ࡱ> npm ]bjbj 4l:"^^8\I jeeeee@@@I K K K K K K "$K @@K ee` %%%deeI %I %%%eP]hd%5 v 0 %>%}>%%>%%@>~,%$@@@K K @@@ >%@@@@@@@@@^ g: 91Ƭ CONTRACT ROUTING AND APPROVAL FORM (All spaces must be completed.) CONTRACTOR/COMPANY INFORMATIONContractor NameEmailContact PersonTelAddressFaxCity, State, Zip REQUESTING DEPARTMENTDepartment NameCampus Box #kContact PersonTelEmailFax CONTRACT DESCRIPTION/INFORMATIONPurpose of Contract (brief description)Term of ContractStart DateEnd DateContract AmountAcct. No.P.R. No.Contract MonitorTelFaxFrequency of Monitoring Monthly ( Semi-Monthly X Quarterly ( Other: _______________ Type of Contract (Check all that apply)( TSU/TBR Standard (no changes made) ( Non-Standard (Vendor-Generated)( Amendment/Renewal( Dual Services( Personal/Professional/Consultant( License/Service Maintenance( Use of Facility( Other:( Clinical Affiliation Attachment Checklist (Check all that are attached)( Purchase Requisition (if required)( Letter to Justify Late Submission (45 days)(Original contract (for Amendments)( Letter to Justify for After-the-Fact( IRS W-9 Form (required)( Justification for Non-Competitive Purchase( Minority Ethnicity Form (required) CONTRACT CERTIFICATION & APPROVALSI certify that I have read the attached contract/agreement and that the requesting department will comply with all its requirements. I recognize that while the Office of Procurement and Business Services or the Office of Legal Counsel may review the contract from a legal or policy perspective, it is the requesting departments responsibility to ensure the specifications are sufficient and/or practical for departmental needs and to monitor the contract for compliance, payment and expiration. 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