Harris County Commissioners Court
Request for Court Action
Proposed Meeting Date: [September 14, 2021]
Department:
Purchasing
Department Head/Elected Official: DeWight Dopslauf, Purchasing Agent
Type of Request:
Choose an item.
Project ID (if applicable): [Project ID]
Vendor/Entity Legal Name (if applicable): [Vendor/Entity Legal Name]
MWDBE Participation (if applicable): [% participation goal]
Request Summary (Agenda Caption):
title
Request for approval of a project scheduled for advertisement for installation of Pickleball Courts at Richard and Meg Weekley Community Center in Precinct 3 (210265).
end
Background and Discussion:
Expected Impact:
Alternative Options:
Alignment with Goal(s):
☐ Justice and Safety
☐ Economic Opportunity
☐ Housing
☐ Public Health
☐ Transportation
☐ Flooding
☐ Environment
☐ Governance and Customer ServicePrior Court Action (if any):
Location:
Address (if applicable):
[Address, Line 1]
[Address, Line 2]
☐ Countywide
☐ Precinct 1
☐ Precinct 2
☐ Precinct 3
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☐ Precinct 4Fiscal and Personnel Summary |
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Service Name: [Enter Here] |
FY 21-22 |
Estimates |
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FY 22-23 |
Next 3 FYs |
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Incremental Expenditures |
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Labor Expenditures |
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#.#M |
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Non-Labor Expenditures |
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Total Incremental Expenditures |
$#.#M |
$#.#M |
$#.#M |
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Funding Sources (General Fund, PIC Fund, Debt or CP, Grants, or Other - Please Specify) |
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Existing Budget |
[Fund Name 1] |
#.#M |
#.#M |
#.#M |
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[Fund Name 2] |
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[Fund Name 3] |
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Total Current Budget |
$#.#M |
$#.#M |
$#.#M |
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Additional Budget Requested |
[Fund Name 1] |
#.#M |
#.#M |
#.#M |
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[Fund Name 2] |
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[Fund Name 3] |
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Total Additional Budget Requested |
$#.#M |
$#.#M |
$#.#M |
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Total Funding Sources |
$#.#M |
$#.#M |
$#.#M |
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Personnel (Fill out section only if requesting new PCNs) |
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Current Position Count for Service |
# |
# |
# |
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Additional Positions Requested |
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# |
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Total Personnel |
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# |
Anticipated Implementation Date: [Month, Day, Year]
Emergency/Disaster Recovery Note:
☐ Not an emergency, disaster recovery, or COVID-19 related item
☐ Emergency Item
☐ COVID-19 related Item
☐ Disaster Recovery related Item
Contact(s):
[Name], [Title], [Department]
Attachments:
[List of attached documents]