New Jersey Administrative Code
Title 5 - COMMUNITY AFFAIRS
Chapter 34 - LOCAL PUBLIC AND PUBLIC SCHOOL CONTRACTS LAWS
Appendix B
N.J. DIVISION OF LOCAL GOVERNMENT SERVICES SUBMISSION CHECKLIST
Purchase At 10 Percent Less Than The State Cooperative Contract Price
40A:11-5(4)
| CONTRACTING UNIT'S NAME: | COUNTY: |
| __________________________________________ | _____________________________ |
| ITEM PURCHASED: | DATE: |
| _____________________________________________________ | ________________________________ |
The Local Public Contracts Law at 40A:11-5(4) requires information on this particular type of purchasing transaction(s) to be filed with the Director of the Division of Local Government Services. The rule, 5:34-9.6, codifies and supplements the requirements of the provisions of law. The rule requires documentation to be submitted to the Director within five (5) working days of the award of any such contract. The following documentation is submitted:
| DOCUMENTATION | INCLUDED WITH SUBMISSION | |||
| 1. | Copy of the purchase order with the reference 5:34-9.6 | YES ( | NO () | |
| included; | ) | |||
| 2. | Copy of the requisition or request for purchase order (if | YES ( | NO () | |
| applicable); | ) | |||
| 3. | Written certification by the purchasing agent stating that the | YES ( | NO () | |
| purchase price of the materials, supplies or equipment is at least 10 | ) | |||
| percent less than the State contract price. | ||||
| 4. | Documentation verifying that the materials, supplies or equipment | YES ( | NO () | |
| purchased by the contracting unit are identical to the materials, | ) | |||
| supplies or equipment on State contract. | ||||
| 5. | Copy of each request for quotation issued by the purchasing | YES ( | NO () | |
| agent; and, | ) | |||
| 6. | Copy of each of the three (3) quotations received by the | YES ( | NO () | |
| purchasing agent, which shall include the vendor's name and address and | ) | |||
| identification of items offered, prices quoted, and percent discount | ||||
| (if applicable); and, | ||||
| 7. | Copy of the adopted resolution approved by two-thirds affirmative | YES ( | NO () | |
| vote of the full membership of the governing body. | ) | |||
| OTHER COMMENTS: Please use a separate sheet of paper and attach | ||||
| to Checklist. | ||||
| FORM SUBMITTED BY: | ||||
| ________________________________________________ | _______________________________ | |||
| (Please Print Name) | (Title) | |||
| ________________________________________________ | _______________________________ | |||
| (Telephone or E-mail) | (Date) | |||
Please return this form with all the required documentation to the Bureau of Local Management Services at the Division of Local Government Services, at PO Box 803, Trenton, NJ 08625-0803.
