Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 12/9/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Parks and Cultural Services
5) Department Contact: Julie Walker
Description: Portable Toilet Services - Galveston/Mainland for Parks and Road & Bridge.
6) PEID No:
7) Req No:
8) Orgkey: 1101522020
9) Object Code: 5426100
10) Vendor: American Sanitation Services Group, LLC
11) Vendor Contract No:
Expenditure Budget/Revenue Projections
12) Fund Name: Equipment and Other Rentals
13) Fund #: 1101
14) Current Year Budgeted: $45,000
15) Current Year Projected: $45,000
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 12/23/2024
22) Auto Renewal Contract: No
23) Bid No: 24-024
24) Contract End Date: 12/22/2025
25) Contract # Issued by Purchasing Department: CM25009
NOTES: Parks and Road & Bridge both utilize this contract. JWalker 12.9.24