Secondary Department Information PRIMARY DEPARTMENT PCO General Information – Department: CURRENT PURCHASING AUTHORITY NUMBER(S), IF APPLICABLE: Non-IT Goods: IT Goods and Services: PCO Name Title & Classification Office E-mail My signature certifies that 1) I understand and commit to the responsibilities (as defined in the State Contracting Manual) as the department’s Procurement and Contracting Officer (PCO) and 2) I have assessed and determined that my department meets all requirements as specified in the State Contracting Manual and the Public Contract Code (PCC) for the requested purchasing authority dollar threshold levels. 1. Signature of Procurement & Contracting Officer (must match the name above) Date SECONDARY DEPARTMENT PCO General Information – Department: Name Title & Classification Office E-mail My signature certifies that I, the Procurement & Contracting Officer, affirm my understanding that the department has not been granted purchasing authority under this application and that the purchasing authority will be granted to the Primary Department identified above, which will conduct the procurement activities. 2. Signature of Procurement & Contracting Officer (must match the name above) Date SECONDARY DEPARTMENT JUSTIFICATION –
Secondary Department Information PRIMARY DEPARTMENT PCO – General Information Department: CURRENT PURCHASING AUTHORITY NUMBER(S), IF APPLICABLE: Non-IT Goods: IT Goods and Services: PCO Name Title & Classification Office E-mail My signature certifies that 1) I understand and commit to the responsibilities (as defined in the State Contracting Manual) as the department’s Procurement and Contracting Officer (PCO) and 2) I have assessed and determined that my department meets all requirements as specified in the State Contracting Manual and the Public Contract Code (PCC) for the requested purchasing authority dollar threshold levels. 1. Signature of Procurement & Contracting Officer (must match the name above) Date SECONDARY DEPARTMENT PCO – General Information Department: Name Title & Classification Office E-mail My signature certifies that I, the Procurement & Contracting Officer, affirm my understanding that the department has not been granted purchasing authority under this application and that the purchasing authority will be granted to the Primary Department identified above, which will conduct the procurement activities. 2. Signature of Procurement & Contracting Officer (must match the name above) Date SECONDARY DEPARTMENT – JUSTIFICATION
Purchasing%20Authority%20Application.docx