ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Name of SU/SD
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Request for Grant Fund Purchase Order
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Vendor Name & Address:
Date:
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Grant:
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Investment
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(if applicable)
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Complete page 2 for Federal grants
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QtyItem NumberDescriptionUnit AmtAmount
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Shipping & Handling
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Total
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*** PLEASE COMPLETE THE BACK OF THIS FORM FOR ALL PURCHASES***
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By my signature below, I certify that I believe this purchase to be necessary, reasonable, included in the grant award, occurring during the grant period, and allocable to the grant. (Only applicable to Federal grants)
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SignatureName of School
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July-21
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Name of SU/SD
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COST ANALYSIS PROCUREMENT FORM
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Please complete all sections 1 through 4 if applicable.
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1. Procurement Method (Check one):
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Micro Purchase: Up to [enter SU/SD micro purchase threshold $ amount].
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Small Purchase: Any purchase above Micro Purchase threshold up to [enter SU/SD small purchase threshold $ amount] must include at least 2 quotes from different vendors (attach copies).
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If purchase is over $40,000, please contact the Business Office to ensure the VT Bid Law is followed.
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Non-competitive: Indicate reason why.
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If purchase is over $40,000, please contact the Business Office to ensure the VT Bid Law is followed.
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___The goods/services are only available from a single source.
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___Public emergency
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___The Vermont AOE expressly authorized noncompetitive proposal in response to a written request.
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___After solicitation of a number of sources, competition is determined inadequate.
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Sealed Bid (State law requires for some purchases over $40,000)
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If purchase is over $40,000, please contact the Business Office to ensure the VT Bid Law is followed.
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Proposal
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If purchase is over $40,000*, please contact the Business Office to ensure the VT Bid Law is followed.
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Note: For child nutrition non-food purchases, the VT Bid law starts at $25,000.
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2. Vendor Cost/Price Comparison (does not apply to micro-purchase method):
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Vendor #1Amount$
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Vendor #2Amount$
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Vendor #3Amount$
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3. Reasons for Vendor Selection: Required for all purchases.
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__________________________________ was selected for the following reason (mark all that apply):
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Name of Vendor Selected
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Lowest PriceAvailabilityResearch
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Location (venue)
Bid Process/State Contract
Experience
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ExpertiseAccessibility
Purchase History
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Follow Up CapabilityReputation
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Continuity of Services
Other
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4. Check SAM.GOV to be sure vendor has not been suspended/debarred from receiving federal funds.
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Required for all purchases. Attach print out and initial here:
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Signature of individual who completed procurement.Date
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