Contract Approval Request Form
 
To Be Completed by Requesting Department (#1-21)
 
1)                     Date of Request: 10/2/2024
2)                     Contract Type: Expense
3)                     Renewal Contract: No
4)                     Department Name: Sheriff’s Office/ACTF                     
5)                     Department Contact: Lt Hal Barrow
6)                     Description: Contract with Vigilant Solutions for new 2-camera mobile LPR system
 
7)                     PEID No: 713899                      
8)                     Req No: N/A
9)                     Orgkey: 2864                     
10)                     Object Code: 5741000
11)                     Vendor: Vigilant Solutions
12)                     Vendor Contract No: DIR-TSO-4101
 
Expenditure Budget/Revenue Projections
 
13)                     Fund Name: Auto Crimes Task Force Catalytic Converter Unit
14)                     Fund #: 2864 211110
15)                     Current Year Budgeted:  $17,185.26
16)                     Current Year Projected: $17,185
17)                     Year 2: $1,500 annual recurring 
18)                     Year 3: 
19)                     Year 4: 
20)                     Year 5: 
21)                     Totals: 
 
To Be Completed by Purchasing Department
 
22)                     Contract Start Date: 10/29/2024
23)                     Auto Renewal Contract: No
24)                     Bid No: NA
25)                     Contract End Date: 10/28/2025
26)                     Contract # Issued by Purchasing Department: CM14138
 
NOTES: