Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/22/2024
2) Contract Type: Revenue
3) Renewal Contract: Yes
4) Department Name: Sheriff’s Office
5) Department Contact: Henry Trochesset
6) Description: Dickinson ISD School Interlocal Governmental Agreement for School Liaison Officer Program
7) PEID No: 043216
8) Req No:
9) Orgkey:
10) Object Code: 1101-211163
11) Vendor: Dickinson Independent School District
12) Vendor Contract No: CM20390
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted: $6,000,000
16) Current Year Projected: $6,080,000
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: CM20390
NOTES: