Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/17/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Roofing material and service proposal for Adult Probation 715 19th St., Galveston
7) PEID No: 720745
8) Req No:
9) Orgkey: 1101 1701000
10) Object Code: 5424000
11) Vendor: Garland
12) Vendor Contract No: Omina # PW1925
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #:
15) Current Year Budgeted:
16) Current Year Projected: $124,627.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 6/24/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 6/23/2025
26) Contract # Issued by Purchasing Department: CM24231
NOTES: HB1295 requested - Omina # PW1925