Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 12/13/2024
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Engineering
5) Department Contact: Michael Shannon
6) Description:
7) PEID No: 719624
8) Req No: B221010
9) Orgkey: 3014315145
10) Object Code: 5481000
11) Vendor: Tandem Services LLC
12) Vendor Contract No: CM21425
Expenditure Budget/Revenue Projections
13) Fund Name: 23rd St Galveston
14) Fund #: 315145
15) Current Year Budgeted: $281,618.71
16) Current Year Projected: $28,777.15
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $28,777.15
To Be Completed by Purchasing Department
22) Contract Start Date: 7/11/2022
23) Auto Renewal Contract: No
24) Bid No: B221010
25) Contract End Date: 12/30/2024
26) Contract # Issued by Purchasing Department: CM21425
NOTES: Change order #8