"PROCUREMENT JUSTIFICATION FORM (PJF)\n\nThis form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of\nProcurement Services.\n\nINSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must\nbe typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of\nProcurement Services intranet site (Forms page) for additional instructions.\n\nPART 1: OVERVIEW\n\n- \u201aDepartment Office/Division/Program: | DHHS/OBH/Robert Porter/Kristen King\n\nu Department Contract Administrator or .\nne Bi en Eu Jeanne Garza / Brianne Carrero\nss... \u201aGrant Coordinator:\n2.2... (Ifapplica...
"DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES\n\nDIVISION OF PROCUREMENT SERVICES\n\nSTATE OF MAINE\n\nPROCUREMENT JUSTIFICATION FORM (PJF)\n\nThis form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of\nProcurement Services.\n\nINSTRUCTIONS: Please provide the requested information in the white spaces below. Allresponses (except signatures) must\nbe typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of\nProcurement Services intranet site (Forms page) for additional instructions.\n\nPART I: OVERVIEW\n\nDepartment Office/Division/Program: | Maine CDC / Disease Prevention and Control\n\nDepartment Contract Administ...
"DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES\n\nDIVISION OF PROCUREMENT SERVICES\n\nSTATE OF MAINE\n\nPROCUREMENT JUSTIFICATION FORM (PJF)\n\nThis form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of\nProcurement Services.\n\nINSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must\nbe typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of\nProcurement Services intranet site (Forms page) for additional instructions.\n\nPART I: OVERVIEW\n\nDepartment Office/Division/Program: | Department of Economic and Community Development\n\nDepartment Contract A...
REV 11/18/2021 Page 1 of 2 PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. PART I: OVERVIEW Department Office/Division/Program: Department of Health and Human Services / Office of the Health Insurance Marketplace Department Contract Administrator or Grant Coordinator: Jeanne Garza / Brianne Carrero (...
PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. SE ee aA Department, Office/Division/Program: | DHHS/ OBH/ Michael Freysinger | Theresa Witham Department Contract Administrator: or Grant Coordinator: (if applicable) Department Reference #: || OSA-23-650A Amount: Original: $1,092,333.00 : $i . (Contra...
PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. PART |: OVERVIEW Department Office/Division/Program: | DHHS Riverview Psychiatric Center Department.Contract Administrator-or.| Shawn Belanger Grant.Coordinator:.| Brianne Carrero (If-applicable) Department Reference #:-| RPC-23-002 Amount: Contract/Ame...
"DocuSign Envelope ID: DFC96767-B8B8-4F5B-B332-20846EF18D84\n\nPROCUREMENT JUSTIFICATION FORM (PJF)\n\nThis form must accompany ali contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division\nof Procurement Services.\n\nINSTRUCTIONS: Please provide the reqguested information in the white spaces below. All responses (except signatures)\nmust be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division\nof Procurement Services intranet site (Forms page) for additional instructions.\n\nPART 1: OVERVIEW\n\nDepartment Office/Division/Program: Public Utilities Commission\n\nDepartment Contract Administrator. or\n: Grant Coordinator:\n\n(If applicable) Department ...
"DocuSign Envelope ID: F527BB15-353E-447F-9CF9-640F905BE51C\n\nDEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES\n\nDIVISION OF PROCUREMENT SERVICES\n\nSTATE OF MAINE\n\nPROCUREMENT JUSTIFICATION FORM (PJF)\n\nThis form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division\nof Procurement Services.\n\nINSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures)\nmust be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division\nof Procurement Services intranet site (Forms page) for additional instructions.\n\nPART I: OVERVIEW\n\nDepartment Office/Division/Program: | MaineDOT Pr...