COLUMBIA NANO INITIATIVE (CNI)
PURCHASING CHECKLIST
Department Name:
Department Contact:
Date:
Contact Phone:
Business Justification
(mandatory):
Total Cost*:
Documents Included:
☐
☐
☐
☐
☐
Scope of Work (SOW)
Service Provider Agreement
Resume/Brochure/ Client List
Bid Analysis
Fund Approval
☐
☐
☐
☐
Sole Source Justification Form (SSJ)
Certificate of Insurance (COI)
Quote/Proposal/Invoice
Independent Contract Certificate (ICC)
For New Vendor Setup:
Vendor Contact:
☐ W9 or W8
☐ Vendor Completed On-line Vendor Questionnaire Contact Email:
Phone Number:
☐ Vendor Completed online direct deposit form
Fax Number:
Products $1–$2,500: 1 bid, $2,501–$9,999.99: 2 bids, $10,000 and higher - 3 bids
Services and Software - $25,000 and higher - 3 bids
☐ P-CARD REQUEST (under $2,500)
☐ PURCHASE REQUEST ($2,500 and over)
CHEMICAL ORDER REQUEST FORM
COLUMBIA NANO INITIATIVE (CNI)
Main Number: 212-854-3265
Submit Electronic Requests to cise@columbia.edu
Please check one:
☐ Regular Order
☐ Emergency Order
☐
☐
☐
(68010) For Capital Equipment
(61910) For Minor Equipment
(68100) For Components of Permanent Equipment, Must Provide:
*NOTE: ALL CHEMICAL ORDERS MUST BE DELIVERED TO PUPIN BUILDING.
Date:
Vendor Name:
Web URL:
ATTN:
Vendor Address:
City:
Zip Code
Phone:
Item
1
2
3
4
5
6
Quantity
COLUMBIA’s SHIPT TO (check one)
☐ Chem Receiving Pupin 200
State:
Fax:
Part Number
Short Description
Unit Cost
Amount
S&H:
Estimated
Total:
Unit
COLUM
Dept.
PC Bus Unit
Ordered By:
Professors Approval Signature:
OFFICE USE ONLY
Order Received:
-Revised 2/18/15
Project
Activity
Initiative
Segment
Email:
Print Professor’s Name:
Reference #
Reference #
Reference #
Reference #
Reviewed By:
Reconciled Amount
Reconciled Amount
Reconciled Amount
Reconciled Amount
Processed By:
Fund
Function