Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 6/11/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of the addition of a Comcast circuit at the former Medical Examiner’s Building with Comcast Business submitted by Information Technology
7) Fund Name and Number: General Fund 1101
8) Cost Center: 159100
9) Ledger Account Summary: 5492000 Communications
10) Spend Category: Internet/Data Service
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: Texas Department of Information Resources
14) Vendor Contract Number: ☒ Yes ☐ No: DIR-TELE-CTSA-010
Expenditure Budget/Revenue Projections
15) Budget Amendment Requested: ☐ Yes ☒ No (if yes, provide BA request details):
16) Current Year Budgeted: $430,000.00
17) Current Year Projected: $1,182.00
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 7/11/2026
24) Auto Renewal Contract: No
25) Bid No: N/A
26) Contract End Date: 7/11/2029
27) Contract # Issued by Purchasing Department: SC-0001083
NOTES: