Notice of Award Form - OEM Printer Cartridges (003).pdf

Notice of Award Form Agency and Awarded Vendor Information *Description

*Bid Number *Agency

*Vendor Selected for Award *Line Item Description

*Award Amount *Length of Initial Term *Number of Renewals

Farm Leases and Concessions Value to the State

Estimated Financial Return to the State for the Life of the Contract

Value to the Vendor

Estimated Gross Revenue to the Vendor for the Life of the Contract

Business Enterprise Program/Veteran Business Program % of BEP Per Utilization Plan % of VBP Per Utilization Plan

Other

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Unsuccessful Bidder(s) *Number of Responding Bidder(s) Number of Unsuccessful Bidder(s) Number Award

Bidder(s)/Offeror(s) Not Selected Bid Amount

Agency Contact Contact Name Telephone Number Email Address Fax Number

Street Address City State Zip Code

SPO Written Determination for Contract Award Decision General - Applies to Emergencies, Split Awards, Award to Other than Lowest Responsible and Responsive Bidder. The Rationale described by the purchasing agency in the recommendation to award seems reasonable, and serves as the basis for the contract decision.

Invitation for Bid The contract was procured through the Invitation for Bid process, and the contract has been awarded to the lowest priced responsive and responsible bidder.

Request for Proposal Based on factors set forth in the Request for Proposal, the contract has been awarded to the offeror whose proposal is most advantageous to the State.

Change Order The contract is a change order where the circumstances that necessitate the change in performance were not reasonably foreseeable at the time the contract was signed, or the change is germane to the original contract and reasonable in size and scope, or the change is in the best interest of the State. The change order is based on the purchasing agency's justification.

Renewal The contract is a renewal in accordance with the terms of the existing contract. The award decision is based on justification presented by the purchasing agency's justification.

Comments

Other

Explanation of Other Items

State Purchasing Officer Date

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