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: Parks and Cultural Services
5) Department Contact: Julie Diaz
6) Description: Construction contract for the Fort Travis Restroom RFP #B241015
7) PEID No: 720851
8) Req No:
9) Orgkey: 2804529213
10) Object Code: 5781000
11) Vendor: Public Restroom Inc
12) Vendor Contract No: CM24112
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #: 2804
15) Current Year Budgeted: $212,400
16) Current Year Projected: $288,340
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $288,340
To Be Completed by Purchasing Department
22) Contract Start Date: 5/24/2024
23) Auto Renewal Contract: No
24) Bid No: B241015
25) Contract End Date: 1/9/2025
26) Contract # Issued by Purchasing Department: CM24112
NOTES: The amendment from the GLO will be on the 5/13 agenda as well to extend the grant from the GLO and supply more funds to cover the cost.
HB1295 Requested - 240 calendar days to complete.