Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/17/2024
2) Contract Type: Expense
3) Renewal Contract: Yes
4) Department Name: Criminal Investigations Division
5) Department Contact: Hargrove 5245
6) Description: License plate camera service. NON TXDOT
7) PEID No: 721733
8) Req No: N/A
9) Orgkey: 1101211121
10) Object Code: 5481000
11) Vendor: Flock Safety
12) Vendor Contract No: Quote - Q94917
Expenditure Budget/Revenue Projections
13) Fund Name:
14) Fund #:
15) Current Year Budgeted: $15,000
16) Current Year Projected: $15,000
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 11/12/2024
23) Auto Renewal Contract: No
24) Bid No: NA
25) Contract End Date: 11/11/2025
26) Contract # Issued by Purchasing Department: CM25034
NOTES: