3-DTI Preintake Procurement Intake PreApproval.pdf

Sole Source

Fiscal Year Grant Info

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Request for Goods and/or Services - Preapprovals Form Print

This form must be completed for requests requiring action by CCC Procurement Services (purchases over $25K). After submission, this form will automatically obtain approvals from your Vice President and other key stakeholders. This form and all collected supporting documents will then be attached to the Bonfire Intake Request. Failure to attach this completed form and supporting documentation will result in a cancellation (rejection in Bonfire). The originator of this preapprovals form should be familiar with the standard Procurement cycle times current fiscal year Procurement Submission Deadlines available in the Procurement SharePoint Site.

Board Reports are located on the Board Portal Site.

Request Intake ID: 000162

General Information

* Primary Contact Person ID: 000239049 Troxler,Sherai

* Primary Contact Email: stroxler2@ccc.edu

* Primary Contact Phone: 773/602-5499

* Project Lead ID: 000239049 Troxler,Sherai

* Project Lead Email: stroxler2@ccc.edu

* Procurement Type: Sole Source

* Project Description (Request Title):

Procurement of treated wood utility poles for the Dawson’s Overhead Electrical Line Workers Program to support overhead electrical line work training.

* Office/Department: 1110000 Dean of Instruction- Satellite

* Campus: Kennedy-King College

* Target Board Date: 02/09/2026 Note that proposed Board date does not guarantee availability of Procurement resources to complete its process within the desired timeline.

Funds Requested | First 1 of 1

* Fiscal Year * Funding Type * Account String * Amount

2026 Operational 541400 $75,000.00

$75,000.00Requested Funds Total Amount:

Collaboration Find | First 1 of 1 Last Empl ID Name Collaborate Comment Collab Status Complete

Collaborate Complete

Sole Source Single Source Sole Source Guidelines and Templates

Have you previously used this vendor? Yes No

Attach all Board Reports applicable to the request Attach file(s) Find | First Last Document Name Attached File Name Attach/Replace File View File Delete File

1 Past Board Report(s) Board_Review_Memo_No_Board_Report_- _Stella_Jones_10232025.docx Attach/Replace File View File Delete File

2 MWBE schedules Board_Review_Memo_MWBE_-_Stella_Jones_10232025.docx Attach/Replace File View File Delete File

3 Vendor Sole Source Justification Letter Board_Review_Memo_-_Stella_Jones_10232025.pdf Attach/Replace File View File Delete File

Sole Source Justification

Memo/Scope of work Stella_Jones_Scope_of_Work.docx Attach/Replace File View File Delete File

5 Quote Sole_Source_Justification_Stella-Jones_12092025_Packet_1.pdf Attach/Replace File View File Delete File

6 Sole Source Justification Form Sole_Source_Justification_Application_StellaJones_12092025.pdf Attach/Replace File View File Delete File

Approvals

Z_REQ_INTK_ID=000162:Approved College Approvals

Approved

Jennifer Williams Intake Operational Approvers

12/09/25 - 4:33 PM

Auto Approved

Jennifer Williams Request Intake VP Approval

12/09/25 - 4:33 PM

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