Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/12/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Parks and Cultural Services
5) Department Contact: Julie Diaz
6) Description: Contract for port-o-let services on Bolivar.
7) PEID No: 723498
8) Req No:
9) Orgkey: 1204544042
10) Object Code: 5481000
11) Vendor: CW ENVIRONMENTAL SOLUTIONS LLC - dba PENINSULA SEPTIC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Other Contract Services
14) Fund #: 1204544042 and 1101522020 and 2601522042
15) Current Year Budgeted: $20,000 & $6,500 & $161,500
16) Current Year Projected: $145,000
17) Year 2: $188,000
18) Year 3: $188,000
19) Year 4: $188,000
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 2/19/2024
23) Auto Renewal Contract: No
24) Bid No: B242007
25) Contract End Date: 2/18/2025
26) Contract # Issued by Purchasing Department: CM24109
NOTES: Port-o-lets on Bolivar are paid for by 3 different divisions - Road & Bridge (1st) and Beach Parking Sticker (2nd). Parks pays for 1 port-o-let at Gregory. The previous vendor quit in December and we need to have a new vendor in place before March. JD 2.12.24