Contract Approval Request Form
To Be Completed by Requesting Department (#1-21)
1) Date of Request: 1/7/2025
2) Contract Type: Expense
3) Renewal Contract: No
4) Department Name: Parks and Cultural Services
5) Department Contact: Julie Walker
Description: Grant-funded contract for FEMA Public Assistance Paul Hopkins Park Electric Repair and Mitigation
6) PEID No: 709896
7) Req No:
8) Orgkey: 2968529235
9) Object Code: 5424000 and 5481000
10) Vendor: Crescent Engineering Company, Inc
11) Vendor Contract No:
Expenditure Budget/Revenue Projections
12) Fund Name: PHP Electric & Playground
13) Fund #: 2968529235
14) Current Year Budgeted: $139,675.00
15) Current Year Projected:
16) Year 2:
17) Year 3:
18) Year 4:
19) Year 5:
20) Totals:
To Be Completed by Purchasing Department
21) Contract Start Date: 1/17/2025
22) Auto Renewal Contract: No
23) Bid No: 24-019
24) Contract End Date: 1/16/2026
25) Contract # Issued by Purchasing Department: CM24331
NOTES: Contract for FEMA Public Assistance Paul Hopkins Park Electric Repair and Mitigation
HB1295 Requested