Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 3/11/2025
2) Contract Type: Revenue
3) Renewal Contract: Yes
4) Department Name:
5) Department Contact: Veronica Van Horn
6) Description: Lease Agreement between the County and Galveston County Emergency Communication District to lease a portion of the County’s OEM facility on FM 646
7) PEID No:
8) Req No:
9) Orgkey: 1101-170100
10) Object Code: 4831018
11) Vendor: Galveston County Emergency Communication District
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected: $18,500.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 4/1/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 3/31/2035
26) Contract # Issued by Purchasing Department: Bonfire # 216395 - SC-0000805
NOTES: