CB_OrgAdmin_Authorization_Form.doc

Operational Services Division

Designation of COMMBUYS Organization Administrator

DESIGNATION (All fields required) ORGANIZATION NAME: __Springfield Technical Community College____________________________

ORGANIZATION CODE: ___ ___ ___ ___ (i.e. OSD = 1080)

DESIGNATED COMMBUYS ORGANIZATION ADMINISTRATOR

NAME____Clinton_____________________Francene_____________________________________________

Last

First

MI

TITLE__Assistant Director of Purchasing and Business Services_____________________________________ EMAIL ADDRESS__clinton@stcc.edu__________________

TELEPHONE NUMBER (_413) _755-4410 ______________

MAILING ADDRESS___One Armory Square, STE 1: PO Box 9000; Springfield, MA 01102-9000 __________

Please Check One:

X COMMBUYS Organization Administrator COMMBUYS Back up Organization Administrator COMMBUYS ORGANIZATION ADMINISTRATOR SIGNATURE: _________________________DATE: __/__/__ APPROVAL (All signatures are required)

SIGNATURE OF DEPARTMENT HEAD: ___________________________________DATE: __/__/__

CHIEF PROCUREMENT OFFICER: _______________________________________DATE: __/__/__

CHIEF FISCAL OFFICER: _____________________________________________DATE: __/__/__ REMINDER: The COMMBUYS Organization Administrator responsibilities include working with the Agency Chief Procurement Officer and the Internal Administrator at the Operational Services Division to ensure that control over the COMMBUYS system within your department is maintained at all times. You will be held accountable for security of the COMMBUYS system as it applies to your department.

RETURN THIS FORM TO:

Operational Services Division ATTN: COMMBUYS Internal Administrator One Ashburton Place 10th Floor

Boston, MA 02108