Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 2/17/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Facilities
5) Department Contact: Gus Anderson
6) Description: Consideration of approval of change order #1 for Garland/ DBS, Inc.for Adult Probation Roof Replacement project submitted by Facilities.
7) PEID No: 720745
8) Req No:
9) Orgkey: 1101170100
10) Object Code: 5722000
11) Vendor: Garland DBS INC
12) Vendor Contract No: Omina #PW1925
Expenditure Budget/Revenue Projections
13) Fund Name: General
14) Fund #: 1101
15) Current Year Budgeted:
16) Current Year Projected: $67,556.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 6/24/2024
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 6/23/2029
26) Contract # Issued by Purchasing Department: SC-0000626 - Bonfire# 207445
NOTES: Omina #PW1925 - Approved in CC - Item 24 on 06/24/2024
HB1295 on file