Fillable City of Waterbury - Department of Purchasing RFP (City of Waterbury, CT)

Fill Online, Printable, Fillable, Blank City of Waterbury - Department of Purchasing RFP (City of Waterbury, CT) Form

Use Fill to complete blank online CITY OF WATERBURY, CT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

City of Waterbury - Department of Purchasing RFP (City of Waterbury, CT)

On average this form takes 10 minutes to complete

The City of Waterbury - Department of Purchasing RFP (City of Waterbury, CT) form is 2 pages long and contains:

  • 4 signatures
  • 5 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your City of Waterbury, CT forms online.

BROWSE CITY OF WATERBURY, CT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
City of Waterbury - Department of Purchasing
RFP and ITB Issuance Request Form
To: Director of Purchasing
Requesting Department: ___________________________________________________
Department Project Manager: _______________________________________________
Project Manager Phone Number or City Phone Ext.: _____________________________
Project Name: ___________________________________________________________
Procurement Item: (Check One) Goods Services Other, (if other explain)
Project Description (Purpose of RFP or ITB):
____________________________________________________________
________________________________________________________________________
________________________________________________________________________
____________
Bid Format: (Check One) RFP ITB
Please be aware that the Department submitting the attached Certification is responsible
for providing any determination made by Corporation Counsel with regard to the
solicitation issued as an RFP or ITB, as applicable.
Estimated Project Cost: $__________________________________
Identified Funding Sources:
State Grant: $_________________________
Federal Grant: $_________________________
Local Funds: $_________________________
If General Fund: Accounting Unit: _______________ Account: _________
Other Pertinent Comments and Information for RFP - ITB Issuance:
________________________________________________________________________
_______________________________________________________________________
______________________________________________________________________
Clear Form
Print
Selection Committee - For Requests for Proposals
Required for requested RFP issuance. Please note that if this section remains incomplete,
proposals will not be released to the requesting Department for distribution and evaluation.
When selecting committee members, an odd number (typically 3 or 5) is recommended. A
chairperson must be named to lead the RFP process for the requesting Department. The
Director of Purchasing or Designee will participate on all selection committees as either a
voting or non-voting member:
Selection Committee Member Recommendations:
___________________________________________________
Name of Chairperson/Title/Department
______________________________________________
Name of Member/Title/Department or Organization Name
______________________________________________
Name of Member/Title/Department or Organization Name
______________________________________________
Name of Member/Title/Department or Organization Name
______________________________________________
Name of Member/Title/Department or Organization Name
Submitted By (Print Name): ____________________________________
Signature of Submitter: _______________________________________
Department Head (Print Name): ___________________________________
Department Head Signature (If not submitter) _________________________
Office of Budget Control Staff Signature (General Gov. Dept.’s):_______________________
Education Department CFO Signature (Education-related):______________________
Date Submitted: ________________________________________
Submission Instructions: Hand Deliver or email PDF copy to Kevin McCaffery at
kmccaffery@waterburyct.org alopez@waterburyct.org or to Amy Lopez at
Please call if you have any questions or require additional information.
Published July 1, 2019
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

City of Waterbury - Department of Purchasing RFP (City of Waterbury, CT)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 March 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document