOTES: