Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/12/2024
2) Contract Type: Revenue
3) Renewal Contract: Yes
4) Department Name: Professional Services
5) Department Contact: Sergio Cruz
6) Description: Reliant Energy Care Program Agreement
7) PEID No: BIDCON
8) Req No: N/A
9) Orgkey: 2121443141
10) Object Code: 5421304
11) Vendor: Reliant Energy Care Program
12) Vendor Contract No: CM21627
Expenditure Budget/Revenue Projections
13) Fund Name: Donations to Galveston County
14) Fund #: 2121
15) Current Year Budgeted: 15,000
16) Current Year Projected: 15,000
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2022
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 9/30/2024
26) Contract # Issued by Purchasing Department:
NOTES:
Vendor: Reliant Energy Care Program - NO PEID - 2024 $15,000.00