Contract Approval Request Form
 
To Be Completed by Requesting Department (#1-21)
 
1)                     Date of Request: 1/27/2025
2)                     Contract Type: Expense
3)                     Renewal Contract: No
4)                     Department Name: Road & Bridge Department 
5)                     Department Contact: Lee Crowder 
6)                     Description: Recycled Crush Concrete 
 
7)                     PEID No: 719937
8)                     Req No: 
9)                     Orgkey: 2301312120
10)                     Object Code: 5324001
11)                     Vendor: Texas Material 
12)                     Vendor Contract No: 
 
Expenditure Budget/Revenue Projections
 
13)                     Fund Name: FM Lateral Roads 
14)                     Fund #: 2301
15)                     Current Year Budgeted:  1,130,000
16)                     Current Year Projected: 30,000
17)                     Year 2: 
18)                     Year 3: 
19)                     Year 4: 
20)                     Year 5: 
21)                     Totals: 
 
To Be Completed by Purchasing Department
 
22)                     Contract Start Date: 2/3/2025
23)                     Auto Renewal Contract: No
24)                     Bid No: 24-030
25)                     Contract End Date: 2/2/2026
26)                     Contract # Issued by Purchasing Department: CM25066 / 205083
 
NOTES: HB1295 to be requested