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Reset Form Vendor Selection Form Required for Federal Grant-Funded Purchases of 5 000 Over 1. Description of item or service 2. Record competitive bids and indicate selected vendor Vendor Name Selected Vendor check one Total Price For purchases over 20 000 all quotes listed above must be supported by written bids letter fax or e-mail signed/e-mailed by an authorized representative of the vendor. 3. Please provide an explanation if the lowest bidder was not chosen or if only one bid was obtained sole/single source. If sole/single source please also complete item 4. 4. For a sole/single source purchase select one or more of the following to indicate that the price was fair and reasonable The quoted price incorporates discounts and/or reflects substantial savings. The vendor has stated that the quoted price is no greater than that charged to the vendor s most favored customer. Other Principal Investigator Name Project Signature Date Attach completed form and any/all written bids to the selected vendor s invoice and submit documents to Controller s Office Attention Grants Administrator Print Form Reviewed. Record competitive bids and indicate selected vendor Vendor Name Selected Vendor check one Total Price For purchases over 20 000 all quotes listed above must be supported by written bids letter fax or e-mail signed/e-mailed by an authorized representative of the vendor. 3. Please provide an explanation if the lowest bidder was not chosen or if only one bid was obtained sole/single source. 3. Please provide an explanation if the lowest bidder was not chosen or if only one bid was obtained sole/single source. If sole/single source please also complete item 4. 4. For a sole/single source purchase select one or more of the following to indicate that the price was fair and reasonable The quoted price incorporates discounts and/or reflects substantial savings. If sole/single source please also complete item 4. 4. For a sole/single source purchase select one or more of the following to indicate that the price was fair and reasonable The quoted price incorporates discounts and/or reflects substantial savings. The vendor has stated that the quoted price is no greater than that charged to the vendor s most favored customer. The vendor has stated that the quoted price is no greater than that charged to the vendor s most favored customer. Other Principal Investigator Name Project Signature Date Attach completed form and any/all written bids to the selected vendor s invoice and submit documents to Controller s Office Attention Grants Administrator Print Form Reviewed. Record competitive bids and indicate selected vendor Vendor Name Selected Vendor check one Total Price For purchases over 20 000 all quotes listed above must be supported by written bids letter fax or e-mail signed/e-mailed by an authorized representative of the vendor. 3. Please provide an explanation if the lowest bidder was not chosen or if only one bid was obtained sole/single source. If sole/single source please also complete item 4. 4. For a sole/single source purchase select one or more of the following to indicate that the price was fair and reasonable The quoted price incorporates discounts and/or reflects substantial savings.

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