OIT Procurement Approval Request

IT Expense Approval Request For IT spending > $10,000
Name:			Department:
Email:			Phone:
Project Information: Expense Description/Statement of Work:
Is this anew purchase, arenewal to an expiring agreement, or amodification to an existing agreement? Is this a multi-year procurement? Yes No Contract # (if applicable) Was this an emergency procurement as defined by Fiscal Rule: Yes No SCO website Vendor, if known:
Certified Project: Financial Information:			Other Project: Required if Certified Project = "Not Applicable."
Fund	Agency	Expense Type Definitions	Appr Code	Long Bill Line Item	Amount
Fund	Agency	Expense Type	Appr Code	Long Bill Line Item	Amount
Fund	Agency	Expense Type	Appr Code	Long Bill Line Item	Amount
Additional Funding Sources:
Procurement Method:			Pricing Agreement # from SPO website
(Please verify with your procurement office if unsure) If IT Staff Augmentation Services was selected as the procurement method, is the work project based or hourly?
If Price Agreement was not used, why:
Comments:
By clicking submit I hereby confirm that I have completed the necessary waivers. Send waivers to: OITPMO@state.co.us after clicking submit. For questions, please call 303-764-7700 or 303-764-7931. OIT will approve or seek clarification within 5 business days.