12000010103 Equipment Rental of a Portable Crusher with Operator
12000010103 Equipment Rental of a Portable Crusher with Operator
12000010103 Equipment Rental of a Portable Crusher with Operator
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EO1 625 <strong>12000010103</strong> 1 Action: ApprovedEO1 2008-011Finance and Administration CabinetExecutive Order 2008-011Request FormRequesting Department:625Department Of Highways Record Date:2012-06-06Requestor ID:JJN0026Requestor Name:NANCY ALBRIGHTShort Description:Type <strong>of</strong> Request:<strong>Equipment</strong> <strong>Rental</strong> <strong>of</strong> a <strong>Portable</strong><strong>Crusher</strong> <strong>with</strong> <strong>Operator</strong>OTHER GOODSRequestor Phone Number: 502-564-4556New or Expanded? NoProcurement Method:Submit Requisition Cost: 500,000.00 Estimate/Actual? EstimateIs this Item a Replacement?NoIf so, Asset Tag#:What will happen to the replaced item?What Document is Requested? Blanket WaiverIf on Contract, Give Contract #:Vendor (if any):TBDPurpose and Justification:The Division <strong>of</strong> Maintenance requests blanket approval to establish a master agreement and issue delivery orders for<strong>Equipment</strong> <strong>Rental</strong> <strong>Portable</strong> <strong>Crusher</strong>. As a result <strong>of</strong> many <strong>of</strong> our projects, the Department obtains several thousands <strong>of</strong> tons <strong>of</strong>asphalt millings, which we use for various types <strong>of</strong> maintenance activities. Over time, these millings stockpiles harden up andrequire crushing by mechanical means in order to establish gradations for proper use on our projects. The total amount <strong>of</strong>these contracts should be approximately $500,000. The source <strong>of</strong> funding will be Maintenance (FE01) road funds.Your favorable consideration is greatly appreciated. Should you need additional information, please contact Nancy Albright,Director, Division <strong>of</strong> maintenance, 502-564-4556.
EO1 625 <strong>12000010103</strong> 1 Action: ApprovedEO1 2008-011Funding Source:RoadProgram Code:If Federal, Give CFDA#:Percentage <strong>of</strong> Each Funding100FAC approval <strong>of</strong> a Request Form means the review required by the Executive Order has been completed, and the items or services have beenauthorized to begin the procurement process. Agencies must procure these items or services according to procurement policies andprocedures, administrative regulations, and statutes. Special authority requests, delegations and other specific methods <strong>of</strong> procurement are notapproved through this review- identifying the procurement method is for the Committee’s information only. Follow normal request procedures toobtain approval for specific methods <strong>of</strong> procurement. Funding source must be in accordance to GOPM policies, regulations and statutes.I certify by submitting this form electronically, that an original, signed by the Cabinet Secretary or authorized agency head, is maintained at theagency level. If the agency head applies an electronic approval it is not necessary to maintain the signed original on file. In addition, the agencyhas considered the guidance provided by Personnel Cabinet regarding the distinction between an employee and an independent contractorbefore making this request, where applicable.This request approved by:________________________________________________________________________Cabinet Secretary or Authorized Agency HeadFor Agency Use:
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