Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 11/19/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Facilities
5) Department Contact: Veronica Van Horn
6) Description: Additional Owner’s Representative Services for the New Galveston County Road & Bridge-Extension
7) PEID No: 723281
8) Req No:
9) Orgkey: 3210-312115
10) Object Code: 5781000
11) Vendor: Turner & Townsend Heery LLC
12) Vendor Contract No: CM23375
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #: 3210
15) Current Year Budgeted:
16) Current Year Projected: $56,928.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: Click or tap to enter a date.
23) Auto Renewal Contract: Choose an item.
24) Bid No:
25) Contract End Date: Click or tap to enter a date.
26) Contract # Issued by Purchasing Department:
NOTES:
Budget Amendment requested