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Emergency Procurement Justification Form

See Administrative rules Chapter 11 — 117 for detailed information regarding 'sole source and emergency procurement'.

An emergency procurement shall be avoided unless clearly necessary and justifiable. The DAS director or designee may exempt the purchase of goods from competitive selection processes when the purchase qualifies as an emergency procurement as a result of the following circumstances:

  1. Threatens public health, welfare or safety; or
  2. In which there is a need to protect the health, welfare or safety of persons occupying or visiting a public improvement or property located adjacent to the public improvement; or
  3. In which the department or agency must act to preserve critical services or programs; or
  4. In which the need is a result of events or circumstances not reasonably foreseeable.

Agency department directors approve all sole source or emergency requests for services.

To be completed by Requesting Agency

Agency Information
Agency Director or Designee

Your information will be sent to:
Dept of Administrative Services
Central Procurement Bureau
Hoover State Office Bldg, 3rd Floor
Des Moines, IA 50319-0105

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