CONTRACT ROUTING SHEET

IMPORTANT: Contracts are to be signed by the delegated authority after the completion of this review process.

New Contract Revenue Account Number: Expense Account Number: PO Number: ___________ Contract Amount: Date Routed: Vendor Code

Renewal Contract

Departments shall complete this form in its entirety. Indicate non-applicable items by N/A.
Contract (brief description): Board Approval Required: Yes No Meeting Date: Board Item No:

If contract is greater than $500,000 per annum or greater than 4 years unless with 120 day or less cancellation notice, this contract must go to BOR If consulting contract greater than $25,000 per annum, contract must go to the BOR. For consulting contract greater than $25,000 on State funds, please call x2012.

ASU Office of Origin: University Funds Required: Contract Period: Contractor: Historically Underutilized Business: Contractor Representative: Contractors Address: Resident Contractor: Yes No Yes Yes Yes No

Individual Responsible: Verified Yes Available: Does Contract Renew?

Phone No: No Yes No Revenue Contract If so, When: Yes No

Contractors email address: No HUB Plan (required over $100,000): Phone: Yes Fax: No

State of Non-Resident Contractor: No Or Related to an ASU Employee? Franchise Tax Good Standing Yes Yes Other # HUBs Received No No N/A

Is Contractor an ASU Employee Taxpayer Identification Number: Type of Business : # Bids/Proposals Solicited: Approvals: Corp. Partnership

Sole Proprietorship

Non-Profit

Government

# Bids/Proposals Received

# HUBs Solicited (2 required):

(1) Department __________________________________________________________________________________Date ____________________

By signing this form, the Department is verifying that they will abide by the terms of the agreement.

(2) Dean/Associate Vice President __________________________________________________________________Date ____________________

Approval required on all contracts for Academic and Student Affairs

(3) Appropriate Vice President_____________________________________________________________________ Date ____________________

Approval required on all contracts; contract signature authority of $250,000 or less per annum unless otherwise delegated by OP 30.02

(4) Vice President for Finance and Administration____________________________________________________ Date ____________________

Approval required on all contracts for fiscal implications unless otherwise delegated by OP 30.02

(5) Contract Administration Office _________________________________________________________________ Date ____________________

Approval required on all contracts

_______________________________________________________________________________________________________________________ Other Approvals, as required: (1) TTUS General Counsel ________________________________________________________________________Date ____________________
Approval required on all contracts greater than $100,000 per annum unless using the standard contract form

(2) TTUS Chief Financial Officer __________________________________________________________________ Date ____________________

Contract approval required on all contracts greater than $250,000 per annum

(3) President ___________________________________________________________________________________ Date _____________________

Approval and signature required on all contracts, renewals and amendments over $250,000 per annum; approval required for departments that are direct reports to the President. Comment:

Amended: 08 /03/09