IFB Preparation / RFP Preparation / Sole Source Preparation / Contract Preparation
Miscellaneous Documents / Archived Procurement Forms / Other DGS Forms

IFB Preparation Forms & Clauses
Form Number	Form Name and Use	Current Form Date
	Anti-Sweatshop Clause Required in certain textile and related procurements to be added to solicitation.
	Anti-Sweatshop Certification Supplier Certification for Anti-Sweatshop Clause.
BOP-124	Determination to Use Competitive Sealed Proposals (RFP) Method of Procurement To be utilized by Issuing Officers when they are required to disclose the justification for use of competitive sealed proposals vs. competitive sealed bidding.	11/09/10
	Domestic Workforce Utilization Certification Form For Multiple Award Contracts only. Form that must be used in solicitations with DWF.	07/24/09
	Instructions for Calculating Domestic Workforce Utilization Scores For Service RFPs and Multiple Award Contracts Only. For use in evaluating & scoring DWF submittals in bidding.	10/14/08
BOP-011	Funds Commitment Waiver Review Form This form is to be utilized to request the use of a Funds Commitment to be presented for approval.	05/02/11
BOP-1201	BOP-1201 General Instructions to Bidders To be used with IFB documents not created in Document Builder.	04/08/13
BOP-1206	BOP-1206 Bid-Contract Form To be used with IFB documents not created in Document Builder to solicit bids.	04/08/13
	Manufacturer / Mill Certification Used for all supplies that have post-consumer content – paper bids.
BOP-123	Notice of Forthcoming Procurements - Online Web Form Only Intended as a long term forecast of major procurements that are a year out. To help DGS/BOP to schedule the RFP effort into their long range planning.	11/19/10
GSPUR-89	Reciprocal Limitations Act Requirements Required by Procurement Code. Certain reciprocal preferences in response to actions by other states.	11/06/12
BOP-012	Request for Contract Term Greater than Five Years Waiver Review Form DGS approval is required before soliciting bids or proposals or signing a contract period and conditions for renewal or extension must be included in the solicitation.	07/22/10
	Recycled Content Exhibits The document contains the Recycled Content Exhibits.	12/21/11
	Sample Supplier Invoice Sample that may accompany Solicitations so supplier provides appropriate information for submitting invoices.
	Solicitation Addendum Form Used to make changes to solicitations.
	COSTARS Clause for Statewide Contract Clause used to include COSTARS participation in statewide contract (Outside of Doc Builder).	07/25/12
	COSTARS Program Contractor Election to Participate To be used for bids created in Doc Builder. CS attaches to solicitation, supplier completes and submits.	07/25/12

Sole Source Preparation
Form Number	Form Name and Use	Current Form Date
	Award Form - Online Web Form Only This form is to be completed by the Agency issuing the Contract/Purchase Order for Procurements that exceed the Services dollar threshohlds established in Part 1, Chapter 7 of the Procurement Handbook.	11/19/10
BOP-125	Contract List This form is to uploaded to the Award Form if more than 1 supplier listed.	10/26/10
	Cost or Pricing Data Certification Must be submitted with Sole Source Requests over $100,000.00.
BOP-011	Funds Commitment Waiver Review Form This form is to be utilized to request the use of a Funds Commitment to be presented for approval.	05/02/11
	No Bid Contract Letter Template & Political Contributions Reporting Form Required for sole sources.	06/12/12
BOP-012	Request for Contract Term Greater than Five Years Waiver Review Form DGS approval is required before soliciting bids or proposals or signing a contract period and conditions for renewal or extension must be included in the solicitation.	07/22/10
	Sole Source Fact Sheet for Construction Used to submit Sole Source Request for Public Works.	12/19/02
BOP-001	Source Justification Form Online web form used to submit Sole Source Requests.	02/20/09
BOP-1210	BOP-1210 Supplier Price Request Form To be used with Supplier Price Request documents not created in document builder.	04/08/13
	Trade Secret / Confidential Proprietary Information Notice Supplier required to complete with RFPs or Sole Sources, if applicable.

Contract Preparation Forms & Clauses
Form Number	Form Name and Use	Current Form Date
	Award Form  - Online Web Form Only This form is to be completed by the Agency issuing the Contract/Purchase Order for Procurements that exceed the Services dollar threshohlds established in Part 1, Chapter 7 of the Procurement Handbook.	11/19/10
BOP-125	Contract List This form is to uploaded to the Award Form if more than 1 supplier listed.	10/26/10
	Notice of Award Form Letter for Agency Use To be used by Agencies to identify the Awarded Vendor.	04/09/12
	IT Terms and Conditions To be used for contracts for information technology (IT) services.	06/01/11
BOP-1202	BOP-1202 STD Terms and Conditions-Paper PO To be used by an agency that does not have access to SRM and is doing a solicitation and purchase order in paper.	04/08/13
BOP-1203	BOP-1203 STD Terms and Conditions-Electronic PO To be used when DGS is doing a solicitation electronically for an agency that does not have access to SRM and the agency is doing a paper purchase order.	04/08/13
BOP-1204	BOP-1204 STD Terms and Conditions - Paper Contract To be used by an agency that does not have access to SRM and is doing a solicitation and contract in paper.	04/08/13
BOP-1205	BOP-1205 STD Terms and Conditions - Electronic Contract To be used when DGS is doing a solicitation electronically for an agency that does not have access to SRM and the agency is doing a paper contract.	04/08/13
BOP-1207	BOP-1207 Paper Purchase Order To be used for agency purchase orders not created in Document Builders.	04/08/13
BOP-1208	BOP-1208 Paper Purchase Order Against Statewide Contract To be used to issue paper purchase orders against a DGS statewide contract by an agency that does not have access to SRM.	04/08/13
BOP-1209	BOP-1209 Change Order to Purchase Order - Paper To be used for a paper change order to a paper purchase order.	04/08/13

Miscellaneous Documents & Clauses
Form Number	Form Name and Use	Current Form Date
	Payment Assignment Form and Instructions Form is completed and provided to Payable Services to assign a payment.	08/09/12
BOP-005	Agency request for review of purchase from Federal Cooperative Purchasing This form is used when an agency is requesting approval to use a Federal Cooperative Purchasing Agreement.
	Confirmation of Service Form Sample form that may be completed by the service provider after services have been performed, if requested by purchasing agency. Receiver should verify that services have been performed and confirm goods receipt in SRM/R3.
BOP-004	Emergency Procurement Approval Request Online web form used to submit Emergency Purchase Approvals.	05/14/10
BOP-002	Material Master Request Form Used to request additional Material Masters.	01/21/09
	Prospective Projects for PIBH Purchasing agency is to complete and submit the form to the DGS Program Manager at the time it becomes aware of a new opportunity for PIBH. By being pro-active in offering supplies and/or services to PIBH, delays in the procurement process can be reduced and/or eliminated.	01/27/09
BOP-007	Request for Liquidated Damage Assessment Purchasing agency is to complete and submit the form to DGS. Liquidated damages are used to compensate the Commonwealth for probable damages. Therefore, the liquidated damages rate must be a reasonable forecast of just compensation for the harm that is caused by late delivery or untimely performance of the particular contract." This breach of contract provisions adversely may impact the Commonwealth however; do not necessarily constitute termination in part.	10/23/06
	Request to Advertise in the Pennsylvania Bulletin Form used by Commonwealth agencies that with to publish notices the Pennsylvania Bulletin.
GSPUR-55	Specific Performance Bond To be included with a contract when a specific performance bond is required.	09/81

RFP Preparation Forms, Instructions & Clauses
Form Number	Form Name and Use	Current Form Date
	Anti-Sweatshop Clause Required in certain textile and related procurements to be added to solicitation.
	Anti-Sweatshop Certification Supplier Certification for Anti-Sweatshop Clause.
	Award Form  - Online Web Form Only This form is to be completed by the Agency issuing the Contract/Purchase Order for Procurements that exceed the Services dollar threshohlds established in Part 1, Chapter 7 of the Procurement Handbook.	11/19/10
BOP-125	Contract List This form is to uploaded to the Award Form if more than 1 supplier listed.	10/26/10
	BSBO Small Diverse Business RFP/RFQ Submittal Information Internal form used to submit documentation to BSBO for scoring RFPs and IT-RFQs.	07/20/12
BOP-124	Determination to Use Competitive Sealed Proposals (RFP) Method of Procurement To be utilized by Issuing Officers when they are required to disclose the justification for use of completitive sealed proposals vs. competitive sealed bidding.	11/09/10
	Domestic Workforce Utilization Certification Form For Service RFPs only. Form that must be used in solicitations with DWF.	07/24/09
	Domestic Workforce Utilization Certification Form For Multiple Award Contracts only. Form that must be used in solicitations with DWF.	07/24/09
BOP-011	Funds Commitment Waiver Review Form This form is to be utilized to request the use of a Funds Commitment to be presented for approval.	05/02/11
	Instructions for Calculating Domestic Workforce Utilization Scores For Service RFPs and Multiple Award Contracts Only. For use in evaluating & scoring DWF submittals in bidding.	10/14/08
	Manufacturer / Mill Certification Used for all supplies that have post-consumer content – paper bids.
BOP-123	Notice of Forthcoming Procurements - Online Web Form Only Intended as a long term forecast of major procurements that are a year out. To help DGS/BOP to schedule the RFP effort into their long range planning.	11/19/10
GSPUR-89	Reciprocal Limitations Act Requirements Required by Procurement Code. Certain reciprocal preferences in response to actions by other states.	11/06/12
BOP-012	Request for Contract Term Greater than Five Years Waiver Review Form DGS approval is required before soliciting bids or proposals or signing a contract period and conditions for renewal or extension must be included in the solicitation.	07/22/10
	Request for Proposal Template Pre-approved form for Request for Proposal preparation.	04/15/13
	Recycled Content Exhibits The document contains the Recycled Content Exhibits.	12/21/11
	RFP Addendum Form Used to make changes to RFPs.
	Service Procurement Announcement Form For use by Comptroller for services under $250 K, similar to Forthcoming Procurement Form.	05/05/11
	Sample Supplier Invoice Sample that may accompany Solicitations so supplier provides appropriate information for submitting invoices.
	Trade Secret / Confidential Proprietary Information Notice Supplier required to complete with RFPs or Sole Sources, if applicable.
	RFP Evaluation Committee Confidentiality - No Conflict Certification The RFP Confidentiality and No Conflicts Statement.	11/30/12
	RFP Evaluation Committee Consultant Confidentiality Certification The Consultant Confidentiality Statement.	11/30/12

ITQ Document Library
Form Number	Form Name and Use	Current Form Date
	ITQ Document Library To view the Document Library section of the ITQ Website. In the document library section, select the appropriate ITQ contract from the dropdown list to find all of the documentation (Templates, instructions, Guides, Forms, etc.) pertaining specifically to the ITQ contract that is selected.	09/29/11