Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 5/30/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Engineering
5) Department Contact: Michael Shannon
6) Description: Interlocal Agreement to provide funding for Pelican Island Bridge project
7) PEID No: 033985
8) Req No: BA 25-112-0414-E
9) Orgkey: 3313000000
10) Object Code: 3531001
11) Vendor: The City of Galveston
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Road Bond Project
14) Fund #: 3313
15) Current Year Budgeted: $5,000,000.00
16) Current Year Projected: $5,000,000.00
17) Year 2:
18) Year 3:
19) Year 4:
20) Year 5:
21) Totals: $5,000,000.00
To Be Completed by Purchasing Department
22) Contract Start Date: 6/9/2025
23) Auto Renewal Contract: No
24) Bid No: N/A
25) Contract End Date: 6/8/2026
26) Contract # Issued by Purchasing Department: 224347
NOTES: HB1295 Not Required