Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/31/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Road & Bridge Department
5) Department Contact: Lee Crowder
6) Description: Inter-local Agreement with City of Santa Fe
7) PEID No: 033589 - CITY OF SANTA FE
8) Req No:
9) Orgkey: 2301 312120
10) Object Code: 5324001
11) Vendor: City of Santa Fe
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: $10,106.40
17) Year 2: 0
18) Year 3: 0
19) Year 4: 0
20) Year 5: 0
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 2/19/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 2/18/2025
26) Contract # Issued by Purchasing Department: CM24144
NOTES: HB1295 Not Required