Division of Administration and Finance Planning + Design + Construction EQUIPMENT WAIVER OF COMPETITIVE SELECTION Listed below are the Waiver of Competitive Selection Questions that require responses. You can complete this form electronically and send it back to me. As soon as I receive this completed form, I will be able to submit your capital request for approval. Thank you for your assistance in this matter. A request for a release of capital appropriations for the purchase of equipment must include a list of each item being purchased with the actual quoted price. Estimates are not acceptable. Please itemize the list of equipment on the Equipment List Tab Equipment List'!A1 When a project requires a waiver of competitive selection for purchase of equipment, the following questions require a response. 1. Selection Process: Was this purchase subject to selection by a Request for Proposal (RFP) process? Provide the responses to the requested information for either A or B. A. If no, explain why this purchase was not subject to an RFP process.
B. If yes, type and answer the following requests for information. 1) If a Request for Proposal (RFP) for this purchase was issued, how was the RFP publicized or advertised? Explain.
2) Number of proposals distributed. 3) Number of days in which interested parties had to respond to the RFP 4) Number of proposals received. 5) For each proposal received, please provide name, complete address of the principal place of business and the amount of the proposal on the Vendor Info Tab. Vendor Info'!A1 2. Indicate the selected vendor and explain why this vendor was selected. Selected Contractor: Selection explanation:
3. Provide the complete address of the vendor's principal place of business.
Address State Zip Code
Equipment Waiver of Competitive Selection
Rev 3/08
Equipment Waiver of Competitive Selection Vendor Information
Vendor's ID Number Name Street City State Zip Code Proposal Amount
957e3161-eba1-442f-9dca-d5a4e556ae6c.xls Vendor Info
Rev 5/02
Equipment Waiver of Competitive Selection Equipment List
Vendor Item Name Quantity Per Unit Pricing Total Cost Vendor's ID Number
Totals
957e3161-eba1-442f-9dca-d5a4e556ae6c.xls Equipment List Rev 5/02