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: Yes
4) Department Name: Fleet Management
5) Department Contact: Lee Crowder
6) Description: ITB 25-045 Motor Fuels
7) PEID No: 021360
8) Req No:
9) Orgkey: 1101 1721111
10) Object Code: 5322010
11) Vendor: Bay Oil Company
12) Vendor Contract No:
Expenditure Budget/Revenue Projections
13) Fund Name: Fleet Management
14) Fund #: 1101
15) Current Year Budgeted: 700,000
16) Current Year Projected: 700,000
17) Year 2: 500,000
18) Year 3: 500,000
19) Year 4: 500,000
20) Year 5: 500,000
21) Totals:
To Be Completed by Purchasing Department
22) Contract Start Date: 6/12/2025
23) Auto Renewal Contract: No
24) Bid No: 25-045
25) Contract End Date: 6/11/2026
26) Contract # Issued by Purchasing Department: 219095
NOTES: HB1295 to be requested