Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 11/19/2024
2) Contract Type: Other
3) Renewal Contract: Yes
4) Department Name: Professional Services
5) Department Contact: Mary Pitts
6) Description: Contract with Mainland Children’s Partnership to administer ERA2grant funds for the community
7) PEID No: 722091
8) Req No: B211040
9) Orgkey: 2902-450130
10) Object Code: 5481000
11) Vendor: Mainland Children’s Partnership
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: ARP - Emergency Rental Assist #2
14) Fund #: 2902-450130
15) Current Year Budgeted: $8,180,061.30
16) Current Year Projected: $8,085,704.45
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 9/30/2024
23) Auto Renewal Contract: No
24) Bid No: B211040
25) Contract End Date: 9/29/2025
26) Contract # Issued by Purchasing Department: CM20351
NOTES: