Microsoft Word - MA Amendment Process and Checklist …



MASTER AGREEMENT WORK ORDERAMENDMENT PROCESS AND CHECKLISTDEPARTMENT:CONTACT NAME AND PHONE #:VENDOR:PURCHASE ORDER:PROJECT TITLE/AMENDMENT #:Complete the checklist below and provide necessary documents indicated to the CEO’s Master Agreement Program Administrator.Once CEO has signed this form, the approval checklist will be returned to the department to obtain the signatures on the Amendment form.Please send the Amendment/Work Order, requisition, and this form to the Purchasing Agent for issuance or Amendment of Purchase Order. Purchase Order must be issued before any services are provided by the vendor.1. Provide original Work Order and Statement of Work.?2. Provide justification for Amendment, and if applicable, a new Statement of Work.?3. Obtain CEO Budget Analyst concurrence with Amendment. The new Statement of Work, if applicable, must not contain duplicate efforts that should have been performed in the prior Statement of Work.CEO Budget Analyst is:?4. Provide draft Amendment form for review prior to obtaining signatures.?5. Indicate available funding:? New Work Order Amount if increased: __________________6. Does total Purchase Order amount with Amendment now exceed$300,000? If yes, has written notice been sent to the Board of Supervisors, copying the CEO, two weeks in advance of submitting this checklist to the CEO for approval?YesNo????CEO REVIEW AND APPROVALManager, CEODate ................
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