Attachment G - Contractor Selection Justification Form.pdf
PDF 70 KB Posted
- Attached to
- Prequalification for Information Technology Staff Augmentation Services ITB (Supplemental 2026)
- Solicitation number
- ITB-16584
- Issued by
- Leon County, Florida
About this file
This document is a Contractor Selection Justification Form for the Information Technology Staff Augmentation Services Contract No. 80101507-23-STC-ITSA. The form is designed for customers to complete for each candidate selected for staffing positions and must be attached to the related purchase order. The form requires documentation of candidate availability dates and the specific positions for which candidates are being recommended.
The form captures pricing information through an hourly rate field and requires agencies to provide justification for each candidate selection. Customers must complete fields identifying the contractor name and contact information, the candidate's name, the position being filled, the candidate's availability date, and the hourly compensation rate. The form also requires signatures and identifying information from the requesting agency, including the agency name, division or section, printed name of the authorizing official, title, and date of authorization. The justification section provides space for detailed explanation of why each candidate was selected for the position.
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Text version
Attachment G, Contractor Selection Justification Form
Information Technology Staff Augmentation Services Contract No. 80101507-23-STC-ITSA
Customers shall complete this Contractor Selection Justif ication Form for each candidate selected and attach all completed forms to the purchase order.
Date: _________________
Contractor’s Name:
Contractor’s Contact Information:
Address: __________________________________ Phone: ____________________________________ Email: _____________________________________
Candidate’s Name: ___________________________________________
Date Candidate will be available: ___________________________________________
Hourly rate of candidate: $_________________
Position candidate recommended for: ____________________________________________
Justif ication for selection of candidate:
Agency: ______________________________ Division/Section/Unit: _____________________
Printed Name: ___________________________ Title: _______________________________
Signature ___________________________ Date: _________
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