ࡱ> cebG  bjbjَ 7T ]8x4VVVVVD `$!`VV``VV`VV`:,V y" (Please type or Print) REQUEST FOR CONTRACT (Including Grants and related Proposals)  FORMCHECKBOX  District  FORMCHECKBOX  Cuyamaca  FORMCHECKBOX  Grossmont  FORMCHECKBOX  New Contract No. Date  FORMTEXT        FORMCHECKBOX  New Proposal No. Initiator  FORMTEXT       Phone  FORMTEXT        FORMCHECKBOX  New Master Fixed Form Agreement Title  FORMTEXT        FORMCHECKBOX  Amend Contract No.  FORMTEXT       Division/Department  FORMTEXT        FORMCHECKBOX  Renew Contract No.  FORMTEXT       Site Contact Person  FORMTEXT       Phone  FORMTEXT        FORMCHECKBOX  Cancel Contract No.  FORMTEXT       CONTRACTOR  FORMTEXT       Address  FORMTEXT       City/State/Zip  FORMTEXT       TIN/SSN  FORMTEXT       Phone  FORMTEXT       Fax  FORMTEXT       Contact  FORMTEXT        FORMCHECKBOX  INCOME CONTRACT (Including Grants and Proposals) A. Source B. Budget Expense Detail C. Total  FORMCHECKBOX  Grant 1000:  FORMTEXT       Total Object 1000-7000 $  FORMTEXT       Specify  FORMTEXT       2000:  FORMTEXT       Indirect Costs $  FORMTEXT        FORMCHECKBOX  Participant 3000:  FORMTEXT       Total Contract Cost $  FORMTEXT        FORMCHECKBOX  Contract Education 4000:  FORMTEXT        FORMCHECKBOX  General Fund 5000:  FORMTEXT       District Match $  FORMTEXT        FORMCHECKBOX  State Program 6000:  FORMTEXT       Notes:  FORMTEXT        FORMCHECKBOX  Other  FORMTEXT       7000:  FORMTEXT        FORMTEXT        FORMTEXT       Total 1000-7000:  FORMTEXT        FORMTEXT        FORMCHECKBOX  EXPENDITURE ONLY CONTRACT Purchase Request No.  FORMTEXT       Date  FORMTEXT       CHECK ALL BOXES THAT APPLY AND ATTACH REQUIRED DOCUMENTS  FORMCHECKBOX  Construction  FORMCHECKBOX  Lease/Rental  FORMCHECKBOX  Maintenance  FORMCHECKBOX  Workshop/Seminar  FORMCHECKBOX  Fixed Form Master  FORMCHECKBOX  License  FORMCHECKBOX  Professional Service  FORMCHECKBOX  Other  FORMTEXT       CONTRACT INFORMATION A. Contract Period: From:  FORMTEXT       to  FORMTEXT       inclusive. B. Cost: $ FORMTEXT       /  FORMCHECKBOX  Day  FORMCHECKBOX  Month  FORMCHECKBOX  Year  FORMCHECKBOX Other  FORMTEXT       Delivery: $ FORMTEXT       Installation: $ FORMTEXT       Total Cost for Contract Period: $ FORMTEXT       C. Invoiced:  FORMCHECKBOX  Monthly  FORMCHECKBOX  Quarterly  FORMCHECKBOX  Yearly  FORMCHECKBOX  Contract Period  FORMCHECKBOX  Other (specify)  FORMTEXT       Budget Detail Fund:  FORMTEXT       Year:  FORMTEXT       Account #  FORMTEXT       Account #  FORMTEXT       SPECIFIC DESCRIPTION, PURPOSE, AND JUSTIFICATION/BACKGROUND (Describe each in full; use separate sheet if needed.)  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       SITE APPROVALS FOR DISTRICT OFFICE USE ONLY: Initiator Date % Requires Certificate of Insurance Vice President/Executive Dean Date Certificate Received President/Vice Chancellor Date Business Office/Budget Date % Approved % Ratified Vice Chancellor Business Services Date by Governing Board on: CO01.F1 3/99 .VZ68:PRnprҶҨҚҒ҅ufj>*CJOJQJUmHj>*CJOJQJUj>*CJOJQJU>*CJOJQJj^CJOJQJUjCJOJQJUjvCJOJQJUjCJOJQJU CJOJQJjCJOJQJU CJOJQJ 5OJQJ5CJOJQJ CJOJQJ$X\Z \ X z-d @ 4L,@ -d 4L,@ -d L, -&d  L, 4d X L,@ 4d X L,@4d X L,@@ 4d X L,@@Bd  X L, A X\Z \ X j 86vx>@h.lnT|Dln8d     78K  Gb n >(*>@BLNP^`tvx "$@BDln׺ʫכʫߍ}ʫojCJOJQJUj>*CJOJQJUjCJOJQJUj.>*CJOJQJUj>*CJOJQJUmHj>*CJOJQJUj>*CJOJQJU>*CJOJQJ CJOJQJjCJOJQJUjFCJOJQJU+ 24HJLVX\̵ŪŜ̌|ljL>*CJOJQJUj>*CJOJQJUjb>*CJOJQJUjCJOJQJUjCJOJQJUjx>*CJOJQJU CJOJQJ>*CJOJQJj>*CJOJQJUmHj>*CJOJQJUj>*CJOJQJU*   0 2 F H J T V Z \ r t ˻ӬˤscSӬj >*CJOJQJUj5>*CJOJQJUmH!j5>*CJOJQJU5>*CJOJQJj5>*CJOJQJU5CJOJQJ5CJ OJQJj>*CJOJQJUmHj6>*CJOJQJU>*CJOJQJj>*CJOJQJUjCJOJQJUjCJOJQJU CJOJQJ     . 0 D F H R T V d f z | ~ {nj5CJOJQJU5>*CJ OJQJjn >*CJOJQJUj >*CJOJQJUj >*CJOJQJUj >*CJOJQJU CJOJQJj>*CJOJQJUmHj >*CJOJQJU>*CJOJQJj>*CJOJQJU) j 8t_-d HJ&`'L,@@@-d  H<JX (L,@@@-d HJ&`'L,@@@-d  ,HJ&`'L,@@@-d HJ&`'L,@@@@-Zd :ZhJ@@ 4d hL,@-&d  @ 4L,B@    @   4 6 8 B D F z | ~ ķħ̚skk^kN^jF >*CJOJQJUj>*CJOJQJU>*CJOJQJj>*CJOJQJUmHj >*CJOJQJU>*CJOJQJj>*CJOJQJUjZ 5CJOJQJUj5CJOJQJU5CJOJQJ CJOJQJ CJOJQJj5CJOJQJUj 5CJOJQJU5CJOJQJ     > @ B V X Z d f j l n ȡȡ܁vhvjCJOJQJUjCJOJQJUj>*CJOJQJUj2>*CJOJQJUj>*CJOJQJUmHj >*CJOJQJU>*CJOJQJj>*CJOJQJU CJOJQJ>*CJOJQJj>*CJOJQJUj>*CJOJQJUmH$ $&(246:<XZ\Žņxp`ņRjlCJOJQJUj>*CJOJQJU>*CJOJQJjCJOJQJUjCJOJQJUj>*CJOJQJUmHj >*CJOJQJUj>*CJOJQJU>*CJOJQJ CJOJQJ>*CJOJQJj>*CJOJQJUmHj>*CJOJQJUj>*CJOJQJU $&(246XZ\prt~$~p~`~jD>*CJOJQJUjCJOJQJUjCJOJQJUj>*CJOJQJUmHjX>*CJOJQJUj>*CJOJQJU>*CJOJQJ>*CJOJQJj>*CJOJQJUmHj>*CJOJQJU>*CJOJQJj>*CJOJQJU CJOJQJ!$&(248:VXZhj~ ҷҷxjҷjCJOJQJUj>*CJOJQJU>*CJOJQJj>*CJOJQJUmHj>*CJOJQJU>*CJOJQJj>*CJOJQJUj0CJOJQJU CJOJQJjCJOJQJUmHjCJOJQJUjCJOJQJU#6vx~m[-d h H L,@@-d h HL,@@-d h,HL,@@@- h,HL,@@@4d hH !!L,@@ -&d  L,-d ,H!(L,@@@@-d ,H!(L,@@-d HJ!(L,@@@ @BDXZ\fhjlnŻyky^yVIA5CJOJQJj5CJOJQJU>*CJ OJQJjCJOJQJUmHjCJOJQJUjCJOJQJU5CJOJQJj5>*CJOJQJUmH!j~5>*CJOJQJUj5>*CJOJQJU5>*CJOJQJ CJOJQJ>*䴳ϴ>*䴳ϴ>*䴳ϴ>*䴳ϴ.02<>@LNbdfprvx ,.JLNjl̿̿vhvvZvvjBCJOJQJUjCJOJQJUjCJOJQJU CJ OJQJjV>*CJOJQJUj>*CJOJQJUmHj>*CJOJQJU>*CJOJQJj>*CJOJQJU CJOJQJ5CJOJQJ5CJOJQJj5CJOJQJUjj5CJOJQJU" 68TVXjl ߻߭ߟߑ߄tej>*CJOJQJUmHj|>*CJOJQJUj>*CJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJU>*CJOJQJj.CJOJQJU CJOJQJjCJOJQJUjCJOJQJU&>@tv $&BDFPRnprͽծ͞ծ͎ծugjCJOJQJUjTCJOJQJUjCJOJQJUj>*CJOJQJUjh>*CJOJQJUj>*CJOJQJUmHj>*CJOJQJU>*CJOJQJj>*CJOJQJU CJOJQJ CJ OJQJ CJOJQJ>*CJ OJQJ(>@h.ra-hd h4`'@-hd h  L,@ & F-d T 4P`'@-d h V^L,@@-d h \ PL,@-d h@ HL,@-d h H@-  h Hl`'@@d  468BDFfh|~6ļĝļļĝļļ}ĝļļmĝļj!>*CJOJQJUj!>*CJOJQJUj >*CJOJQJUj>*CJOJQJUmHj, >*CJOJQJU>*CJOJQJj>*CJOJQJUjCJOJQJU CJOJQJjCJOJQJUj@CJOJQJU*68:LNjln>@TVXbdfߵߧߚsߚcsj$>*CJOJQJUj>*CJOJQJUmHjR$>*CJOJQJU>*CJOJQJj>*CJOJQJUj#CJOJQJUjf#CJOJQJUj"CJOJQJUjz"CJOJQJU CJOJQJjCJOJQJUj"CJOJQJU&(*,BDXZ\fhjlnNTVjlnxz|ug|Z|jCJOJQJUmHj&CJOJQJU CJOJQJjCJOJQJU5CJOJQJ5CJOJQJ CJOJQJ CJ OJQJj*&>*CJOJQJUj%>*CJOJQJUj>*CJOJQJUmHj>%>*CJOJQJU>*CJOJQJj>*CJOJQJU CJOJQJ#.lnT|Dln8d H^ .L,@d H^.L,@d H^ .@  L,@ -&d  L,@ 4 L,@ L,@ -&d  4`'-hd h L,@z|~  246@BDFZ\^hjlnw5CJOJQJ CJOJQJ CJ OJQJjd)CJOJQJUj(CJOJQJUjx(CJOJQJUj(CJOJQJUj'CJOJQJUjCJOJQJUmHj'CJOJQJUjCJOJQJU CJOJQJ.rt&(468:NPd  >*CJ OJQJ CJ$OJQJ>*CJOJQJ CJOJQJ CJ OJQJ5CJOJQJ CJOJQJ&d   L,d H L,d H^.L,@d H^ .!"L,@@@50/ =!"#$%0p, vDeCheck37tDeCheck5tDeCheck6tDeCheck8tDText2tDeCheck7tDText3tDText4vDeCheck39tDText5vDeCheck10vDText48tDText6vDeCheck11vDText49tDText7tDText8vDeCheck12vDText50tDText9vDText10vDText11vDText12vDText13vDText14vDText15vDeCheck13vDeCheck14vDText18vDText26vDText16vDText19vDText27vDeCheck15vDText20vDText28vDeCheck16vDText21vDeCheck17vDText22vDText29vDeCheck18vDText23vDText56vDeCheck19vDText17vDText24vDText57vDText47vDText25vDText58vDeCheck38vDText30vDText31vDeCheck20vDeCheck21vDeCheck21vDeCheck22vDeCheck23vDeCheck24vDeCheck24vDeCheck22vDText53vDText32vDText33vDText34vDeCheck25vDeCheck26vDeCheck27vDeCheck28vDText54vDText35vDText36vDText37vDeCheck29vDeCheck30vDeCheck31vDeCheck32vDeCheck33vDText55vDText38vDText39vDText40vDText41vDText42vDText43vDText44vDText45vDText46vDText51vDText52 [0@0NormalCJOJQJmH V@V Heading 1*$4h@& h:HL,@@5CJ@@@ Heading 2$4@& L,5CJ<A@<Default Paragraph Font,,Header  !, ,Footer  ! 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" 5 bstarksBC:\WINDOWS\TEMP\AutoRecovery save of Request for Contract Form.asdbstarks8C:\My Documents\Procedures\Request for Contract Form.docbstarksFC:\WINDOWS\TEMP\AutoRecovery save of Request for Contract Form CO1.asdbstarks?C:\My Documents\Procedures\Request for Contract Form CO1.F1.docbstarks?C:\My Documents\Procedures\Request for Contract Form CO1.F1.docbstarksFC:\WINDOWS\TEMP\AutoRecovery save of Request for Contract Form CO1.asdbstarksFC:\WINDOWS\TEMP\AutoRecovery save of Request for Contract Form CO1.asdbstarks?C:\My Documents\Procedures\Request for Contract Form CO1.F1.doc Paula Tillery?C:\My Documents\Procedures\Request for Contract Form CO1.F1.doc Paula TilleryK\\G4\APPS\Public\PROCEDUR\CONTRACT.CO\CO01.F1 Request for Contract form.docVZ.Py'  hhOJQJo(hho(.VZ.y'@Vg4VV ```` ` `````````gTimes New RomanTimes New Roman5Symbol?& ArialArial5& Tahoma"h66x 4% Y0d (Please type or Print) Robin Brake Paula TilleryOh+'0  4 @ L Xdlt|(Please type or Print)Ple Robin BrakeobiNormalrPaula Tilleryr 2ulMicrosoft Word 8.0n@@p |@"k@"k% ՜.+,D՜.+,H hp  GCCCD   (Please type or Print) Title 6> _PID_GUIDAN{CA37F077-D19D-11D2-8317-342C09C10000}  !"#$%&'()*,-./0123456789:;<=>?ABCDEFGHIJKLMNOPQSTUVWXY[\]^_`adRoot Entry Fw@yfData +)1Table@%"WordDocument7TSummaryInformation(RDocumentSummaryInformation8ZCompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q