Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/23/2025
2) Contract Type: Other
3) Renewal Contract: Yes
4) Department Name: Parks and Cultural Services
5) Department Contact: Martha Lee - Senior Services
6) Description: Data Use Agreement as required for the FY 2026 Senior Meal Grant
7) PEID No: 405438
8) Req No:
9) Orgkey:
10) Object Code:
11) Vendor: HOUSTON GALVESTON AREA COUNCIL
12) Vendor Contract No: DADS # 539-11-0024-00001
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #:
15) Current Year Budgeted: $0.00 - Data Use Agreement only
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 11/10/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 11/9/2026
26) Contract # Issued by Purchasing Department: 240090 (SC-0000990)
NOTES: