Agency Contact:	name/phone number

e-mail address

Carla Thompson (410) 260-6155

Carla.Thompson@maryland.gov

__-IT.	DEPARTMENT OF HEALTH & MENTAL HYGIENE

Program Name

Contract ID:	Contract Title

DHMH-OPASS Contract #; M00B______, COF______

Description:	enter description

Award:	enter vendor Name and State

Term:	start and end dates

Amount:	enter amount

Procurement Method:	enter procurement method

MBE Participation:	enter Goal

Incumbent:	enter name

Remarks:	enter remarks

Fund Source:	enter fund source

Approp. Code:	enter

Resident Business:	enter

MD Tax Clearance:	enter

BOARD OF PUBLIC WORKS	THIS ITEM WAS:

APPROVED	DISAPPROVED	DEFERRED	WITHDRAWN

WITH DISCUSSION	WITHOUT DISCUSSION

DoIT 1D

Supplement D

Department of Information Technology

ACTION AGENDA

_________________, 20__

BPW Agenda Template - Contract Mod

Michael Meinl

2015-01-16

Srikanth Gadiyaram

Microsoft