Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/13/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Road & Bridge
5) Department Contact: Zach Smith
6) Description: Joint Funding Agreement for the program involving surface water data collection for the period of 10/1/2025-09/30/2026
7) PEID No: 720049
8) Req No:
9) Orgkey:2370 296121
10) Object Code: 5481000 (Other Contract Services)
11) Vendor: Department of the Interior- U.S. Geological Survey
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Seawall Maintenance
14) Fund #: 2370
15) Current Year Budgeted: 36,500
16) Current Year Projected: 34,700
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 10/1/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 9/30/2026
26) Contract # Issued by Purchasing Department: 238734
NOTES: