OFFICE OF GENERAL COUNSEL
CONTRACT ROUTING FORM
GENERAL INFORMATION
SUMMARY OF CONTRACT TERMS
Requesting Department & Contact Person
CHECKLIST
Complete and submit with contract for review
Contract with
Requirement
Telephone
Fax
Description
Email
Date Submitted
for Review
Requested Date for
Review Completion
Date:
Start
Purpose of Review
(check below)
Date:
End
Date:
Renewal
Payment(s)
Due
Competitive Process
(check below)
New Contract
RFP
Modification
RFQ
Termination
ITB
Terms
Payment
Period
N/A
Waiver of
Competitive Section
(attach completed
waiver)
Amount per
Period
Total Amount
of Contract
Source of Funds
If N/A for Competitive Process, please explain:
Review of
University
Purchasing
Policies
The contract does not conflict with the
University’s Purchasing Policies,
available at
http://www.csuohio.edu/purchasing
Contract,
Exhibits and
Appendices
The contract and all documents
incorporated by reference in the
contract, including exhibits and
appendices, are attached.
Contracting
Party
The name of the contracting party is
listed as “Cleveland State University”
(not a department or school).
Vendor Name,
Address,
Contact Person
The full name, address, legal status
(i.e., corporation, partnership, etc.) and
contact person of vendor are listed.
Understanding
Written contract matches the verbal
understanding of all parties. The
contract reflects the business deal and
specifications for the product and/or
service being provided by vendor.
Competition/
Conflicts and
Existing
Contracts/
Compliance
This contract does not conflict with any
other contracts, promises or
obligations of the University. The
requesting department has verified the
University can comply with all terms
and conditions.
Term of
Contract
Start and end dates of contract are
included. Any renewals are included.
Warranties/
Guarantees
Warranties or guarantees give
satisfactory protection.
Indemnity
The University will not indemnify or
hold harmless a third party.
Governing Law
and Venue
Ohio courts and Ohio law govern any
dispute arising under the contract.
Renewals
No automatic contract renewals.
Biennium
The contract term does not cross the
current biennium (June 30, 2015).
Insurance
University Risk Manager has approved
insurance clause(s).
Total Cost
Involved
The contract involves:
Authorized Signatory
IDENTIFY WHO WILL SIGN CONTRACT ON BEHALF OF CSU
PURSUANT TO CSU POLICY
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Certified
Complete
Description
TO
FROM
University (CHECK ONE)
CLEAR FORM
OGC 09/2014
PRINT
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