Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/3/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Road & Bridge Department
5) Department Contact: Lee Crowder
6) Description: Joint Funding Agreement program involving surface water data collection for the period of 10/01/2024-09/30/2025.
7) PEID No: 720049
8) Req No:
9) Orgkey: 2370 296121
10) Object Code: 5481000
11) Vendor: Department of the Interior - U.S. Geological Survey
12) Vendor Contract No: Agreement #25SJJFATX045000 Project #SJ009ME
Expenditure Budget/Revenue Projections
13) Fund Name: Seawall Maintenance
14) Fund #: 2370
15) Current Year Budgeted:36,500
16) Current Year Projected: 36,500
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 9/30/2025
26) Contract # Issued by Purchasing Department: CM23342
NOTES: Approved in CC - Item 18 (7/24/23)- Agreement #25SJJFATX045000 - Project #SJ009ME