Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 8/28/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Parks and Cultural Services
5) Department Contact: Martha Lee
6) Description (language/e as it will appear on agenda): Trash barrel pickup for Bolivar/ Peninsula, resultant contract from RFP-26-102
7) Fund Name and Number: 2601
8) Cost Center: 522042
9) Ledger Account Summary: 5481000
10) Spend Category: Other Contract Services
11) Project Worktag (wh/en applicable):
12) Grant Worktag (when applicable):
13) Vendor: Environmental Earth-Wise, Inc.
14) Vendor Contract Number: ☐ Yes ☐ No: Click or tap here to enter text.
Expenditure Budget/Revenue Projections
15) Budget Amendment Requested: ☐ Yes ☒ No (if yes, provide BA request details): Click or tap here to enter text.
16) Current Year Budgeted: $217,000
17) Current Year Projected: $217,000
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals: $217,000
To Be Completed by Purchasing Department
23) Contract Start Date: 9/14/2026
24) Auto Renewal Contract: No
25) Bid No: 26-102
26) Contract End Date: 9/12/2031
27) Contract # Issued by Purchasing Department: Pending PEID
NOTES: