State of Maryland Contract
AWARD
Publishing Form No. SCA941
INSTRUCTIONS
1. Fill in all blanks unless otherwise noted as being optional. Keep (DSD Use Only)
descrip- tions brief.
2. Please type all information; boxes may be checked by hand.
3. DEADLINES - See the Contract Weekly Publishing Schedule for
submission deadlines. For a copy of the Publishing Schedule,
additional blank forms, submission information, or questions, call
(410) 974-2486.
4. FAXING? - Use FAX Facts at bottom rather than a fax cover sheet.
NOTE: Completion and submission
of this form can be done
electronically using your PC and
modem. Call (410) 974-2486 for
more information. (Save a Tree)
Agency Procurement ID Number
Contact Name Contact Telephone No. Extension (Optional)
( )
Place of Performance (City, County, or Region)
Type of Procurement (Select One) Leases (Real Property) Type of Contract (Select One) Cost Plus Incentive Fee
A/E Services Maintenance Fixed Price Cost Reimbursement
Commodity/Supply Revenue Generating Cost Plus Fixed Fee Revenue Generating
Construction Services Fixed Price Incentive
Info. Processing & Telecom
Brief Description
Procurement (Select One) Sole Source Emergency NOTE:
Comp. Sealed Bidding A/E Act Intergovernmental Agreement * After unsuccessful sealed bidding
Comp. Sealed Proposals Preference Purchase Comp. Negot. * ** DHMH, DHR, DJS; see COMAR
Renewal Option Small Proc. Procedure Non-Comp. Negot. ** 21.14.01.04
Expedited
Awarded to (Name, City, State)
Contract Weekly Publication Date
Award Date (Mo/Day/Yr) Award Amount (Mo/Day/Yr) Today's Date (Mo/Day/Year)
/ / $ / / / /
FAX Facts MAIL/COURIER
US MAIL:
If you are sending more than one award or solicitation at a Contract Weekly
time, complete only the FAX Facts on the first sheet. Indi- P.O. Box 2249
cate the total number of pages sent in the NO. OF PAGES Annapolis, MD 21404-2249
area below:
COURIER:
SENT BY_______________________________ DATE___/___/___ Division of State Documents
11 Bladen Street
PHONE:___________________________ NO OF PAGES:________ Annapolis, MD 21401
SEND TO: Contract Weekly Telephone: (410) 974-2486
FAX NO.: (410) 974-2546 TDD: (410) 333-3098
MARYLAND REGISTER CONTRACT AWARD NOTICE FORM
COMPLETION INSTRUCTIONS
For any Title 21 procurement that results in a contract award in excess of $10,000, or any award,
renewal or extension of a human, social, or educational service contract with a State agency, a
political subdivision of the State, or other government, that results in a total contract price of more
than $25,000, a notice of award must be published in the Maryland Register Contract Weekly
within 30 days of the final approval of the contract.
The award notice is to be submitted along with the contract package (see contract cover sheet)
when applicable. All areas of the award notice are to be completed by the issuing unit, except
numbers 2, 12 and 14, as follows, (type all information except boxes which may be checked by
hand):
1) Agency - Health and Mental Hygiene + name of contracting unit.
2) Procurement I.D. Number - Leave blank, this number will be assigned by this office.
3) Contact Name - Name of the person at the contracting unit who can answer questions about
the solicitation, award, preparation and submission of the contract.
4)&5) Contact Telephone No. - Telephone number of the above individual and appropriate
extension if applicable.
6) Place of Performance - Place, facility, city, County, area, or region where the services are to
be performed under the contract resulting from this solicitation.
7) Type of Procurement - Enter an "X" in the box labeled Services.
8) Type of Contract - Enter an "X" in the appropriate box. If you have questions regarding what
type of contract is being submitted, call DCT at 767-5816.
9) Brief Description - A brief but complete description of the services to be performed. (Hint:
You may use the same wording as was used on the BB-4 form under Description of Service and
Purpose).
10) Procurement Method - Enter an "X" in the appropriate box. If you have questions regarding
what procurement method is being used, call DCT at 767-5816. This response should agree with
the procurement method found on the BB-4 form.
11) Awarded to - Name, City and State of the winning bidder or successful offeror.
12) Award Date - Leave blank, this office will complete with the date all approvals are obtained.
13) Award Amount - Total amount of the award. This amount should agree with the Total
Cost/Value amount shown in box 13 on the BB-4 which accompanies the contract.
14) Contract Weekly Publication Date - Leave blank, this office will complete this area.
15) Today's Date - The date that you type this form.