Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 7/1/2026
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Mosquito Control
5) Department Contact: Ashley Wilson
6) Description (language as it will appear on agenda): Consideration of Interlocal Agreement with Harris County for laboratory diagnostic testing services for Mosquito Control
7) Fund Name and Number: Mosquito Control District 2410
8) Cost Center: 411100
9) Ledger Account Summary: Miscellaneous Contract Services
10) Spend Category: Other Contract Services
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: Harris County
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: 50,000
17) Current Year Projected: 11,340
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals:
To Be Completed by Purchasing Department
23) Contract Start Date: 7/20/2026
24) Auto Renewal Contract: No
25) Bid No: N/A
26) Contract End Date: 7/19/2027
27) Contract # Issued by Purchasing Department: SC-0001092
NOTES: