Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/19/2025
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Mosquito Control
5) Department Contact: John Marshall
6) Description: Interlocal Agreement for lease of hangar at Scholes International Airport
7) PEID No: 033985
8) Req No:
9) Orgkey: 2410-411100
10) Object Code: 5426200
11) Vendor: City of Galveston
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Mosquito Control District
14) Fund #: 2410
15) Current Year Budgeted:
16) Current Year Projected: $5,661.48
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 4/15/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 4/14/2045
26) Contract # Issued by Purchasing Department: Bonfire 217429 / SC-0000816
NOTES: HB1295 Not Required