"TSERVICES.\n\n. DEPARTMENT OF ADMINISTRATIVE AND FIN\n\nDIVISION OF PROCUREME\n\nSTATEORMAINE\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\nDHHS/OCFS\nJennifer Levesque / Brianne Carrero\n\n(if applicable) Department Reference #..| OFS-23-40XXA (See Addendum)\n\n...
"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 (excepf 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 of Health and Human Services\n\nChris Moiles / Brianne Carrero\n(If applicable) Department Reference #: | COVID-19 Vaceination Support Services\nHHRERE Total Amount::| $40,000.00 (Amend = Rah, nl\nae Grant 1 9...
"DocuSign Envelope ID: B54495FE-8B89-4D57-B356-DFDF1AE8885E\n\nDEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES\n\nDIVISION OF PROCUREMENT SERVICES\n\nSTATE OF MAINE\n\nPROCUREMENT JUSTIFICATION FORM (PJF)\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\n(Contrac/Amendment/Grant)\n\nCONTRACT | Proposed St...
"DocuSign Envelope ID: 778E5CC9-4B42-4BOB-AE45-C1A21F6FA804\nState of Maine\n\nProcurement Justification Form\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 website (Forms page) for additional instructions.\n\nPART I: OVERVIEW\n\nCONTRACT Proposed Start Date: Proposed End Date:\n\nOriginal Start Date: I] Effective Date: |\n\nAMENDMENT Previous EndDte: | | NewEnddte)\nProject Start ...
REV 11/18/2021 Page 1 of 3 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 Inland Fisheries and Wildlife/Wildlife Division/WRAS Department Contract Administrator or Grant Coordinator: Nathan Webb (If applicable) Department Reference #...
"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...
REV 10/19/2021 Page 1 of 3 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: Maine CDC / Disease Prevention and Control Department Contract Administrator or Grant Coordinator: Chris Moiles / Jennifer Levesque (If applicable) Department Reference #: C...
"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...