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.
GSPUR-95	Bidding Preference for Products with Recycled Postconsumer Material Required by Procurement Code. Bidding preference for recycled content products meeting criteria.	08/06/01
	Contractor Integrity Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of honesty & integrity by which contractors & grantees must conduct themselves to foster public confidence when executing a Commonwealth Agency Contract.	12/02/11
	Contractor Responsibility Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of responsibility by which all contractors must conduct themselves when executing and performing a Commonwealth Agency Contract.	04/27/11
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 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
STD-203 (SAP)	General Conditions & Instructions for RFQ – Invitation for Bid To be used with R3 RFQs or with documents not created in Document Builder.	01/17/03
GPUR-11A	General Conditions & Instructions to Bidders for Supplies for Purchase Requisitions To used with SAP R3 Bids or with documents not created in Document Builder.	01/17/03
STD-271P	Invitation for Bids To be used with documents not created in Document Builder.	09/05/06
	Manufacturer / Mill Certification Used for all supplies that have post-consumer content – paper bids.
	Nondiscrimination/Sexual Harassment Clause (Contracts) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Deposit of Commonwealth Funds) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Grants) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
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.	02/15/02
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.
GSPUR-13A	Special Terms & Conditions for Purchase Requisitions To used with SAP R3 Bids or with documents not created in Document Builder.	02/20/10

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
	Contractor Integrity Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of honesty & integrity by which contractors & grantees must conduct themselves to foster public confidence when executing a Commonwealth Agency Contract.	12/02/11
	Contractor Responsibility Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of responsibility by which all contractors must conduct themselves when executing and performing a Commonwealth Agency Contract.	04/27/11
	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.	04/23/09
	Nondiscrimination/Sexual Harassment Clause (Contracts) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Deposit of Commonwealth Funds) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Grants) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
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
GSPUR-SPR	Supplier Price Request Purpose of form is for supplier to affirm that they intend to be legally bound, offers and agrees, to provide the specified services at the price(s) set forth at the time(s) and point(s) specified. Further that they agree to the Standard Purchase Order Terms & Conditions (STD-272 SAP).	11/17/10
	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
	Amendment To be used with documents not created in Document Builder.	02/20/01
	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
	Change Order To be used with documents not created in Document Builder.	02/20/01
	Contractor Integrity Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of honesty & integrity by which contractors & grantees must conduct themselves to foster public confidence when executing a Commonwealth Agency Contract.	12/02/11
	Contractor Responsibility Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of responsibility by which all contractors must conduct themselves when executing and performing a Commonwealth Agency Contract.	04/27/11
	Nondiscrimination/Sexual Harassment Clause (Contracts) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Deposit of Commonwealth Funds) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Grants) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Notice of Award Form Letter for Agency Use To be used by Agencies to identify the Awarded Vendor.	04/09/12
GSPUR-PO	Purchase Order To used with Purchase Orders if Document Builder is not used.	10/24/06
	Security Release Form To be used to communicate the disposition of funds.	03/27/07
	IT Terms and Conditions To be used for contracts for information technology (IT) services.	06/01/11
STD-274 (SAP)	Standard Contract Terms & Conditions – SAP To be used with documents not created in Document Builder.	02/10/12
STD-272 (SAP)	Standard Purchase Order Terms & Conditions – SAP To be used with documents not created in Document Builder.	04/13/11
STD-281 (SAP)	Standard Terms & Conditions for Purchase Orders Issued Against a DGS Statewide Services Contract To be used with Purchase Orders if Document Builder is not used.	05/07/04
STD-280 (SAP)	Standard Terms & Conditions for Purchase Orders Not Exceeding $10,000.00 To be used with documents not created in Document Builder.	05/07/04

Miscellaneous Documents & Clauses
Form Number	Form Name and Use	Current Form Date
	902 Partner Record Request Form & Understanding Assignments Payments Form is completed and provided to Payable Services to assign a contract or assign a payment.	02/15/11
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
GSPUR-95	Bidding Preference for Products with Recycled Postconsumer Material Required by Procurement Code. Bidding preference for recycled content products meeting criteria.	08/06/01
	BMWBO Disadvantaged Business RFP/RFQ Submittal Information Internal form used to submit documentation to BMWBO for scoring RFPs and IT-RFQs.	01/02/09
	Contractor Integrity Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of honesty & integrity by which contractors & grantees must conduct themselves to foster public confidence when executing a Commonwealth Agency Contract.	12/02/11
	Contractor Responsibility Provisions To be used with any Standard or General Conditions with documents not created in Document Builder. Contractor provision that promote standards of responsibility by which all contractors must conduct themselves when executing and performing a Commonwealth Agency Contract.	04/27/11
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.
	Nondiscrimination/Sexual Harassment Clause (Contracts) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Deposit of Commonwealth Funds) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
	Nondiscrimination/Sexual Harassment Clause (Grants) To be used with any Standard or General Conditions with documents not created in Document Builder. Used to ensure that contracting & granting funding is non-discriminating.	08/19/10
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.	02/15/02
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.	01/04/12
	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.

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