Use this form to request DAS Central Procurement Bureau to conduct a bid for goods and services. View all existing contracts. Requestor Name Agency Phone Fax Email * What is the estimated value of the Requisition? * Will this purchase require Iowa Department of Management (IDOM) approval? Yes No Are Federal Funds involved? * Yes No Will this purchase require Office of the Chief Information Officer (OCIO) approval? Yes No Enter the four required accounting codes below: Fund (4 digits) * Department (3 digits) * Unit (4 digits) * Object Code (4 digits) * Do you have additional accounting codes to enter? Yes No Fund (4 digits) Department (3 digits) Unit (4 digits) Object Code (4 digits) Do you have additional accounting codes to enter? Yes No Fund (4 digits) Department (3 digits) Unit (4 digits) Object Code (4 digits) If you want a specific document ID, enter it here: Select all documents that you want to be copied on during the bid process: Posting to Technology Advisory Council Bids Notice of Intent to Award Posting to Bid Opportunities Addendums Contact/Purchase Order If you do not select any of the documents above, you will be presented with the contract/purchase order at completion of bid. You will be notified if all bids come in higher than your estimate. Person who should be copied on the above documents: Name (to be copied) Email (to be copied) Do you want a site visit? Yes No A vendor's conference? Yes No List the vendor that you would like to receive the bid including their email address: Vendor Name Vendor Email More vendors to receive the bid? Yes No Vendor Name Vendor Email More vendors to receive the bid? Yes No Vendor Name Vendor Email More vendors to receive the bid? Yes No Vendor Name Vendor Email More vendors to receive the bid? Yes No Vendor Name Vendor Email Have any Vendors been involved with the creation of the specifications? * Yes No Click here to lookup Commodity Codes. Please email any supporting files to email@example.com. Commodity/Service specifications: * Commodity Code: Quantity: Estimated Delivery Date: * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201620172018201920202021202220232024202520262027 Ship to: * Bill to: * Do you want the result of the bid to be a: MA PO If a MA, what is the amount of usage? Do you want to view samples? Yes No Are you requesting a Bid Bond? Yes No Performance Bond Yes No Your information will be sent to: Department of Administrative Services Central Procurement Bureau Hoover State Office Bldg, 3rd Floor Des Moines, IA 50319-0105 CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.