Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 6/26/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Engineering
5) Department Contact: Michael Shannon
6) Description: Jackson Avenue Drainage Improvements-Phase II
7) PEID No: 5700000
8) Req No: B231025
9) Orgkey: 2901190100
10) Object Code: 5700000
11) Vendor: Gulf Coast Limestone Inc
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: ARPA Project Accounts
14) Fund #: 2901
15) Current Year Budgeted: $311,000.00
16) Current Year Projected: $1,901,093.40
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $1,901,093.40
To Be Completed by Purchasing Department
22) Contract Start Date: 9/25/2023
23) Auto Renewal Contract: No
24) Bid No: B231025
25) Contract End Date: 9/24/2025
26) Contract # Issued by Purchasing Department: CM23301
NOTES: Awarded in CC - Item 45.b.1 on 08/07/2023 - This is for Change Order #3 ($-2,488.30)