Contract Cover Sheet printable pdf download

CONTRACT COVER SHEET

CONTRACT INITIATOR

(Name)______________________________________________________

(School/Department)___________________________________________

(Phone)_____________________________________________________

(e-mail)_____________________________________________________

CONTRACTOR:

(Name) _______________________________________________________

(Address)______________________________________________________

(City, State, Zip)________________________________________________

(Phone Number)________________________________________________

(Taxpayer ID) __________________________________________________

(Name and Title of company official authorized to sign contract):

______________________________________________________________

CONTRACT TERM: Start Date_______________________ Completion Date_________________

PAYMENT AMOUNT: Not to exceed $____________________________________________

PAYMENT TERMS:

__________

Fixed price (by task/deliverables and upon completion of work)

__________

Cost reimbursement, monthly or quarterly.

SOURCE OF FUNDS: __________________________________________________________

(Please list all funding sources -- general fund, cite specific state or federal grant program)

SCHOOL/ DEPARTMENT RECEIVING SERVICES:______________________________

SCHOOL/DEPARTMENT REPRESENTATIVE: __________________________________

GRANT COORDINATOR:______________________________________________________

VENDOR PRIOR/CURRENT RELATIONSHIP WITH JPPSS: (Please indicate whether the vendor has a current

or prior relationship with JPPSS, the school, the school leader, or any other JPPSS employee. If so, please explain.

__________________________________________________________________________________________________

SUMMARY

Please provide a brief summary of the purpose or objective of the contract.

_________________________________________________________________________________________________

FOR OFFICE USE ONLY

PLEASE PAY FROM:

FUND#______________________________

REQUISITION #______________________

BUDGET CODE#_____________________

Contract Cover Sheet