For complete guidance please click the link below:

https://procurement.maryland.gov/commodities-and-facilities-maintenance-purchases/

1.) All purchases must complete Page 1 (General Information) of this submittal form, and one of the remaining pages based on the procurement method selected.

2.) Send those two pages, along with all required supporting documents to: dgs.osp-requisitions@maryland.gov

3.) Further, please note the following definitions for the General Information page:

Agency Buyer: your agency procurement representative, and the primary point of contact for DGS regarding this procurement.

Agency Contract Monitor: is the State representative for this Contract who is primarily responsible for Contract administration functions, including issuing written direction, invoice approval, monitoring this Contract to ensure compliance with the terms and conditions of the Contract, monitoring MBE and VSBE compliance, and achieving completion of the Contract on budget, on time, and within scope.

Agency End User: the primary person actually using the service or good being procured, and chief expert on the specifications/ requirements for the procurement.

Requesting Agency

Agency Name: _____________________________________________________________________________

Department ID#: _______________________________

Agency Buyer: _________________________________ Buyer’s Code: _____________________________

E-Mail Address: ________________________________	Phone Number: ____________________________

Solicitation Summary

Description of the Commodity and/or Service being Procured: _________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

eMMA Commodity Code(s): _____________________________________________________________

Needs Statement: _____________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Contract Period: __________________________	Renewal Options Required:__________________

Agency Contract Monitor: ___________________	Phone Number: ____________________________

Agency End User: __________________________ Phone Number: ____________________________

Select One (1) Procurement Method:

Only two pages from this form need to be submitted to DGS: page 1 and the appropriate page for the selected procurement method.

Preferred Provider……………………………………….…………...….continue to page 2

Competitive Sealed Bids (CSB)………………………………………....continue to page 3

Competitive Sealed Proposals (CSP)………………………………........continue to page 4

Sole Source (SS)…………………………...……………………………continue to page 5

Emergency Procurement………………………………..………….……continue to page 6

Intergovernmental Cooperative Purchasing Agreement (ICPA)……..…continue to page 7

Exercise Option on Existing Contract (renewal)………………………...continue to page 8

Attach print-out of FMIS requisition

FMIS Req No. ________________________________________________

Verify that all line items in requisition correspond to IFB specification and bid form.

Verify Interface Type (INTF) is correct:

“RQ” for one time purchase resulting in a “purchase order,” or “PO” (2340)

“NP” for multiple purchases over a given period of time under same terms and conditions resulting in a “blanket purchase order,” or “BPO” (2342)

Select Preferred Provider

Maryland Correctional Enterprises

Blind Industries and Services of Maryland

Maryland Works

(Community Service Providers, and individual-with-disability-owned businesses)

Attach Proposed Contract Elements

Specifications

Any other specialized terms

Attach print-out of FMIS requisition

FMIS Req No. ___________________________________________________

Verify that all line items in requisition correspond to IFB specification and bid form.

Verify Interface Type (INTF) is correct:

“RQ” for one time purchase resulting in a “purchase order,” or “PO” (2340)

“NP” for multiple purchases over a given period of time under same terms and conditions resulting in a “blanket purchase order,” or “BPO” (2342)

Attach note with relevant basis for exception for each preference provider (PP) and provide grounds for support for each basis (COMAR 21.11.05.07.B)

(see https://dgs.maryland.gov/Documents/PerferredProviderProgram.pdf)

Maryland Correctional Enterprises

Blind Industries and Services of Maryland

Maryland Works

(Community Service Providers, and individual-with-disability-owned businesses)

Attach Agency PRG Documentation

PRG Worksheet and rationale for setting the SBR Designation for all purchases

If over $100,000, include PRG Worksheets for MBE/VSBE Participation Goals

Attach Complete Invitation for Bids (IFB)	(note: use template on DGS website)

Specifications

Bid Form

Basis for award

Any other specialized terms

Provide Verified Information for 3 Vendors to Directly Solicit

Vendor Name: _______________________________________________________________________

Vendor eMMA ID ____________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Vendor Name: _______________________________________________________________________

Vendor eMMA ID ____________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Vendor Name: _______________________________________________________________________

Vendor eMMA ID ____________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Attach print-out of FMIS requisition

FMIS Req No. ____________________________________________________

Verify that all line items in requisition correspond to IFB specification and bid form.

Verify Interface Type (INTF) is correct:

“RQ” for one time purchase resulting in a “purchase order,” or “PO” (2340)

“NP” for multiple purchases over a given period of time under same terms and conditions resulting in a “blanket purchase order,” or “BPO” (2342)

Attach note with relevant basis for exception for each preference provider (PP) and provide grounds for support for each basis (COMAR 21.11.05.07.B)

(see https://dgs.maryland.gov/Documents/PerferredProviderProgram.pdf)

Maryland Correctional Enterprises

Blind Industries and Services of Maryland

Maryland Works

(Community Service Providers, and individual-with-disability-owned businesses)

Attach Request to Proceed as CSP (approximately 1 page)

Explanation as to why CSB cannot be used (reference COMAR 21.05.03.01.B as appropriate)

Signature from Using Agency Procurement Director

Attach Agency PRG Documentation

PRG Worksheet and rationale for setting the SBR Designation for all purchases

If over $100,000, include PRG Worksheets for MBE/VSBE Participation Goals

Attach Request for Proposals (RFP) Elements

Specifications

Price Proposal Form

Evaluation Factors (including Technical, Social and Financial Factors), in descending order of priority

Any other specialized terms

Provide Contact Information for two individuals able to serve on Evaluation Committee

Name: ______________________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Name: ______________________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Provide Verified Information for 3 Vendors to Directly Solicit

Vendor Name: _______________________________________________________________________

Vendor eMMA ID ____________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Vendor Name: _______________________________________________________________________

Vendor eMMA ID ____________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Vendor Name: _______________________________________________________________________

Vendor eMMA ID ____________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Attach print-out of FMIS requisition

FMIS Req No. _______________________________________________________________________

Verify that all line items in requisition correspond to IFB specification and bid form.

Verify Interface Type (INTF) is correct:

“RQ” for one time purchase resulting in a “purchase order,” or “PO” (2340)

“NP” for multiple purchases over a given period of time under same terms and conditions resulting in a “blanket purchase order,” or “BPO” (2342)

Attach note with relevant basis for exception for each preference provider (PP) and provide grounds for support for each basis (COMAR 21.11.05.07.B)

(see https://dgs.maryland.gov/Documents/PerferredProviderProgram.pdf)

Maryland Correctional Enterprises

Blind Industries and Services of Maryland

Maryland Works

(Community Service Providers, and individual-with-disability-owned businesses)

Attach Agency PRG Documentation

PRG Worksheet and rationale for setting the SBR Designation for all purchases

If over $100,000, include PRG Worksheets for MBE/VSBE Participation Goals

Attach Determination to Proceed as Sole Source

Brief Statement of need ( reference COMAR 21.05.05.02.B)

Market Research

Explanation as to why no other vendor is suitable or acceptable to meet the need (reference COMAR 21.05.05.02.A as appropriate)

Signed approval from Using Agency legal counsel

Signature from Using Agency Head or Designee

Attach Proposed Contract document

Specifications

Include all State mandatory terms and conditions, signed by the vendor.

Any specialized terms are drafted, approved and included in appropriate section

AGENCY MUST: Submit completed reference checks and include in submission.(minimum of 3 )

AGENCY MUST : Submit current SDAT tax clearance verification for Sole Source vendor.

Vendor’s quote must be included.

Provide Contact Information for individual to present Item to BPW

Name: ______________________________________________________________________________

E-Mail: __________________________________________ Phone #: __________________________

Follow the DGS OSP Policy for Emergency Procurements found in the Maryland Procurement Manual

Follow the DGS OSP Individual Agency Requests for Intergovernmental Cooperative Purchasing Agreements (ICPAs) - “Procuring” or “Piggybacking” found in the Maryland Procurement Manual

Attach print-out of FMIS requisition

FMIS Req No. _______________________________________________________________________

Verify that all line items in requisition correspond to IFB specification and bid form.

Verify Interface Type (INTF) is correct:

“RQ” for one time purchase resulting in a “purchase order,” or “PO” (2340)

“NP” for multiple purchases over a given period of time under same terms and conditions resulting in a “blanket purchase order,” or “BPO” (2342)

Attach note with relevant basis for exception for each preference provider (PP) and provide grounds for support for each basis (COMAR 21.11.05.07.B)

(see https://dgs.maryland.gov/Documents/PerferredProviderProgram.pdf)

Maryland Correctional Enterprises

Blind Industries and Services of Maryland

Maryland Works

(Community Service Providers, and individual-with-disability-owned businesses)

Attach Request to Proceed as ICPA

Specific request to participate, conduct, sponsor or administer an ICPA

Identify specific grounds to proceed as ICPA under COMAR 21.05.09.04.A

Thorough support documentation for those grounds

Statement that proceeding as ICPA is not intended to evade purposes of COMAR 21.01.01.03

Signature from Using Agency Procurement Director

Attach Agency PRG Documentation

If over $100,000, include PRG Worksheets for MBE/VSBE Participation Goals

If requesting to Participate in existing ICPA, Attach Proposed ICPA Packet

Original Solicitation Packet (including solicitation, bids, bid table, and award)

Master Contract Document

Proposed Participation Agreement

Review that all mandatory and additional MD terms are included

Attach Current Contract Document

Attach Usage Documentation

Statement of satisfactory vendor performance over term to date

For Commodities, provide usage

Attach Agency PRG Documentation

For original contract:

Statement of Goal(s) and rationale for setting that goal for all purchases

If over $100,000, include PRG Worksheets for MBE/VSBE Participation Goals

Audit and compliance documentation

Attach Statement from Office of the Comptroller

Tax Verification (with Control Number)

Certificate of Good Standing

Attach Statement of Funds Certification for Renewal Option