Purchasing Request Form
Please fill out a request form for any purchase of $10,000 or more.
What is the title/name of your project?
What department are you from?
Council on Aging
Exec. Office of Enviro.
Traffic and Parking
Who will be the project manager?
What is being procured?
Please select "other" if you don't find an appropriate option from the dropdown.
Academic and Educational services
Academic/School Equipment/Teaching Aids/and Supplies
Community and Recreational goods and services
Construction (Public Works/Parks)
Construction Manager Services
Custodial supplies and services
Design and Engineering
Energy and Electrical Services
Food and food services
Fuel & Energy Supplies
Homeless Education Transportation
Industrial Supplies and Equipment/Tools/Hardware/“nuts & bolts”
IT – Hardware
IT – Software and Services
Job-related training/Professional memberships
Landscaping/and Natural Supplies
Medical/Health/Emergency/and Community Wellness Supplies & Services
On Call Services/House Doctor
Printing/Marketing/Collateral Materials/Graphic Design
Professional and Technical
Rentals and Leasing/equipment
Rentals and Leasing/real property
Seasonal supplies and services
Snow Removal and Salting/Sanding
Special Education Tuition/Transportation
Street Resurfacing/Roadway Maintenance
Traffic and Parking (Supplies and Services)
Uniforms and Related Professional Equipment
Vehicle Maintenance and Parts
Water and Sewer Infrastructure services and supply
If not found in the above list, please type in the good/service type below.
Vendors to Contact for Bid
Which vendors would you like us to contact to invite to bid?
If applicable, who is the selected vendor?
I.e., for quoted, sole source, and/or exempt contracts, etc.
Estimated Total Cost
How much will the entire purchase cost?
How did you estimate the total cost?
Conducted market research
Contacted other communities
Based on previous spending
Will reimbursable expenses be considered and paid under this contract?
Supplies and Travel
What is the funding source?
Federal Funds (CDBG, etc)
Other Stabilization Funds
Capital Improvement Project (CIP) Appropriation
Community Preservation Act (CPA) Appropriation
Is the total FY spend in your current FY budget?
In the case of multi-year contracts (or contracts that span two fiscal years), do you have sufficient funding in your current FY budget?
What is the anticipated contract/pricing type?
Fixed Firm Price (FFP)
Fixed Firm Price (FFP) and Hourly Rate
Scope of Services
Please provide a brief (1-2 sentence) description of the supplies/ services being requested.
Upload any applicable files
Please attach any applicable documents (scope, quotes, sole source declaration, etc.)
What is the project start date / delivery date?
Capital/Grant/Legal Svcs/Real Property
Will this contract be for a capital item, involve an outside grant or legal service? If so, please select from the dropdown.
Send me a copy of my responses
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