Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/1/2024
2) Contract Type: Other
3) Renewal Contract: Yes
4) Department Name: Sheriff’s Department
5) Department Contact: Susan Hernandez
6) Description: Grant-funded contract for the Victims’ Information and Notification Everyday Program
7) PEID No: 722504
8) Req No:
9) Orgkey: 2870
10) Object Code: 211119
11) Vendor: Appriss Insights, LLC
12) Vendor Contract No: 20222344900-375.01
Expenditure Budget/Revenue Projections
13) Fund Name: Texas VINE Grant
14) Fund #: 2870-211119
15) Current Year Budgeted: $26,747.95
16) Current Year Projected: $26,747.95
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $26,747.95
To Be Completed by Purchasing Department
22) Contract Start Date: 9/1/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 8/31/2025
26) Contract # Issued by Purchasing Department: CM23457A
NOTES: 5th Renewal Award