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Interlocal Contract Form

Completing and Executing the ILC Process

Step 1

Check to see if you are already a member. If not, please follow the instructions below to fill out the ILC Form.

You may also check the list by scrolling down in the embedded "List of End Users" page below.

Complete all required fields in this form. Once completed, a PDF copy of the ILC document will be delivered via email.

Click here to review the contract terms and conditions (sample only not for execution).

Step 2

Secure a signature by the individual identified as the Authorized Official to contractually bind your entity.

Step 3

Scan and email a copy of the contract to H-GAC at cpcontractfax@h-gac.com, or fax it to 713-993-2424.

The contract may also be mailed to:

H-GAC Cooperative Purchasing Program
PO Box 22777
Houston, TX 77227-2777

If you require an original signed contract, please print, sign, and mail two (2) sets of the ILC documents.

Step 4

H-GAC will execute the contract and return a copy to you electronically.

End User Agency Information

Required
Required

End User Agency Contact Information

Required

Mailing Address

Required
Required
Required
Required

Physical Address - (No P.O Box)

Required
Required
Required
Required

Contract Authorization and Fiscal Year Dates

Required
Required
Required

Official Contact (Point of contact for the HGACBuy Interlocal Contract)

Required
Required
Required

Mailing Address - (No P.O Box)

Authorized Contact Chief Elected or Appointed Official who will provide authorized signature

Mailing Address - (No P.O Box)

Additional Official Contact 1 (optional)

Mailing Address - (No P.O Box)

Additional Official Contact 2 (optional)

Mailing Address - (No P.O Box)

Additional Official Contact 3 (optional)

Mailing Address - (No P.O Box)

Additional Information for Non-Profit Entities

Functions/Services (all or part of a function or service)
Administrative Functions (functions normally associated with the routine operation of government)