Fillable Contract Approval Form (Southwest Tennessee Community College)

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Contract Approval Form (Southwest Tennessee Community College)

On average this form takes 16 minutes to complete

The Contract Approval Form (Southwest Tennessee Community College) form is 1 page long and contains:

  • 7 signatures
  • 15 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Southwest Tennessee Community College

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CONTRACT APPROVAL FORM
The purpose of this form is to document the need for contracted goods or services, the availability of funding, the approval of appropriate personnel, compliance with
mandated procurement procedures, and compliance with Tennessee Board of Regents (TBR) contracting guidelines.
CONTRACT WITH____________________________________ Date __________ to ___________________ AMOUNT: $______________________
CONTACT NAME/PHONE/E-MAIL _____________________________________________________________________________________________________
PURPOSE: __________________________________________________________________________________________________________________________
All contracts must have a requisition for payment purposes. Organization # ______________________ Account # _______________________
I. TYPE OF CONTRACT (check one)
o Goods or services required for normal operations and purchased under TBR purchasing/ bid procedures
o Goodsorservicesrequiredfornormaloperationsandauthorizedundersolesourceprocurementprocedures(Solesourcejusticationmustbesubmittedto
the Purchasing Department.)
o Contract for receipt of grant funds awarded to the college
o Other income-producing contract
o Software License Agreement
o ClinicalAfliationAgreements
o Dual Service Agreement with another TBR institution or state agency for employee services.
o First Time Account o Renewal If renewal, did the rate change? o Yes o No By how much did the rate change? _________________
II. GRANT FUNDED (check if goods or services are to be purchased using grant funds and specify the grant name)
o Grant Funded - Specify:
____________________________________________________________________________________________________________________________
III. APPROVALS
A. Originating Department ________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
Signature indicates that a need for the goods or services has been documented and funds are available from the source indicated above.
B. Other Departmental Approval or Dean’s Approval, if applicable
____________________________________________________________________________________________________________________________
C. Grants Review (applicable only for contracts for receipt of grant funds)
_______________________________________________________ Manager of Restricted Funds Accounting ___________________________________
_______________________________________________________ Director of Restricted Funds Accounting ___________________________________
Signatureindicatesthatthecontractreectstheprogramand/orservicesthatwereofferedtothefundorviaSouthwest’sProposal.
COMMENTS/RECOMMENDATIONS ___________________________________________________________________________________________________
PleaseobtainallrequiredsignaturesbeforesubmissiontotheContractComplianceOfce.
o CheckhereifW-9isonle o Check here if a requisition is attached o SciQuest/Banner Requisition # _____________________________
Department Name
Signature Title Date
Signature Title Date
Signature Title Date
Signature Title Date
Signature Title Date
0111456 REV 19064 • Southwest Tennessee Community College is an AA/EEO employer.
Print Name
Print Name
Print Name
Print Name
Print Name
D. Vice President Approval
_______________________________________________________ Vice President of Student Affairs/Academic Affairs ____________________________
Signature
Print Name
Title Date
E. Vice President Approval
_______________________________________________________ Vice President for Institutional Advancement ________________________________
Signature Print Name Title Date
F. Purchasing Department Approval
_______________________________________________________ Director of Purchasing and Auxiliary Services ______________________________
Signature Title Date
SignatureindicatesthatapplicableRequestforProposalandBidNegotiationprocedureshasbeenfollowedorthatsolesourcecontractinghasbeenjustified.
G. Contract Compliance Approval
_______________________________________________________ Vice President for Financial and Administrative Services ______________________
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Contract Approval Form (Southwest Tennessee Community College)

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Completed 23 July 2020

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