Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 8/6/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: School Liaison Division
5) Department Contact: Major Ron Hill
6) Description: Interlocal Governmental Agreement for School Liaison Officer Program
7) PEID No: 043216
8) Req No:
9) Orgkey: 1101 211163
10) Object Code: 5100000
11) Vendor: Dickinson ISD
12) Vendor Contract No: CM20390
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected: $1,072,780.15
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 8/14/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 7/28/2025
26) Contract # Issued by Purchasing Department: CM20390
NOTES:
1 year extension current - HB1295 Not Required