Procurement Form 3.9.22.xlsx

	A	B	C	D	G	I	J	K	L	M
1	Windham Southeast Supervisory Union Procurement Form
2	Sites: Academy, BAMS, BUHS, Dummerston, EES, Green St, Guilford, Oak Grove, Putney, Vernon, WRCC, WSESU
3
4	1. Procurement Method (Check one; a. - d.):							Requestor: _____________________
5	a.		Micro Purchase: Up to $40,000.					School: ________________________
6
7	b.		Small Purchase: Any purchase above $40,000 up to $250,000
8
9			Federal Standards: Must obtain two or more prices and document the reason vendor was selected (attach copies)
10				Vendor & cost information may be identified through internet research, telephone calls, advertisement,
11				email or written requests for information
12
13			State Bid Law (16 V.S.A §559): In addition, state law requires us to publicy advertise or invite three or more bids
14			for any of the following: construction/building improvements, supply, equipment, maintenance, or repair
15				However, only 2 quotes are required for materials of instruction
16
17	c.		Non-competitive: Indicate reason why.
18			___The goods/services are only available from a single source.
19			___Public emergency
20			___The Vermont AOE expressly authorized noncompetitive proposal in response to a written request.
21			___After solicitation of a number of sources, competition is determined inadequate.
22			___The renewal of a contract where the total amount of contract does not exceed the inflation rate.
23
24	d.		Sealed Bid/Proposal
25			Business Office will review procurement to determine if RFP proposal is required for purchases over $40,000.
26
27	2. Vendor Cost/Price Comparison (does not apply to micro-purchase method):
28			Vendor #1			Amount	$
29			Vendor #2			Amount	$
30			Vendor #3			Amount	$
31
32	3. Reasons for Vendor Selection: (Required for all purchases)
33		__________________________________ was selected for the following reason (mark all that apply):
34			Name of Vendor Selected
35			Lowest Price		Availability			Research
36			Location (venue)		Bid Process/State Contract			Experience
37			Expertise		Accessibility			Purchase History
38			Follow Up Capability		Reputation
39			Continuity of Services		Other
40
41	4. Check SAM.GOV to be sure vendor has not been suspended/debarred from receiving federal funds.
42		Federal purchases ONLY - Attach sam.gov print out & initial here:
43
44	5. Expense Account #:
45
46		□ Blanket PO to be set up				□ PO confirmation only, do not mail PO
47		□ Check requested with PO				□ Date check needed by: __________
48		□ Email PO to vendor: _______________________________________________
49
50			Item #	Description		Quantity		Unit Cost	Amount
51						1
52
53
54								Shipping
55								Total Cost	0
56
57
58		Signature of Department Head						Date
59
60										Rev. Date 3.9.22
61		Signature of Administrator or Principal						Date
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100