Professional Consultant Services
Monthly Contract Reporting
 
Report only professional consultant service contracts with a total projected cost greater than or equal to $10,000 and less than $50,000. Report due by the 5th day of each month.
 
 
Agency Information:
Agency:
Division:
Contract No./OA No./PO No. :
 
Vendor Information:
Vendor Name:
Provide full legal name, no abbreviations.
Vendor Number:
Initial Contract Amount (digits and decimals only):
Report total dollar amount of contract, no individual payments
Total Projected Amount (including extensions):
Quantity:
Ex. 1 Year
Contract Period Start Date
ex. MM/DD/YYYY
Contract Period End Date
ex. MM/DD/YYYY
Method of Procurement:
Type of Service:
Provide description using up to 500 characters.
Agency Contact Name:
Agency Contact Phone Number:
Agency Contact E-Mail Address: