Department of Purchasing
100 Lincoln Street
Akron, OH 44325-9001
330-972-7340 Phone
330-972-5564 Fax
www.uakron.edu/purchasing
CONTRACT REQUEST/RENEWAL FORM
The following information is needed to set up or renew contract purchase orders. Please provide the information below and forward to the
Department of Purchasing. The contract purchase order number will be provided to you upon completion of the contract entry process.
General Guidelines for Contract Purchase Orders:
Contract Purchase Orders are for institutional type needs rather than the specific needs of an individual department. Therefore, most contracts
will be issued when the total annual expended amount exceeds $10,000 or if the number of payments justifies contract use.
Information needed for contracts or contract renewals:
1.
Name and address of the company:
Start Date
Name:
End Date
Peoplesoft Vendor #:
Address:
City:
For contract renewals provide the current contract number:
State:
Zip:
NEW Contract Number
Items 2 through 7 do not need to be completed for contract renewals unless the information is changing.
2.
The item(s) to be covered by the contract:
3.
The rate, cost, etc., of the item(s) to be included:
4.
The expected annual amount of the contract:
5.
The estimated number of transactions (invoices) to be included in this contract:
6.
How many charge accounts (speedtypes) will the transaction be charged to (if more than one)?
7.
The names of the authorized individuals (no more than five names).
8.
Justification of award if annual amount exceeds $25,000. Please complete at least one below:
$
Contract Type (please make selection if applicable):
Sole Source (please attach copy of previously approved Sole Source Justification Form)
Other (please specify):
( name)
(date)
(signature)
Approved:
(Buyer’s Signature)
(date)