Attachment 5 Missouri Statewide Contract Quarterly Usage Report.pdf
PDF 664 KB Posted
- Solicitation number
- 300000295666351
- Issued by
- Missouri
About this file
This document is the Missouri Statewide Contract Quarterly Usage Report form and instructions issued by the State of Missouri Division of Purchasing. The report is a mandatory quarterly submission requirement for all contractors holding Missouri statewide contracts, regardless of whether purchases were made during the reporting period. Contractors must submit the completed report electronically to ereports@oa.mo.gov no later than the 15th calendar day of the month following each reporting quarter (January 1-March 31, April 1-June 30, July 1-September 30, and October 1-December 31), or the next business day if the 15th falls on a non-business day. The report must be submitted using either the Excel worksheet template provided on the Missouri Purchasing website or another Excel-exportable format.
The report requires contractors to provide detailed information for each purchase transaction, including contractor name, statewide contract number, customer name and entity type, product or service description, purchase authorization number, contract line item number, quantity delivered, unit price charged, and extended price. Contractors must also identify a report contact person with phone number and email address. If no purchases occurred during the reporting quarter, contractors must still submit the report and check the appropriate box indicating zero purchases. The form includes line items for tracking multiple transactions with a total purchases calculation, and the document emphasizes that accurate and timely reporting is essential for contract compliance and oversight by the State of Missouri.
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Data Element Description Contractor Name Contractor name as it appears on the contract.
Statewide Contract Number
Statewide contract number as listed on the cover page of your contract with the State of Missouri.
Report Contact Name Name of the person completing the report on behalf of the contractor.
Contact Phone Number Phone number for the person completing the report.
Contact Email Address Email address for the person completing the report.
Date Report Submitted Date the Missouri Statewide Contract Quarterly Usage Report is submitted to
Purchasing.
Reporting Quarter Quarter for which the contractor is reporting purchases on the contract.
Entity Type Indicate the type of entity by entering "S" for Missouri state agency, "P" for Missouri political subdivision, "U" for Missouri university, or "O" for political subdivision or state entity from another state.
Customer Name Customer's name. If the customer has multiple locations, please only use the main entity name.
Product or Service Description
Description of product or service purchased.
Purchase Authorization Number/Identifier
Purchase Authorization Number/Identifier supplied by customer to contractor.
Enter PO or other authorization number/identifier. If procurement card used, enter "P-Card".
Contract Line Item Number
Line item number on the contract.
Quantity Delivered Quantity (i.e. excluding returns) of products delivered. Enter a quantity of "1" for a service/project.
Unit Price Charged Unit Price Charged (i.e. excluding credits) for the product or service purchased.
Extended Price Quantity Delivered X Unit Price Charged.
The contractor shall prepare and submit a Missouri Statewide Contract Quarterly Usage Report to the Division of Purchasing which shall provide the Data Element information listed below.
The Missouri Statewide Contract Quarterly Usage Report must be received by the Division of Purchasing (Purchasing) no later than the 15th calendar day of the month following the reporting quarter entered on the Missouri Statewide Contract Quarterly Usage Report, unless the 15th is not a business day in which case the next business day thereafter shall be considered the reporting deadline. Even if there has been no usage of the contract during the reporting quarter, the contractor must still submit a report and indicate no purchases were made by marking the appropriate box on the report form.
The contractor must submit a Missouri Statewide Contract Quarterly Usage Report electronically either utilizing the "Missouri Statewide Contract Quarterly Usage Report" worksheet included in this spreadsheet which is downloadable from the following Purchasing website address:
http://oa.mo.gov/purchasing/vendor-information or utilizing another format which is Excel-exportable.
The contractor must submit the Missouri Statewide Contract Quarterly Usage Report to the following email address: ereports@oa.mo.gov.
Attachment 5
Missouri Statewide Contract Quarterly Usage Report Instructions
STATE 0000000240SL
Attachment 5 Missouri Statewide Contract Quarterly Usage Report
Report Contact Name:
Contact Phone Number:
Entity Type*
Contract Line Item Number
Quantity Delivered
Unit Price Charged Extended Price
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00Overall Total of Purchases
Statewide Contract Number:
If no purchases were made during the reporting quarter, check the box below:
[ ] No purchases were made during this quarter on the contract identified above.
Date Report Submitted:
Purchase Authorization Number/IdentifierProduct or Service DescriptionCustomer Name
[ ] April 1 - June 30
[ ] October 1 - December 31
Reporting Quarter:
(check one)
[ ] January 1 - March 31
[ ] July 1 - September 30
Contractor Name: Contact Email Address:
* Entity Type: "S" = Missouri state agency; "P" = Missouri political subdivision; "U" = Missouri university; "O" = political subdivision or state entity from other state
| Report Instructions |
| Quarterly Usage Report |
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