Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/11/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Personal Bond
5) Department Contact: (409)770-5437
6) Description: Electronic Monitoring Contract
7) PEID No: 714845
8) Req No:FR404481
9) Orgkey: 1101129300
10) Object Code: 5481000
11) Vendor: RMS
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Other Contract Services
14) Fund #: 5481000
15) Current Year Budgeted: $45,000
16) Current Year Projected: $30,000
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 1/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 8/30/2024
26) Contract # Issued by Purchasing Department: CM24193
NOTES: