The Alabama Contract form is a document used by state agencies to outline the terms and conditions of contracts with contractors. It ensures compliance with state regulations and provides essential information about the contractor, the nature of the contract, and the funding sources involved. Proper completion of this form is critical for transparency and accountability in state procurement processes.
The Alabama Contract form serves as a critical tool for ensuring transparency and accountability in state contracts. Designed for use by various state agencies, this form requires essential information about both the agency and the contractor, including the contractor's physical address, whether they are a sole source provider, and their status as a minority or woman-owned business. It also inquires about the contractor's registration with the Alabama Secretary of State and whether any legislative members or lobbyists were involved in securing the contract. This form captures the contract number, the financial details, and the duration of the agreement, clearly outlining the sources of funding involved. Additionally, it prompts agencies to explain the necessity of the contract and why the services cannot be performed by state employees. By collecting this information, the Alabama Contract form not only facilitates a thorough review process but also promotes fair competition and adherence to state policies. Understanding the components of this form is vital for contractors and agencies alike, as it lays the groundwork for a successful contractual relationship.
Contract Review Permanent Legislative Oversight Committee
Alabama State House --- Montgomery, Alabama 36130
C O N T R A C T R E V I E W R E P O R T
(Separate review report required for each contract)
Name of State Agency:________________________________________________________________________
Name of Contractor:__________________________________________________________________________
__________________________________________________
_________________________
________
Contractor’s Physical Street Address (No P.O. Box Accepted)
City
ST
Is Contractor a Sole Source? YES ______ NO ______ (IF YES, ATTACH LETTER)
Is Contractor organized as an Alabama Entity in Alabama? YES ______ NO ______
Is Contractor a minority and/or woman-owned business? YES ______ NO ______
If so, is Contractor certified as such by the State of Alabama? YES ______ NO ______
Check all that apply: ALDOT ______ ADECA ______ OTHER (Name) _____________________________________________
Is Contractor Registered with Alabama Secretary of State to do Business as a Corporation in Alabama? YES ______ NO ______
IF LLC, GIVE NAMES OF MEMBERS: _____________________________________________________________________
Is Act 2001-955 Disclosure Form Included with this Contract? YES ______ NO ______
Does Contractor have current member of Legislature or family member of Legislator employed? YES ______ NO ______
Was a Lobbyist/Consultant used to secure this Contract OR affiliated with this Contractor? YES ______ NO ______
IF YES, GIVE NAME: ________________________________________________________________________________
Contract Number: _C_ ___ ___ ___ ___ ___ ___ ___ ___ (See Fiscal Policies & Procedures Manual, Page 5-8)
Contract/Amendment Amount: $___________________ (PUT AMOUNT YOU ARE ASKING FOR TODAY ONLY)
% State Funds: ________ % Federal Funds: _________ % Other Funds: _________**
**Please Specify Source of Other Funds (Fees, Grants, etc.) __________________________________________
Date Contract Effective: __________________________
Date Contract Ends: __________________________
Type Contract: NEW: ______ RENEWAL: ______
AMENDMENT: ______
If Renewal, was it originally Bid? YES ______ NO ______
If AMENDMENT, Complete A through C:
[A] ORIGINAL contract amount
$ _________________________
[B] Amended total prior to this amendment
[C] Amended total after this amendment
Was Contract Secured through Bid Process? YES ______ NO ______ Was lowest Bid accepted? YES ______ NO ______
Was Contract Secured through RFP Process? YES ______ NO ______ Date RFP was awarded: ______________________
Posted to Statewide RFP Database at http://rfp.alabama.gov/Login.aspx? YES ______ NO ______
If NO, give a brief explanation as to why not: ________________________________________________________
Summary of Contract Services to be Provided: ____________________________________________________
__________________________________________________________________________________________
Why Contract Necessary AND why this service cannot be performed by merit employee: __________________
I certify that the above information is correct.
___________________________________________
_________________________________________
Signature of Agency Head
Signature of Contractor
Printed Name of Agency Head
Printed Name of Contractor
Agency Contact: ________________________________________________ Phone:_____________________
Revised 8/2/17
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