1. DEPARTMENT OF EDUCATION
    1. Purpose of Contract/Summary of Services:
    2.      
    3. Explanation of Method of Payment:
    4.      

 

 

DEPARTMENT OF EDUCATION

CONTRACT SUMMARY/REVIEW FORM

 

 

Contract Manager:

     

     

     

 

Contract Manager’s Name

Title

Date

Division/Bureau:

     

     

 

Division

Bureau

Phone Number:

         

Check One :

       

Original Contract

     

Amendment

     

Renewal

     

Extension

     

Original

Contract

Amt. $

     

Amendment/ Renewal/

Extension Amt. $

     

Total Contract

Amt. $

     

Contract No.

     

Contractor Name:

     

 

 

 

Start Date:

     

End Date:

     

Need by Date:

     

  


Purpose of Contract/Summary of Services:


     

 


Explanation of Method of Payment:


     

 

Special Instructions:  

 

 

 

Back to top

Contract Administration Use only

 

DATE REC’D CONTRACT ADMINISTRATION: 1ST _______________ 2ND ______________ 3RD ______________

 

CONTRACT ADMINISTRATION REVIEWER: ___ ____ PHONE: ______ -_    _______