Attachment%20J%20P2Inter-AgencyVoucherReq.pdf

PDF 138 KB Posted

Attached to
Facility Protection Services - UPDATED State and local contract opportunity
Solicitation number
RFP 32110-22726
Issued by
Davidson County, Tennessee

About this file

This file is an Inter-Agency Journal Voucher Request form from the Tennessee Department of General Services (DGS) Facilities Management division, designed to process tenant requests for facility-related work and authorize cost allocation across state agencies. The form captures essential project information including the requesting agency, building location, cost center details, and scope of work, with estimated labor and material costs subject to approval by the DGS STREAM Director of Facility Administration before project initiation. The voucher request process requires signature authorization from both the tenant's fiscal representative and the DGS director, establishing a formal cost authorization mechanism within the state's facilities management system.

This document serves as an internal administrative tool rather than a standalone procurement instrument; however, it directly supports the broader Facility Protection Services RFP 32110-22726 administered by the Tennessee Department of General Services on behalf of the Department of Safety and Homeland Security. Given the estimated state liability of fifty million dollars across multiple facility locations in Nashville, Knoxville, Chattanooga, Memphis, Jackson, Lawrenceburg, and Cookeville, inter-agency voucher requests such as this form would be utilized to allocate facility protection service costs among participating state agencies. The form establishes cost accountability and formal authorization pathways necessary for processing invoices and expenditures related to the comprehensive facility protection contract, which runs from January 1, 2027, through December 31, 2029, with optional renewal periods extending potentially to sixty months total.

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Text version

Date:

Tennessee Department of General Services Facilities Management Inter-Agency Journal Voucher Request

To (DGS Coordinator):

From (Agency):

Complex:

Organization #:

Speed Chart #:

Location Chartfield #:

Building, Address

Example: 3210101000

Example: GS00000062

AKA Cost Center, Legacy #

Scope of Work:

Signature: Tenant Date

Above signature authorizes tenant to be charged with all costs associated with estimating this request.

For Tenant Requests Projects: This form will be returned to the tenant for signature after estimated project costs have been determined.

Estimated cost for Labor and Material to complete the above described scope of work: $

If this cost meets with your approval, please digitally sign and return as soon as possible. Project will proceed upon receipt of authorized signature.

Tenant’s Authorized Fiscal Rep Signature

STREAM Director of Facility Admin. Signature Date

DGS Internal Agency Journal Voucher Request Form (02-2017)

RDA SW-25

GS-1128

undefined:
To DGS Coordinator 1:
To DGS Coordinator 2:
Building Address:
Example 3210101000:
Example GS00000062:
AKA Cost Center Legacy:
Date:
Date_2:
Text12:
Text14:

File details come from the government source that posted it. Updated .