Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/2/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Professional Services
5) Department Contact: Betsy Thomas
6) Description: Grant-funded construction contract for MUD12 generator. The HMGP grant will pay for 75% and MUD12 will pay 25% match and anything grant does not cover for this project per interlocal agreement.
7) PEID No: 710005
8) Req No:
9) Orgkey: 2890-289000 - HGMP Administration
10) Object Code: 5481018 - Contract Services
11) Vendor: C.F. MCDONALD ELECTRIC INC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: 2890-289000
14) Fund #: HMGP Administration
15) Current Year Budgeted: $
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/15/2024
23) Auto Renewal Contract: No
24) Bid No: B242006A
25) Contract End Date: 10/14/2025
26) Contract # Issued by Purchasing Department: CM24100A
NOTES: HB1295 Requested - ILA approved in CC on 08/23/21