Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/2/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Road & Bridge Department
5) Department Contact:
6) Description: Recycled Crush Concrete
7) PEID No: 719937
8) Req No:
9) Orgkey: 2301 312120
10) Object Code: 5324001
11) Vendor: Texas Materials Group Inc.
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: FM Lateral Roads
14) Fund #: 2301
15) Current Year Budgeted: $2,100,000
16) Current Year Projected: $30,000
17) Year 2: $30,000
18) Year 3: $30,000
19) Year 4: $30,000
20) Year 5: $30,000
21) Totals: $30,000
To Be Completed by Purchasing Department
22) Contract Start Date: 1/8/2024
23) Auto Renewal Contract: No
24) Bid No: B232019B
25) Contract End Date: 1/7/2025
26) Contract # Issued by Purchasing Department: CM23368B
NOTES: - HB1295 Requested