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: Mosquito Control District
5) Department Contact: Haley Billiot
Description: Resultant contract from ITB 25-056 Malathion Insecticide
6)
7) PEID No: 721573
8) Req No:
9) Orgkey: 2410-411100
10) Object Code: 5313301
11) Vendor: Veseris dba ES OPCO, LLC
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Mosquito Control District Fund
14) Fund #: 2410
15) Current Year Budgeted: $650,000.00
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: 10/13/2025
23) Auto Renewal Contract: No
24) Bid No: ITB 25-056
25) Contract End Date: 10/12/026
26) Contract # Issued by Purchasing Department: 227388
NOTES: HB1295 to be requested