11-BCT Safety Boots Approval Request Voucher Exhibit A.pdf
PDF 696 KB Posted
- Attached to
- Safety Footwear Services
- Solicitation number
- TRN2131200B1
- Issued by
- Broward County, Florida
About this file
This is a Safety Boots Approval Request Voucher Exhibit A from the Broward County Transportation Department in Florida, which serves as an authorization form for employees to purchase safety footwear. The voucher establishes a standardized process for employee purchases of safety boots, with the County covering up to a maximum allowance per voucher as specified in the applicable Union Agreement. Employees may purchase boots exceeding the County maximum allowance, but they are responsible for paying any amounts above the established limit and applicable taxes. The purchased boots must meet or exceed ANSI (Z41.1), ASTM F 2412-11, or ASTM F 2413-11 standards, and employees must provide proof of purchase through vendor receipts. The form requires signatures from the employee, superintendent authorization, and superintendent verification that the purchased boots meet the specified safety standards before processing payment to the vendor.
The voucher form requires employees to submit the completed authorization document and vendor receipt to the supervisor for payment processing, with the completed documentation then forwarded to BCTAP@Broward.org. This authorization process is part of Broward County's broader Safety Footwear Services contract, which is an open-end contract for purchasing safety footwear in men's and women's sizes for the Transportation Department and various other County agencies. The County requires vendors responding to the Safety Footwear Services solicitation to submit responses electronically through BPRO and comply with Office of Economic and Small Business Development requirements, including procurement preferences for Small Business Enterprises and County Business Enterprises.
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Text version
TRANSPORTATION DEPARTMENT
1 N. University Drive, Suite 3100A • Plantation, Florida 33324 • 954-357-8300 • FAX 954-357-8305
Broward County Board of County Commissioners Mark D. Bogen • Lamar P. Fisher • Beam Furr • Steve Geller • Jared E. Moskowitz • Nan H. Rich • Tim Ryan • Michael Udine www.broward.org
Request for Authorization to Purchase Safety Boots Voucher
Division: ______________________________________
Employee: _____________________________________
Date of last authorized purchase: __________________
I request authorization to purchase safety boots. The maximum allowance per voucher the County will cover to purchase the safety boots is up to $XX as provided in the Union Agreement. I understand that vendor payment will be based on current limits as set forth by Human Resources Division. Employee may purchase eligible shoes for more than $XX but the employee is responsible for taxes and amounts over $XX. Employee must provide this as proof to the vendor that the authorization to purchase safety boots was approved. Copy of the receipt with this approved voucher must be returned to the supervisor in order to process payment to the vendor. I also, understand that the boots must meet or exceed ANSI (Z41.1), ASTM F 2412-11, or ASTM F 2413-11 standards and that must obtain proof of purchase (receipt provided from the vendor).
Date Employee Signature
I concur with this request and authorize the purchase as stated.
Date Superintendent Signature
I have inspected the safety boots purchased by the above-captioned employee and verify that they meet or exceed the exceed ANSI (Z41.1), ASTM F 2412-11, or ASTM F 2413-11 standards. I have created Purchase Order# ______________________ for this purchase.
Date Superintendent Signature
NOTE: Forward this form and vendor receipt to the BCTAP@Broward.org.
Exhibit A
File details come from the government source that posted it. Updated .