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.

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Status:

Contract Award Information

Date:	4/18/2024
Agency:*	All Using Agencies Capitol Preservation Committee Center for Juvenile Justice Commonwealth Court Courts Department of Aging Department of Agriculture Department of Banking and Securities Department of Community and Economic Development Department of Conservation and Natural Resources Department of Corrections Department of Drug and Alcohol Programs Department of Education Department of Environmental Protection Department of General Services Department of Health Department of Human Services "prior DPW" Department of Labor and Industry Department of Military and Veterans Affairs Department of Revenue Department of State Department of the Auditor General Department of Transportation Environmental Hearing Board Governor's Office Governors Office for Management & Productivity Historical and Museum Commission House of Representatives Independent Regulatory Review Commission Insurance Department Judicial Conduct Board Legislative Agency of General Assembly Legislative Budget and Finance Committee Legislative Service Agency Liquor Control Board Milk Marketing Board Muni Police Officer Edu Training Commission Office of Administration (under Governor's Office) Office of Attorney General Office of General Counsel Office of Inspector General Office of Lieutenant Governor Office of the Budget (under Governor's Office) PA Health Insurance Exchange Authority (Pennie) PA State Sys of Higher Ed Pennsylvania Board of Probation and Parole Pennsylvania Commission on Crime and Delinquency Pennsylvania Council on the Arts Pennsylvania eHealth Partnership Authority Pennsylvania Emergency Management Agency Pennsylvania Fish and Boat Commission Pennsylvania Game Commission Pennsylvania Gaming Control Board Pennsylvania Health Care Cost Containment Council Pennsylvania Higher Education Assistance Agency Pennsylvania Housing Finance Agency Pennsylvania Human Relations Commission Pennsylvania Infrastructure Investment Authority Pennsylvania Municipal Retirement System Pennsylvania State Police Pennsylvania Turnpike Commission Philadelphia Regional Port Authority Public School Employees' Retirement System Public TV Network Public Utility Commission Securities Commission Senate of Pennsylvania State Civil Service Commission State Employees' Retirement System State Ethics Commission State Public School Building Authority State Tax Equalization Board Supreme Court Treasury Department
Bureau:*
Agency Contact Person:*
Contact Tel#:*	Format : ###-###-####
Contact Email:*
Project Manager:*
Project Title:*
Solicitation Number:*
Description of Project*	MaterialServiceIT * For IT-Services and IT Materials, please choose IT
Method of Procurement:*	IFBIFB-Multiple AwardITQ PARFPRFP-Multiple Award RFQ (IT)RFQ (Other)To be Determined
Costars (DGS Use Only):	YesNo
No Of Contracts:*	Please click the Go button after Entering the Number of Contracts Contract Number Start Date End Date (w/o renewals) New End Date Supplier Name Supplier Number Supplier FIN# If only SSN,Leave Blank
Contract Term:*	Original Term: year(s) Number of Renewals: ea year(s) Enter decimal for months
Contract Value:*	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  Select One 100% N/A Other	Country (if not in USA or WTO)
SDB Commitment:	%: $ (if % above is based on other than Contract Value)	Select SDB Type Select One MBE WBE JOINT PARTNERSHIP 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.
Upload Documents* 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.