Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 9/30/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Information Technology
5) Department Contact: Misty Witmer
6) Description: Consideration of approval of Cognizant zero cost change order 6 with Cognizant Technology Solutions U.S. Corporation submitted by Information Technology
7) PEID No: 722920
8) Req No: FR406948
9) Orgkey: 1101159116
10) Object Code: 5419310
11) Vendor: Cognizant Technology Solutions U.S. Corporation
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $0.00
16) Current Year Projected: $0.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 3/20/2023
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 3/31/2025
26) Contract # Issued by Purchasing Department: CM23184
NOTES: HB1295 on file - Change Order #6 - $0.00