Procurement Delegation - Alaska Department Of Administration
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1DEPARTMENT OF ADMINISTRATION
PROCUREMENT DELEGATION
______________________________
________________________
__________
LAST NAME
FIRST NAME
MIDDLE INITIAL
TITLE OF EMPLOYEE _________________________________
PCN________________
DIVISION __________________________________
SECTION___________________________
The above named Department of Administration employee has been delegated purchasing authority as
designated below. This delegation of authority is not effective until you receive notification of approval
from the Division of Administrative Services. Violations of the terms set forth in delegation, in AS 36.30, 2
AAC 12, and the Administrative Manual may result in the loss of procurement authority and/or civil or
criminal penalties. Any person who knowingly performs procurement activities in a manner that is contrary
to AS 36.30 can be held liable for all costs and damages arising from the violation.
Signature of the employee ______________________________________
Date _______________
TYPE OF PROCUREMENT
NOT TO EXCEED
COMMENTS
Goods and Other Services
_____ $______________
____________________________
Purchase Requisitions
_____ $______________
____________________________
Reimbursable Services
Agreements
_____ $______________
____________________________
This delegation is based on the division director’s determination that the employee has received DAS
approved procurement training, and the employee has demonstrated the ability to conduct procurement
activities in accordance with AS 36.30, 2 AAC 12, the Administrative Manual, and the policies and proce-
dures established by the Division of Administrative Services.
Division Director:
Date
_________________________________________
____________
Approved _____________
_________________________________________________
date
Staci A. Stevens, DOA Procurement Specialist
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