Pilot course in Lean Six Sigma Green Belt Certification

REV 10/19/2021 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: DHHS/ COM Department Contract Administrator or Grant Coordinator: Shawn Belanger Nancy Tan (If applicable) Department Reference #: COM-23-2300 Amount: (Contract/Amendment/Grant) $ 10,800 Advantage CT / RQS #: CT 10A 20220707000000000040 CONTRACT Proposed Start Date: 08/01/2022 Proposed End Date: 06/30/2023 AMENDMENT Original Start Date: Effective Date: Previous End Date: New End Date: GRANT Project Start Date: Grant Start Date: Project End Date: Grant End Date: Vendor/Provider/Grantee Name, City, State: University of Maine System dba Professional Development Programs Portland, ME Brief Description of Goods/Services/Grant: Provide pilot course in Lean Six Sigma Green Belt certification PART II: JUSTIFICATION FOR VENDOR SELECTION Mark an X before the justification(s) that applies to this request. (Check all that apply.) A. Competitive Process G. Grant B. Amendment H. State Statute/Agency Directed C. Single Source/Unique Vendor I. Federal Agency Directed D. Proprietary/Copyright/Patents J. Willing and Qualified E. Emergency K. Client Choice F. University Cooperative Project L. Other Authorization Kathy Paquette 8/19/2022 DocuSigned by: