Attachment_E_BPA_Call_Approval_Form.pdf

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Safety Footwear Blanket Purchase Agreement
Solicitation number
12805B-20-F-0001
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Attachment E BPA Call Approval Form

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Other files

File Type Posted
Attachment_A_BPA_Terms_&_Conditions_12805B-20-F-0001.pdf PDF
Attachment_C_Contractor_Physical_Retail_Location_for_BPA.pdf PDF
Attachment_D_Acknowledgement_of_Understanding_of_BPA_Terms_and_Conditions.pdf PDF
Attachment_B_SAM_Online_Reps_and_Certs_Verification.pdf PDF
12805B-20-Q-0001_BPA_Safety_Footwear.pdf PDF

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United States Department of Agriculture

National Bio and Agro-Defense Facility 1880 Kimball Ave Ste. 300 • Manhattan, KS 66502

BLANKET PURCHASE AGREEMENT-CALL REQUEST APPROVAL FORM

Safety and Protective Footwear

Blanket Purchase Agreement (BPA) Number:

Vendor:

Delivery Order Number:

BPA Call Number:

Name of Requesting Employee:

Quantity limited to 1 Pair of Safety/Protective Footwear per BPA Call authorized.

Price of Safety/Protective Footwear shall not exceed $200.00

New Request: Yes No Replacement: Yes No

Replacement Purpose/Reason:

APPROVALS

Supervisor

Name: Approved Disapproved

Signature:

BPA Ordering Officer (Caller authorized to place calls against this ordering vehicle)

Name: Approved Disapproved

Signature

Type of Footwear Authorized to Purchase:

Text1:
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Text5:
Check Box6: Off
Check Box7: Off
Text8:
Check Box10: Off
Check Box11: Off
Text12:
Text13:
Check Box16: Off
Check Box17: Off
Check Box18: Off
Check Box19: Off
Text6:

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