Fillable Complex Procurement Projects Form

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Complex Procurement Projects Form

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COMPLEX PROCUREMENT REQUEST
*This form MUST be accompanied with specifications and other supporting documentation.
v03.01.18
1
FORM MUST BE COMPLETED IN ITS ENTIRETY
Request Name:
Department Name: Contact Name:
Contact Phone: Contact Email:
Description:
Planned Start Date: Finish Date:
Expected Contract Start Date: Expected Contract Term: year(s)
Budget: $
Department
Compliance: Regulatory Internal Experience: High- Multiple Prior Projects
*Supporting Documentation
Company Policy Medium- Limited Experience
Required
None Impacted Low- Never Done Before
Campuses Impacted: One campus Campus: LSUAM LSUE
Multiple Campuses LSUAG LSUHSCNO
Enterprise Wide LSUPBRC LSUHSCS
LSUS LSUHSCD
LSUA
Strategic Alignment:
Advancing Arts and Culture
Transforming Education
(select all that apply)
Bridging the Coast, Energy and Environment
Developing Leaders
Fostering Research and Catalyzing Economic Development
Encouraging Career Excellence and Enrichment
Improving Health and Wellbeing
Supporting Student Success
COMPLEX PROCUREMENT REQUEST
*This form MUST be accompanied with specifications and other supporting documentation.
v03.01.18
2
FORM MUST BE COMPLETED IN ITS ENTIRETY
Proposed Supplier(s):
Procurement
SFO (106-174 days)
Method:
RFP (106-174 days)
RFQQ (106-174 days)
ITB (31-58 days)
Prior Contract /PO # : Exp. Date: Renewal Options:
Yes
No
(if applicable)
Bid Request: New
Re-bid
Cost Savings/Rev Increase:
None $100K-$249.9K
< $10K $250K-$999.9K
$10K-$99.9K >$1M
Business Objective:
Master Contract/Cooperative: Yes
No
If, Yes:
COMPLEX PROCUREMENT REQUEST
FORM GUIDE
1
Request Name Identify the title of the project.
Department Name Provide the name of the department submitting the request.
Contact Name Provide department’s primary point of contact for the project.
Contact Phone Provide primary point of contact’s phone number.
Contact Email Provide primary point of contact’s email.
Description Give a brief description of what the project entails or the scope of the
project.
Planned Start Date Expected date to begin working on the project.
Finish Date Date in which the procurement process is complete.
Expected Contract Date in which the contract will be in effect.
Start Date (This date should be a later date than the finish date associated with the Daptiv project.)
Budget All-inclusive first year cost.
Expected Term of Contract Give, in years, the expected length of the contract.
Compliance Select whether or not the project is:
Regulatory - procedures established by federal, state, and local
administrative agencies
University Policy – University recognized policies and
procedures
None Impacted
Department Internal Indicate if the department has completed a similar project.
Experience
Campuses Impacted Identify if multiple campuses are included in this project.
Campus Identify those campuses included in the scope of this project.
Strategic Alignment Mark the strategic alignment(s) that is applicable to this project.
KEY METRICS:
Advancing Arts and Culture
Bridging the Coast, Energy and Environment
Fostering Research and Catalyzing Economic Development
Improving Health and Wellbeing
Transforming Education
Developing Leaders
Encouraging Career Excellence and Enrichment
Supporting Student Success
Proposed Supplier(s) Provide the name of the supplier(s) associated with the project.
COMPLEX PROCUREMENT REQUEST
FORM GUIDE
2
Procurement Method
Prior Contract/PO #
Renewal Options
Bid Request
Cost Savings/Rev. Increase
Business Objective
Identify the appropriate Method of Procurement (SFO, RFP, ITB, RFQQ).
Submit the existing contract or prior Purchase Order number along
with the date of expiration. (If applicable)
Identify if there are renewal options available.
Identify whether or not this is a “New Bid” or “Rebid”.
Identify the price range that reflects the total savings or revenue that the
completion of this project will bring into the University.
Identify how this project will align with the University’s Strategic Plan.
Master Contract/Cooperative Indicate if there is a Master Contract or a Cooperative available for this
project.
If, Yes: Provide the supplier name and which cooperative they are
associated with.
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Complex Procurement Projects Form

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Completed 18 February 2020

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