Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/6/2024
2) Contract Type: Other
3) Renewal Contract: Yes
4) Department Name: Professional Services
5) Department Contact: Betsy Thomas
6) Description: Interlocal agreement to split the 2023 Edward Byrne Memorial Justice Assistance Grant with the City of Galveston for approved equipment purchases.
7) PEID No: 033985
8) Req No:
9) Orgkey: 2975211169
10) Object Code:5415200
11) Vendor: City of Galveston
12) Vendor Contract No: Grant Award # 15PBJA-23-GG-03820-JAGX
Expenditure Budget/Revenue Projections
13) Fund Name: 2023 JAG
14) Fund #: 2975
15) Current Year Budgeted: $35,821.00
16) Current Year Projected: $17,910.50
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $17,910.50
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2023
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 9/30/2024
26) Contract # Issued by Purchasing Department: CM23426
27) NOTES: JAG Grant Award # 15PBJA-23-GG-03820-JAGX - HB1295 Not Required