Purchase Request Form for Projects
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Request Number
Quote Total
*
$5k - $249k
$250k - $999k
$1m - $4.99m
Over $5m
Urgency
*
Please Select
RUSH- Within 24 hours
Normal: Within 48-hours
Project Number
*
Please Select
CA-0530 - North Fork
CA-0558 - Tejon Hard Rock
CA-0583 - Acorn Ridge
CA-0585 - Cate School WWTP
CA-0593 - Russian River Bottling Brewing
CA -3592 - Tejon O&M
CA-9583 - Acorn Ridge Casino (Ione) Prod.
CO-0536 - Morrison Creek
CO-0557 - Rocky Mountain Rail
CO-0570 - Jellystone
NC-3500 Spruce Pine
NM-0526 - Pojoaque
NM-0575 - Santo Domingo (pre con)
NM-0594 - Santo Domingo Project B
NM-0595 - Santo Domingo Project C
NM-0590 - RDO
TX-0501 - Brady
TX-0503 - Turner's Crossing
TX-0531 - Water Wheel
TX-0533 - Lometa
TX-0540 - South Fork
TX-0542 - Double Eagle
TX-0566 - Kyndwood
TX-0591 - Kynwood II/III FS
TX-0568 - McKinney Roughs
TX-0574 - Gatehouse
TX-0586 - Briar Creek
TX-0596 - Lometa Frac Tank
TX-0597 - Two Chimneys FS
TX-600 - Sinton Farms FS
TX-0601 - Spring Creek Regional WWTP
TX-0602 - Hickory Ridge Temporary WWTP
TX-0610 - Keenan South Phase I WWTF
TX-3600 - Sinton Ranch WWTP Eng
TX-7598 - Simmons Valley Lease
TX-9591 - Kynwood Phase II/III BB
TX-9600 - Sinton Ranch Product
TX-9601 - Spring Creek Product
TX-9602 - Hickory Ridge Product
WA-0579 - Mistequa
WA-0584 - Airway Heights Procurement
WA-0567 - Sycuan
Other (See below)
Tax Exempt Status
*
Please Select
Yes
No
Tax Exempt Rules and Regulations (If Yes)
Upload Tax Exempt Regulation (If Yes)
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Amount of Material That Would Be Taxable (If Yes)
*If Tax Exempt*
Payment Terms
*
*Please specify Net 30,45, etc.*
Payment Schedule (e.g. Amount at Submittals, At Delivery, At Commissioning)
*
Start-up Included?
*
Please Select
Yes
No
If Yes List Amount
*
Freight Included
*
Please Select
Yes
No
Amount of Freight
*
Retainage
*
Is this request for a Services Subcontract? Note: ALL Services PO's must include a signed Subcontract at the time of PO Request.
*
Short Form: < $25k value
Long Form: > $25k value
PO Request
Delivery Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submittal Due Date and Submittal Approval Date
Additional Schedule Milestones (click SAVE after each entry)
Delivery Contact (Superintendent)
*
Requestor Name
*
First Name
Last Name
Requestor Email
*
example@example.com
Notes and Special Delivery Instructions
Quote Upload
*
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Drag and drop files here
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Cancel
of
GL/Cost Code
*
Submit
Should be Empty: