Form UM 1819: Price & Supplier Justification Form for Purchases $10,000-49,999

REQUIREMENTS:
University of Minnesota Purchasing Policy requires this form to be attached to any standard goods and services EFS requisition or Purchase Order (PO) that totals between $10,000 and $49,999.99.*

EXEMPTIONS:
A) U Market purchases: considered reasonable due to the guaranteed pricing and reduced processing time.
B) Professional service purchases: the professional services information sheet (PSIS) form is required instead.
C) Prepaid Debit Card purchases (Supplier ID# PPDC in EFS): this process applies to the Paying Human Subjects policy and procedures rather than the Purchasing Goods and Services Policy.

INSTRUCTIONS:
1. Answer the form's questions depending on how your department selected the supplier. Note that except for the three exemptions listed above, supplier selection must adhere to the Code of Ethics for Departmental Staff Responsible for Purchasing: https://policy.umn.edu/sites/policy.umn.edu/files/forms/codeofethics.pdf 
2. At the end of the form, click <Submit>. Doing so will email the completed form as a PDF attachment to the email addressed entered on this form.
3. Forward the email and the PDF attachment to the EFS requisition preparer or procurement specialist (if a PO change order).
4. The EFS preparer must download the form from the email, then attach the PDF into the EFS transaction’s header level comments.
5. Approvers will review the EFS transaction and form to ensure the purchase adheres to policy.

* NOTE: before completing this form, departments must consider the total dollar amount and length of time that is being agreed to with the supplier. For example, if a department is purchasing a service agreement for two years that costs $30,000 per year, it would be incorrect to complete this form and create a requisition for $30,000 for just one year because the purchase's total would exceed the Regents Purchasing Policy threshold. Instead, the requisition's total should be $60,000 and the purchase must follow the Purchasing Goods and Services Policy's $50,000 and over business process.

Questions? Email Purchasing Services at: purchase@umn.edu.
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Your Name 
*
Your Complete Email Address *
IMPORTANT: The form will be emailed to whatever email address is entered in this field.
Total Amount of Requisition or PO *
Supplier Name *
How did your department select the supplier? *
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