Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/16/2026
2) Contract Type: Other
3) Renewal Contract: Yes
4) Department Name: Grants Administration
5) Department Contact: Miriam Moran
6) Description: Task Order # 2 for Grantworks service agreement in connection with FEMA HMGP Generator Projects DR-4223-0236.
7) PEID No: 720167
8) Req No:
9) Orgkey:
10) Object Code:
11) Vendor: GrantWorks Inc
12) Vendor Contract No: SC-0001019
Expenditure Budget/Revenue Projections
13) Fund Name: FEMA HMGP Generators
14) Fund #:
15) Current Year Budgeted:
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $10,533.38
To Be Completed by Purchasing Department
22) Contract Start Date: 2/16/2026
23) Auto Renewal Contract: Yes
24) Bid No: RFP-25-075
25) Contract End Date: 3/15/2029
26) Contract # Issued by Purchasing Department: SC-0001019
NOTES: