Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 7/9/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Mosquito Control
5) Department Contact: Haley Billiot
Description: Consideration for the County Judge to execute the contract for ITB 25-048, Altosid Liquid Larvicide 5% & 20% submitted by the Mosquito Control Department
6) PEID No: 721573
7) Req No: n/a
8) Orgkey: 2410411100
9) Object Code: 5312101
10) Vendor: ES OPCO USA, LLC dba VESERIS
11) Vendor Contract No: n/a
Expenditure Budget/Revenue Projections
12) Fund Name: Mosquito Control District
13) Fund #: 2410411100
14) Current Year Budgeted:
15) Current Year Projected:
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 8/8/2025
22) Auto Renewal Contract: No
23) Bid No: 25-048
24) Contract End Date: 08/07/2026
25) Contract # Issued by Purchasing Department: 219596
NOTES: Awarded in CC on 07/07/2025 - HB1295 to be requested