Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 10/2/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Engineering
5) Department Contact: Michael Shannon
6) Description:
7) PEID No: 125518
8) Req No: 206455
9) Orgkey: 2805 522020
10) Object Code: 5700000
11) Vendor: Lucas Construction Co, Inc.
12) Vendor Contract No: Time Chane Only
Expenditure Budget/Revenue Projections
13) Fund Name: Parks State Grants
14) Fund #: 2805
15) Current Year Budgeted:
16) Current Year Projected:
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 4/28/2025
23) Auto Renewal Contract: No
24) Bid No: 25-035
25) Contract End Date: 12/22/2025
26) Contract # Issued by Purchasing Department: 206455
NOTES: Amendment #2 - Time extension only