Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/21/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: General Government
5) Department Contact: Veronica Van Horn
6) Description: Environmental services proposal for property at 1424 45th St., Galveston
7) PEID No: 724143
8) Req No:
9) Orgkey: 1101-110000
10) Object Code: 5481000
11) Vendor: ERC Environmental & Construction Services
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected: $8,395.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 3/31/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 3/30/2026
26) Contract # Issued by Purchasing Department: Bonfire 217741 / SC-0000823
NOTES: HB1295 Requested