Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/6/2024
2) Contract Type: Revenue
3) Renewal Contract: Yes
4) Department Name: Parks and Cultural Services
5) Department Contact: Julie Diaz
6) Description: Lease agreement renewal with Bolivar Chamber of Commerce for use of the Joe Faggard Building.
7) PEID No: 720561
8) Req No:
9) Orgkey: 110170100
10) Object Code: 4831005
11) Vendor: Bolivar Chamber of Commerce
12) Vendor Contract No: B21190
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #: 110170100
15) Current Year Budgeted: $1,200
16) Current Year Projected: $1,200
17) Year 2: $1,200
18) Year 3: $1,200
19) Year 4: $1,200
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 1/1/2021
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 12/31/2025
26) Contract # Issued by Purchasing Department: CM21190
NOTES: Lease agreement - They pay $100/month for the Faggard Building. This is the 3rd renewal out of 4 total. JD 2.6.24