Fillable Solicitation Request Form (Valencia College)

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Solicitation Request Form (Valencia College)

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Rev. 09-08-14
Procurement Department
SOLICITATION REQUEST FORM
Date:
Date Required:
Date Received in Procurement:
Procurement Use
Using Department:
Assigned Purchasing Agent:
Procurement Use
Contact Title:
Contact Phone Number:
Contact Email Address:
Brief Description of Goods/Services Requested:
Annual Contract: Yes No
Estimated Annual Amount (if
Annual Contract): $
Estimated Amount (One Time
Purchase): $
One Time Purchase: Yes No
Budget Allocation Checked:
Yes No
Scope/Specification
Document
Attached: Yes No
Vendor List Attached: Yes No
Grant Funds: Yes No
Grant Documentation Attached: Yes No
Budget Manager Signature:
Title (Printed):
Date:
Other Signature:
(Manager or above):
Title (Printed):
Date:
If you need assistance with any part of this form please call (407) 582- 5542 or 5543. Please forward this
above completed form with specifications and vendor list to the Procurement Department for review and
processing. (MC: DO-38 or ValenciaProcurement@ValenciaCollege.edu)
Note: When solicitation package is created, it will be returned for your final review and signature below.
FINAL SOLICITATION REVIEW AND SIGN-OFF BY BUDGET MANAGER
The Solicitation package (ITB/RFP/RFQ #_____________) as prepared by the Procurement Department has
been reviewed and approved by _________________________________________________ on the date
indicated below: (Name of Using Department Contact )
Authorized Signature _____________________________________________ Date ________________
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Solicitation Request Form (Valencia College)

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Completed 18 July 2020

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