Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/11/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Professional Services
5) Department Contact: Betsy Thomas
6) Description: Task Order to develop Hazard Mitigation Grant Program under DR-4798 (Beryl) application for the Bacliff Drainage Project on Gordy, Reppert and Miles.
7) PEID No: 721984
8) Req No: PO F206275
9) Orgkey: 1101-151900
10) Object Code: 5481000
11) Vendor: IEM
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General Fund - Professional Services
14) Fund #: 1101-151900
15) Current Year Budgeted: $480,000.00
16) Current Year Projected: $7,981.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $7,981.00
To Be Completed by Purchasing Department
22) Contract Start Date: 5/2/2022
23) Auto Renewal Contract: No
24) Bid No: B222013
25) Contract End Date: 5/1/2025
26) Contract # Issued by Purchasing Department: CM21413
NOTES: Task order #4