Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 8/6/2026
2) Contract Type: Revenue
3) Renewal Contract: No
4) Department Name: Sheriff’s Office
5) Department Contact: Mel Villarreal
6) Description (language as it will appear on agenda): Mental Health Deputy Services
7) Fund Name and Number: 1101
8) Cost Center: 211151 Mental health Crisis Response Unit
9) Ledger Account Summary: Salaries and Fringes
10) Spend Category: Salaries and Fringes
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: Gulf Coast Center
14) Vendor Contract Number: ☐ Yes ☐ No: Click or tap here to enter text.
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:
17) Current Year Projected:
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 10/1/2025
24) Auto Renewal Contract: No
25) Bid No: N/A
26) Contract End Date: 9/30/2027
27) Contract # Issued by Purchasing Department: SC-0001117
NOTES: New Agreement Budget needs to assign 7-12
Associated with prior contract SC-0000150