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Standard Forms - Office of Procurement and Support Services

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Miscellaneous                                                                     

Description

Date last Updated

File Name

File Name

Date last Updated

Description

Sole Source.doc 11/14 Determination of Sole Procurement of Services                         DHMH Contract Compliance Monitoring Final ​12/11 DHMH Contract Compliance Monitoring Final 12-12-11.doc
Sole Source.pdf
TaxVerification.doc 02/14 Comptroller's Verification Form Modification to the MD DHMH Human Services Funding Agreement      12/01  ​4133AMOD.doc
 
4133AMOD.pdf
Tax Verification.pdf
ECIForm.doc
02/14 Evaluation Committee Impartiality Certification Form Change of Name Modification Form for all Services Contracts 4/2014   chnamod.doc
 
chnamod.pdf
ECIForm.pdf
No Substitution Form.doc
03/14 Sole Source/No Substitute Procurement Justification for Commodities Toner Requisition Form 03/14 TonerReqForm.doc
TonerReqForm.pdf
No Substitution Form.pdf
FundCert.doc
08/2014 Funds Certification  ​ ​ ​Certification of Sole Source Status for Continuity of Care in Human Services Programs 04/99 contcare.doc
contcare.pdf
FundCert.pdf
ReportEmergencyProcurement
02/14 Report of Emergency Procurement Action COMAR 21.05.06 MD Department of Human Resources Hiring Agreement hireagree.doc
hireagree.pdf

ReportEmergencyProcurement
ECD&R06.doc 08/18/06 Instructions Pertaining to the Duties & Responsibilities of Members DHMH of Evaluation Committees
ECD&R06.pdf
Department - Sole Source-Emergency Template - 04.17.15.doc
04/17/15 Template for Sole Source/Emergency
Department - Sole Source-Emergency Template - 04.17.15.pdf
Department - IFB Template - 04.17.15.doc
04/17/15 Template for IFB
Department - IFB Template - 04.17.15.pdf
Department - MS-IFB Template - 04.17.15.doc
04/17/15 Template for Multi-Step IFB
Department - IFB Template - 04.17.15.pdf
  
HSForm4133.doc 09/03 Human Service Funding Agreement
HSForm4133.pdf
BidTabulationForm.doc
 01/14 Bid Tabulation Form
BidTabulationForm.pdf
Department - RFP Template - 04.17.15.doc
 
04/17/15 Template for RFP
Department - RFP Template - 04.17.15.pdf
EFT_register.doc 06/10 Vendor Electronic Funds Transfer (EFT) Registration Request Form
EFT_register.pdf
NoSubstitutionForm.doc  03/04/14 No Substitution Form
NoSubstitutionForm.pdf
BusinessAssoc.doc
Business Associate Agreement
BusinessAssoc.pdf

Standard Service Modification.doc
04/15 Modification Template
Standard Service Modification.pdf
Expert Witness Document.doc
Expert Witness Document
Expert Witness Document.pdf

Description

Date last Updated

File Name

contract.doc 9/2008
Contract Cover Sheet-Over $25,000
contract.pdf
contract-mod.doc 9/2008 Contract Modification Cover Sheet
contract-mod.pdf
contract-opt.doc 9/2008 Contract Option Cover Sheet
contract-opt.pdf
contract-solesource.doc 10/2012 Contract Sole Source Cover Sheet-Over $25,000
contract-solesource.pdf
cntrct-solesource-small.doc 9/2008 Contract Sole Source Cover Sheet Small Procurement
cntrct-solesource-small.pdf
emerg-contract.doc 9/2008 Emergency Contract Cover Sheet-Over $25,000
emerg-contract.pdf
sbr-solicitation.doc 9/2008 SBR Solicitation Cover Sheet
sbr-solicitation
small-procurement.doc 9/2008 Small Procurement Contract Cover Sheet
small-procurement.pdf
solicitation.doc 10/2012 Solicitation Cover Sheet
solicitation.pdf
Tel_sol.doc 9/2008 Telephone Solicitation Log (OPASS-SPTSL)
Tel_sol.pdf

 Minority Business Enterprise Forms

Description Date last Updated File Name
cftforms.doc 08/02 CFT Form
cftforms.pdf
MBEGoalSettingForm.doc 06/2015 MBE Goal Set Form
MBEGoalSettingForm.pdf 
Subgoal Implementation Guidelines.pdf 07/1/2011 Subgoal Guidance Implementation Guidelines Final
Subgoal Guidance Memo.pdf 07/1/2011 Subgoal Guidance Memo Final
Subgoal Guidance Worksheet.pdf 07/1/2011 Subgoal Guidance Worksheet Final
PRGform_08.doc 1/2014 SBR MBE VSBE Checklist
PRGform_08.pdf
CATS_II_TORFP_Checklist.doc  12/09 Checklist for the DoIT Master Contract for Consulting and Technical Services II (CATS II)
CATS_II_TORFP_Checklist.pdf 
PORFPTemplate.doc  10/12 PORFP Template
PORFPTemplate.pdf 
DoIT_RFRTemplateBlank.doc  10/12 DoIT RFR Template
DoIT_RFRTemplateBlank.pdf

DBM Documents for BPW Approval

BPW-Mtg.doc 06/11 Briefing for BPW Meeting
BPW-Mtg.pdf
DoIT New Contract Agenda for BPW Meeting 10/14 DoIT New Contract Agenda for BPW Meeting
DoIT New Contract Agenda for BPW Meeting
DoIT Mod-Option Agenda for BPW Meeting 10/14 DoIT Mod-Option Agenda for BPW Meeting
DoIT Mod-Option Agenda for BPW Meeting
BPW Meeting Briefing Form 10/14 BPW Meeting Briefing Form
BPW Meeting Briefing Form

Small Business Reserve Program

SBRExemptionForm.doc 04/2015 SBR Exemption Form
SBRExemptionForm.pdf

Veterans Small Business Enterprise


VSBEGoalSettingForm .doc
06/2015
VSBE Goal Setting Form
VSBEGoalSettingForm .pdf

MOU Forms

MOU-Template.doc
06/2015
MOU Template
MOU-Cover-sheet.doc 11/2013 MOU Cover sheet
MOU-Fund-Certification.doc
10/16/2014 MOU Fund Certification
Interagency-Report.doc
Interagency Report
MOU-Modification-Template.doc 09/14 MOU Modification Template
MOU-Modification-Cover-sheet.doc 11/2013 MOU Modification Cover sheet
MOU-Option-Cover-sheet.doc 11/2013 MOU Option Cover sheet
Attachment A - MOU.doc
06/2015
DBM pre-approval Attachment A
Attachment B - Modification.doc
06/2015 DBM pre-approval Attachment B
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DoIT Documents for BPW Approval

DOIT Mod-Option Agenda for BPW Mtg 01/15 DOIT Mod-Option Agenda for BPW Mtg
DOIT New Contract Agenda for BPW Mtg 01/15 DOIT New Contract Agenda for BPW Mtg