Spreadsheet: 268859e5-5107-4bc2-98ac-8b6141dad1e0
Sheet: Sheet1

GRANT PURCHASE REQUISITION DEFINITIONS, INSTRUCTIONS & CHECK LIST | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7
This checklist is provided for the use and convenience of the requester.
 | DELIVERY DUE DATE | The date the goods, services and materials are required.  Since all goods, materials and services are required by the end of the grant date, this is particularly important if you have specific date requirements within the grant period due to training with the equipment, installation of equipment into a vehicle, etc.
 | GRANT NAME & REQUESTING JURISDICTION | Insert the specific grant name, name of the jurisdiction (County) requesting the purchase.
 | RECEIVING AGENCY | Name of Agency and contact  who will receive the goods or service
 | PROJECT CONTACT | Technical or project specific contact person the buyer can contact for questions and information regarding the specific procurement.
 | SUGGESTED VENDOR | Please provide the name(s) of vendors who are either aware of this purchase or any that you know might be interested in providing the goods, services or materials.  Please include the name(s), address(es), contact name(s) and phone number(s). Check EPLS/SAM.gov website prior to submitting purchase request.
 | QUANTITY | Identify the quantity of the units of measure your jurisdiction will be purchasing.
 | UNIT OF MEASURE | The normal purchasing or packaging quantity for the item requested (e.g., each, box, carton, lot, etc.) and is normally an indicator of how the item will be priced.
 | GRANT ITEM NUMBER | The grant line item number that serves as a unique identifier on all requests.   It identifies the grant, grant year and item number.  It is provided by PBEM for each applicable grant.  Only one item number may be used per requisition form. Use in the body of the requisition as part of the description.
 | GRANT ITEM LINE | The specific grant item line description as found on the identified grant
 | [NAME] | line item spread sheet.
 | [NAME] | Please provide as much information as possible within this column. The table will expand downward for you as you type.
 | UNIT PRICE | If quote pricing is attached, put the best price quoted in this area.  If no pricing is available use the item cost as identified within the grant and bracket the pricing.
 | SHIPPING POINT | The exact delivery address and name where the Contractor will ship the merchandise
 | FREIGHT TERMS | Identify any freight terms already given to you by prospective vendors and if the freight costs are included in the unit and extended pricing in any attached price quotes. The City’s standard freight terms are FOB Destination and unless otherwise noted will be used.  The City of Portland does not pay or accept separate freight charges and costs on vendor invoices.
 | COMMENTS | Include all additional and pertinent information and explanations regarding this purchase request, additional vendors, descriptions, attachments, or anything that would be important to know before either bidding or awarding the contract.
 | SUPPORTING DOCUMENTS | If a sole source or sole brand purchase is being requested, please note here and attach the justification documentation; if additional authorization has been granted for quantity changes, cost, etc., be sure to document that here and include the authorization.
 | AUTHORIZED SIGNATURE | Approval of purchase request by an authorized employee from a specific jurisdiction.  Such as the work group task force member in your jurisdiction or your agencies UASI point of contact person.
CITY OF PORTLAND GRANTS PURCHASE REQUISITION
The responsibility for accurately completing the requisition remains with the requester. Email the completed electronic requisition form to the appropriate designated work group requisition coordinator.
DELIVERY DATE: |  |  |  |  | FOR CITY OF PORTLAND USE ONLY
 |  |  |  |  | Requisition #
GRANT NAME AND [NAME]: |  |  |  |  | Tracking #
 |  |  |  |  | Contract #
RECEIVING AGENCY: |  |  |  |  | Vendor #
 |  |  |  |  | Cost Object
PROJECT CONTACT PERSON (name, phone & email): |  |  |  |  | GL Account
 |  |  |  |  | Material Group
SUGGESTED VENDOR & CONTACT INFO: |  |  |  |  | Reviewer
 |  |  |  |  | EPLS/SAM (print & attach)
ONE GRANT ITEM PER REQUISITION
GRANT ITEM #:
INTERNAL ORDER #:
GRANT ITEM LINE DESCRIPTION:
Qty | Unit of Measure | [NAME] #’s etc. |  |  |  | Unit Price | Extended Amount
 |  | ITEM DESCRIPTION:
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  |  |  |  |  |  | 0
 |  | Sub-total |  |  |  |  | 0
 |  | Tax |  |  |  |  | 0
 |  | Freight/Shipping |  |  |  |  | 0
 |  |  |  |  |  |  | 0
TOTAL |  |  |  |  |  | 0 | 0
SHIP TO POINT:
SHIPPING AND FREIGHT TERMS:  FOB Destination  (unless noted as otherwise)
BILL TO:  PBEM, Attn: [NAME],  1001 SW 5TH AVE, STE. 650, [NAME], OR 97204
SEND PACKING SLIPS TO:
COMMMENTS:
SUPPORTING DOCUMENTS IDENTIFY AND ATTACH:
AUTHORIZING AGENT (print name and title):
DATE: