Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 5/3/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Lauren Michaels
Description: Letter of Agency with Frontier Communications
6) PEID No: 718993
7) Req No: N/A
8) Orgkey: 1101159100
9) Object Code: 5492101
10) Vendor: Frontier Communications
11) Vendor Contract No: CM23374
Expenditure Budget/Revenue Projections
12) Fund Name: Telephone Expense
13) Fund #: 1101
14) Current Year Budgeted: 250,300.00
15) Current Year Projected: N/A
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 4/1/2024
22) Auto Renewal Contract: No
23) Bid No: NA
24) Contract End Date: 3/31/2025
25) Contract # Issued by Purchasing Department: CM23374
NOTES: HB1295 Requested