Date:

Name and Address of Agency:

Contract

or PO #:	Contract End date in our system
Bid Opening Date:	Description of Material and/or Service:
Index #:

INSTRUCTIONS: The suppliers identified below deposited Security with the DGS Bureau of Procurement’s Supplier Services organization, pending successful completion of its performance under the Contract or Purchase Order indicated above. In order for the supplier’s security to be released, the using Agency’s approval is required. Please complete this form and return it return via email.

The following suppliers have provided security. Please indicate if security should be released to the supplier or retained.
Supplier	Type & Amount of Security Received	Release or Retain?

(If Retained, Amount of Permanent Security needed)

Explanation if any/all suppliers

should be retained:

New contract or PO end date

(if applicable):

The identified Security should perform the action(s) identified above:
Name:
Title:
Department or Institution
Date:

If questions, please contact:

Supplier Services - Bid/Contract Security Officer

ra-bopcontractsecty@state.pa.us

Department of General Services - Bureau of Procurement

Tel: (717) 783-0761

Additional Agency Notifications:
Date:
Date:

Department Of General Services
SECURITY RELEASE
Bureau Of Procurement

BOP-009 Rev. 03-20-2007	Page 1 of 1

Security Release

fcross

2007-07-24

sklinger

Commonwealth of Pennsylvania