Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 4/30/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Road & Bridge Department
5) Department Contact: Lee Crowder
6) Description: Roadway Traffic Safety Services
7) PEID No: 719719
8) Req No:
9) Orgkey: 2301 312120
10) Object Code: 5425000
11) Vendor: Interstate Barricades & Markings, Inc.
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: FM Lateral Roads
14) Fund #: 2301
15) Current Year Budgeted: $30,000
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: 6/14/2024
23) Auto Renewal Contract: No
24) Bid No: B242014
25) Contract End Date: 6/13/2025
26) Contract # Issued by Purchasing Department: CM24168
NOTES: HB1295 To Be Requested