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: Juvenile Justice
5) Department Contact: Glen Watson
6) Description: JJAEP MOU for the 2024-2025 School Year
7) PEID No: 043216
8) Req No:
9) Orgkey: 1202256155
10) Object Code: 5481000
11) Vendor: Dickinson Independent School District
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Juvenile Justice Fund
14) Fund #: 1202
15) Current Year Budgeted: $58,709
16) Current Year Projected: $58,709
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $58,709
To Be Completed by Purchasing Department
22) Contract Start Date: 8/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 7/31/2025
26) Contract # Issued by Purchasing Department: CM24040
NOTES:
$133,709 estimated cost of contract; $75,000 is the estimated revenue
Upon approval of contract County Judge to sign electronically