Commonwealth of Pennsylvania
Please enter the ID for the Award Form.
This form is to be completed
by the Agency issuing the Contract/PO
for procurements that exceed the dollar thresholds established in Part 1, Chapter 7 of the Procurement Handbook for this identified procurement.
Agency provides, if full delegation is granted.
BOP/OIT provides, if they led the solicitation and the agency executed the resulting contract/PO.
BOP/OIT provides, if they led the solicitation and executed the resulting contract.
Please Choose one of the Following
Enter Form Number
Contract Award Information
All Using Agencies
Capitol Preservation Committee
Center for Juvenile Justice
Civil Service Commission
Community & Economic Development
Conservation & Natural Resources
Council for the Arts
Crime and Delinquency Commission
Department of Drug and Alcohol
Emergency Management Agency
Environmental Hearing Board
Fish and Boat Commission
Gaming Control Board
Governors Office for Management & Productivity
Historical and Museum Commission
House of Representatives
Human Relations Commission
Independent Regulatory Review Committee
Judicial Conduct Board
Labor & Industry
Legislative Agency of General Assembly
Legislative Budget & Finance Committee
Legislative Service Agency
Liquor Control Board
Lt Governors Office
Military and Veterans Affairs
Milk Marketing Board
Municipal Retirement System
PA Higher Education Assistance Agency
Philadelphia Regional Port Authority
Probation and Parole
Public School Building Authority
Public School Employees Retirement System
Public TV Network
Public Utility Commission
State Employees Retirement System
State Ethics Commission
State System of Higher Education
State Tax Equalization Board
Agency Contact Person:
Format : ###-###-####
Description of Project
* For IT-Services and IT Materials, please choose IT
Method of Procurement:
To be Determined
Costars (DGS Use Only):
No Of Contracts:
Please click the Go button after Entering the Number of Contracts
New End Date
If only SSN,Leave Blank
Number of Renewals:
Enter decimal for months
Per Original Contract Term without Renewals
Please identify below the direct labor performed under the contract that will be performed outside the United States and not within the geographical boundaries of a party to the World Trade Organization Government Procurement Agreement and identify the country where the direct labor will be performed.
Domestic Workforce Utilization:(Mandatory for Services, RFPs and Services Multiple Awards)
Percent Committed on Shore
Country (if not in USA or WTO)
$ (if % above is based on other than Contract Value)
Select SDB Type
SMALL BUSINESS RESERVE
VETERAN OWNED BUSINESS
A copy of the Domestic Workforce Certification, and a copy of the small diverse business commitments made in the contract must accompany this form, and if applicable, a copy of the Small Business Procurement Initiative self-certification.
Documents naming conventions should not contain special characters (i.e. -, (), &, etc).
I have uploaded the List of Contract Spreadsheet (if applicable).
Submit this completed form and attachments within (10) ten days after contract/PO executed.
By clicking the Submit button, the form will be submitted to DGS/OIT depending upon the category selected.