Contract Routing Form
Instructions: Mandatory for all University business contracts, regardless of value, contracts are to be routed through the Procurement and
Contracts Administration Office for review and processing. This form standardizes that process and is to be used as the cover sheet to
ensure the complete review by appropriate campus offices. This form is not for routing of Faculty Services Contracts.
Ref: University Contract Policy and University Procurement Policy can be found on the Procurement website.
Requesting Department: _________________________________ Date Initiated: ___________________
Contact Name: ____________________________________________ Phone #: _______________________
Requisition Number: ______________________ Org: __________ Commodity Code: _______________
Commodity?: Yes No
Fun
ded?: Yes No
Required Delivery Date:
Contract Value - Current Budget Year
Date: __________
_________
____________________
Service?: Yes No
Period of Performance:
Start:__________ End:
__________
Total Contract Value – Including Renewals
Is this an URGENT request? Yes No
Urgency Justification? (i.e. reque
stor, time sensitivity, impact, risk…)
Des
cription/Business Purpose: (Please provide information of the service or commodity in sufficient detail to understand type, quantity and
scope/provide information in sufficient detail to communicate expected outcomes, impact and or/risk if not purchased)
Contract/Vendor Information: Is this contract related to another contract? Yes No
Name: ____________________________________________________ If Yes, LIB __________________________
Address: __________________________________________________ COI Required? Yes No
__________________________________________________________ W9? Yes No
Contact Name: _____________________________________________
Email:_____________________________________________________
Departmental Review (Department Head Signature Required) Signature
Department Head: (Print) ___________________ _______________________
Yes
R
ecommend for Approval
Date
Name _______________________ ________________________ ______________
(Print) _______________________ ________________________ ______________
Conditional Review Signature Recommend for Approval
(May include IT, Marketing, LUPD, Legal, etc)
Yes No
Name _______________________ ________________________
(Print) _______________________ ________________________
_______________________ ________________________
Date
______________
______________
______________
Mandatory Approvals Signature Yes No Date
Risk Management ________________________ ______________
Sr. Buyer/Contracts Administrator (< $25,000) ________________________ ______________
Associate Director CA/Sourcing (< $100,000) ________________________ ______________
Executive Director P&CA (< $100,000) ________________________ ______________
Executive VP, Finance (< $1,000,000) ________________________ ______________
President, Liberty University (Unlimited) ________________________ ______________
IT ONLY
ARB/ITSC Approval
Vendor Executed Copy
No
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