Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/8/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Fleet Services
5) Department Contact: Elizabeth Bryant
6) Description: Vehicle Collision and Body Repairs
7) PEID No: 705312
8) Req No:
9) Orgkey: 1101 230100
10) Object Code: 5423110
11) Vendor: Marty’s City Auto Inc.
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Fleet Management - SO Vehicles
14) Fund #: 1101 230100
15) Current Year Budgeted: $500,000.00
16) Current Year Projected: $80,000.00
17) Year 2: $80,000.00
18) Year 3: $80,000.00
19) Year 4: $80,000.00
20) Year 5: $80,000.00
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/15/2024
23) Auto Renewal Contract: No
24) Bid No: 24-013
25) Contract End Date: 10/14/2025
26) Contract # Issued by Purchasing Department: CM24276
NOTES: