Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/22/2024
2) Contract Type: Other
3) Renewal Contract: No
4) Department Name: Galveston IT
5) Department Contact: Lauren Michaels
6) Description: Customer Addendum to Purchase order- signature only with Environmental Systems Research Institute, Inc.
7) PEID No: 710007
8) Req No: FR405234
9) Orgkey: 1101159100
10) Object Code: 5419301
Vendor: Environmental Systems Research Institute, Inc.
11) Vendor Contract No: CM24165
Expenditure Budget/Revenue Projections
12) Fund Name: Software Licensing and Maintenance
13) Fund #: 1101
14) Current Year Budgeted: $0
15) Current Year Projected: $0
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 5/1/2024
22) Auto Renewal Contract: No
23) Bid No: NA
24) Contract End Date: 4/30/2025
25) Contract # Issued by Purchasing Department: CM24165
NOTES: DIR-CPO-4699