Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 8/17/2026
2) Contract Type: Revenue
3) Renewal Contract: No
4) Department Name: Tax Office
5) Department Contact: Cheryl E. Johnson
6) Description: Consideration of an Interlocal Collection Agreement with the City of Galveston for Collection of Campeche Shores and Beachside Village Public Improvement Districts Assessments on Property
7) Fund Name and Number: General Fund 1101
8) Cost Center: 151553
9) Ledger Account Summary: 4401000 County Charges for Services
10) Spend Category: Collection Contract Fee
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: City of Galveston
14) Vendor Contract Number: ☒ Yes ☐ No: Interlocal Collection Agreement for City of Galveston for Campeche Shores and Beachside Village PIDs
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: Annual amount not to exceed $0.27 per parcel
17) Current Year Projected: Annual amount not to exceed $0.27 per parcel
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals: Annual amount not to exceed $0.27 per parcel
To Be Completed by Purchasing Department
23) Contract Start Date: Click or tap to enter a date.
24) Auto Renewal Contract: Choose an item.
25) Bid No:
26) Contract End Date: Click or tap to enter a date.
27) Contract # Issued by Purchasing Department:
NOTES: Contract not required for Revenue ILA