I.T. – RELATED PURCHASES AUTHORIZATION
Form must be fully completed and signed prior to information technology related purchases
Date ___________
Requested Vendor _______________________________________________ V# _____________ Vendor Address ________________________________________________________________ ________________________________________________________________ Contact Person ________________________________________________________________ Email Address ________________________________________________________________ Phone No ( ______ ) ____________________ Fax # __________________________ Quantity Item Unit Price Total _____ ___________________________________ $ ________ $ ________ _____ ___________________________________ $ ________ $ ________ _____ ___________________________________ $ ________ $ ________ Total $________
Purpose
This section must be completed with respective price quote(s) included with form:
_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Requested by
________________________ ________________________
Department Head IT Director
________________________ ________________________
Approval Date Approval Date
Information Technology Related – Purchase Form – Rev 5-2016 1/7/2022
T2 Systems
10751
8900 KEYSTONE CROSSING STE 700
INDIANAPOLIS, IN 46240
SADIE JONES
[email protected]
1 T2 SYSTEMS PLATFORM OR TICKETING SERVICES
BASED ON SERVICES
UP TO $50K
UP TO $50K
A SOLE SOURCE CONTRACT WITH T2 SYSTEMS WILL GIVE US CONTINUED TICKETING COLLECTION SERVICES WITHOUT INTERRUPTION. T2 WILL COLLECT AND ADMINISTER COLLECTION SERVICES FOR TICKETED OFFENDERS THROUGH DEC. 31, 2022, USING THEIR TECHNOLOGY.
DocuSign Envelope ID: 4164C6A5-6E4D-4483-A7B2-96B9B4241A17 1/7/2022
1/14/2022
ADA (American with Disabilities Act) Compliance
Access and Accommodation
Compliance with the accessibility requirements of Section 508 of the Rehabilitation Act of 1973: In order to improve accessibility of existing technology and therefore increase the successful employment of individuals with disabilities, particularly blind and visually impaired, deaf and hard-of-hearing persons please answer the following questions:
Is this item ADA Compliant? Yes __________ No_________
If NO, please answer the following questions:
Will this item be used by the public? Yes ________ No _________ Can other vendors provide an ADA compliant product? Explain
Will this item be used by City employees? Yes ________ No _________
Categories for Information Technology (IT) Product
• Software applications and operating systems
• Web-based information and applications
• Telecommunications products
• Video and multimedia products
• Desktop and portable computers
• End user hardware
Examples of Information Technology (IT) Products
• World Wide Web
• Scanners
• Printers
• Copiers
• PDAs
• Computers
• Computer Software
• Computer Operating Systems
• Phones
• Apps
• Information Kiosks
• ATMs
• Multimedia
• Videos
• Fax Machines
x
x
x
DocuSign Envelope ID: 4164C6A5-6E4D-4483-A7B2-96B9B4241A17