REQUEST FOR PSVC APPROVAL & AWARD Form Number: {form_number} PURCHASE / CONTRACTS INDENT No. :(Required)Date(Required) MM slash DD slash YYYY DESCRIPTION OF SUPPLIES / SERVICES:(Required)PURCHASE / CONTRACTS SCOPE OF WORK:(Required)SELECTED VENDORS / SUPPLIERS / CONTRACTORS:1> Vendor/ Supplier/ Contractor(Required)First Lowest(Required)Value(Required)2> Vendor/ Supplier/ Contractor(Required)Second Lowest(Required)Value(Required)3> Vendor/ Supplier/ Contractor(Required)Third Lowest(Required)Value(Required)Approximate Exchange Rate Applies : USD .3026 =KWD 590.675LOCATION OF BUSINESS(Required) Local Foreign Landing Cost(Required)Total Cost(Required)PAYMENT TERMS: 100% Advance agasint proforma invoice Approximate Exchange Rate Applies : USD .3026 =KWD 590.675FINANCE REVIEW:(Required)BUDGET CODE(Required)Date(Required) MM slash DD slash YYYY Is award to be made to other than lowest bidder?(Required) Yes No specify: OEM(Required)IS SELECTED VENDOR/ SUPPLIER / CONTRACTOR IN APPROVED LIST?(Required) Yes No SOURCE JUSTIFICATION: Source Justification must be determined on all awards. Please check the appropriate box that deals with this specific Contract / PO.Adequate Competition(Required) Competition Attempted Non-Competitive (Single Source) If Non-Competitive (Single Source) select source selection category below with justification:(Required) The Only Source Meeting Technical Requirement Continuation of Existing Service / Project The Only Source Compatible with Existing Equipment Urgent & Compelling Emergency Others JUSTIFICATION:(Required)RECOMMENDED BY:(Required)END USER(Required)Date(Required) MM slash DD slash YYYY COMMERCIAL SECTION(Required)Date(Required) MM slash DD slash YYYY
