Spreadsheet: ccd702a5-4840-408d-ad84-1ca6419028ce
Sheet: Sheet1

Unnamed: 0 | UNIVERSITY OF HAWAII PROCUREMENT DELEGATION | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27 | Unnamed: 28 | Unnamed: 29 | Unnamed: 30 | Unnamed: 31 | Unnamed: 32 | Unnamed: 33 | Unnamed: 34 | Unnamed: 35 | SPO USE ONLY: Procurement Delegation Effective Date | Unnamed: 37 | Unnamed: 38 | Unnamed: 39 | Unnamed: 40 | Unnamed: 41 | Unnamed: 42 | Unnamed: 43 | Unnamed: 44 | Unnamed: 45 | Unnamed: 46 | Unnamed: 47 | Unnamed: 48
 | FORM SPO-036UH
 | SECTION 1 - PURPOSE
 |  | Purpose of this Request
 | SECTION 2 - EMPLOYEE INFORMATION
 | Last Name (Print) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | First Name (Print) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Position Level
 |  | UH
 | Department |  |  |  |  |  |  |  |  |  |  | Division or Administratively Attached Agency/Office (Print)
 | I acknowledge (1) the delegated procurement authority and responsibility as indicated below and (2) prior to exercising this authority, I am responsible to attend all appropriate SPO training workshops pursuant to Procurement Circular 2010-05 as amended, and as posted on the training website at http://hawaii.gov/spo, click Training for State and County Procurement Personnel.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | OPTIONAL FOR UH/UH AGENCY USE
 | x
 | Employee Signature |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date |  |  |  |  | Print Name |  |  |  |  |  |  |  |  |  |  |  |  |  | Signature
 | SECTION 3 - DELEGATES PROCUREMENT AUTHORITY AS PROCUREMENT OFFICER TO CERTIFY (SIGN SPO FORMS) (Check all that apply)           (*) Requires CPO approval
 | HRS chapter 103D - Hawaii Public Procurement Code
 |  |  | SPO-001 Notice and Request for Sole Source*
 |  |  | SPO-001B Notice of Amendment to Sole Source Contract*
 |  |  | SPO-002 Emergency Procurement Request*
 |  |  | SPO-003 Request for Extension of Time on Contracts*
 |  |  | SPO-007 Notice of and Request for Exemption from Chapter 103D, HRS*
 |  |  | SPO-007B Notice of Amendment to Exemption from Chapter 103D, HRS*
 |  |  | SPO-010 Record of Procurement
 |  |  | SPO-014 Restrictive Specifications Request*
 |  |  | SPO-015 Use of Alternative Procurement Method*
 | Note: Only President of UH is authorized to certify (sign SPO form): SPO-016
 | [NAME], CONDUCT, AND PARTICIPATE IN THE VARIOUS PROCUREMENT METHODS (Check all that apply) (*) Requires CPO approval
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Procurement Methods
 | HRS chapter 103D - Hawaii Public Procurement Code |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Procurement Officer |  |  |  |  | Conducts/ Participates
 |  | Competitive Sealed Bidding (HRS §103D-302)
 |  | Competitive Sealed Proposals (HRS §103D-303)
 |  | Professional Services (HRS §103D-304)
 |  | Small Purchases (HRS §103D-305)
 |  | [NAME] (HRS §103D-306) *
 |  | Emergency (HRS §103D-307) *
 | Attach form SPO-036UH to SPO-036UHtransmittal and submit via email to: [EMAIL]. This delegation form SPO-036UH supersedes any previous delegation forms for this employee.
 | SPO-036UH (6/25/13)