Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 9/2/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Emergency Management
5) Department Contact: Jesse Ryholt
6) Description (language as it will appear on agenda): RFP 25-080, Push Package for the provision of emergency materials and related services
7) Fund Name and Number: General 1101
8) Cost Center: 291010
9) Ledger Account Summary:
10) Spend Category: Contracts
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: SLSCO, LTD
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: 0.0
17) Current Year Projected: 0.0
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 8/17/2026
24) Auto Renewal Contract: No
25) Bid No: 25-080
26) Contract End Date: 8/16/2029
27) Contract # Issued by Purchasing Department: SC-0001105
NOTES: Prepositioned Agreement during an Emergency - Awarded in CC - Item 52 (7/20/26)