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Wherever possible, the University should procure goods and services from suppliers that have active contracts in place with Rutgers. Units are advised to check Find Products and Services or RU Marketplace. |  |  |  |  |\n| Can the requested goods or services be provided under an existing University contract?\u003Cbr>- If Yes, STOP. This form is not required. | ☐ Yes ☐ No |  |  |  |\n| Excess or Surplus Inventory. An excess or surplus inventory check should be done to assess opportunity to avoid purchasing new equipment and vehicles. Units should refer to the Rutgers Materials and Logistics webpage.\u003Cbr>Has surplus equipment been considered as an alternative to this purchase by checking the excess or\u003Cbr>surplus inventory? ☐ Yes ☐ No ☐ N/A |  |  |  |  |\n| Federally Funded. Will the unit utilize federal funds to finance this purchase? | ☐ | Yes | ☐ | No |\n| Capital Asset. Is this a purchase of a capital asset ([e.g. computer/lab equipment](e.g. computer/lab equipment) ; vehicles; machinery; etc. )? | ☐ | Yes | ☐ | No |\n| Independent Price Estimate. If this is a federally funded purchase, per Uniform Guidance 200 .323, the unit will need to complete an Independent Price Estimate prior to the issuance of any solicitation. For further clarification and instructions refer to the University Procurement Services webpage.\u003Cbr>Have you attached an Independent Price Estimate? ☐ Yes ☐ No ☐ N/A\u003Cbr>- If No, why not? |  |  |  |  |\n\n\n| PART II: SUMMARY OF RFX |  |  |\n| --- | --- | --- |\n| Unit Name: | Commodity Code: | Date Submitted: |\n|  |  |  |\n| Unit Contact Information: | Estimate Project Value/Budget: | Type of Contract: |\n|  | $ | ☐ One Time Purchase |\n|  |  | ☐ Multi-Year Purchase   No. of Years |\n|  |  |  |\n| Purpose and Intent of RFX (include or attach specifications if applicable) :\u003Cbr>The specifications must be general in nature and not specify “brand name only,” unless an equivalent good or service is acceptable. Any supplier who helped develop the specification should not be included in the solicitation, nor be awarded the contract. |  |  |\n|  |  |  |\n\nRFX Intake Form (v1AUG19) Page 1 of 3  \nRFX INTAKE FORM ($150,000 or greater)  \nPART III: BIDDERS & EVALUATION COMMITTEE LIST  \nBIDDERS LIST. In the table below, recommend potential bidders the unit would like to include on the solicitation distribution list. Rutgers encourages supplier diversity. Small, minority-owned, woman-owned, disadvantaged, veteran-owned and Labor Surplus Area (LSA) businesses should have the maximum practicable opportunity to participate in solicitation of bids/proposals. For more information refer to the University Supplier Diversity Program webpage. If the list includes a diverse or LSA bidder, check the box to the right.  \n\n| Bidder Name | Contact Name | Email & Phone Number | Diverse or LSA Bidder |  |\n| --- | --- | --- | --- | --- |\n|  |  |  | 􀂆 |  |\n|  |  |  | 􀂆 |  |\n|  |  |  | 􀂆 |  |\n|  |  |  | 􀂆 |  |\n|  |  |  | 􀂆 |  |\n|  |  |  | 􀂆 |  |\n|  |  |  |  | 􀂆 |\n\nEVALUATION COMMITTEE LIST. The Evaluation Committee is responsible for objectively evaluating proposals received and providing a recommendation as to which bidder proposal is most responsive to the University needs specified in the solicitation. Provide a list of the Evaluation Committee members, along with their contact information.  \n\n| Committee Member | Unit Name |  | Email & Phone Number |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\nRFX INTAKE FORM ($150,000 or greater)  \nPART IV: ADDITIONAL QUESTIONS  \nBased upon the goods or services the unit is s","cbCainCE5w8svQR7","https://ap.wps.com/l/cbCainCE5w8svQR7","pdf",1218283,"English","# Part I: Preliminary Questions\n## University Contract\n## Excess or Surplus Inventory\n## Federally Funded\n## Capital Asset\n## Independent Price Estimate\n# Part II: Summary of RFX\n## Unit details and budget\n## Purpose and intent of RFX\n# Part III: Bidders & Evaluation Committee List\n## Bidders list\n## Evaluation committee list\n# Part IV: Additional Questions\n## ICED determination\n## Protected information and data risk","[{\"question\":\"When is this RFX Intake Form required and where should it be sent?\",\"answer\":\"It applies to RFXs ($150,000 or greater). The completed form must be sent to the Campus Liaison.\"},{\"question\":\"What happens if the requested goods or services can be provided under an existing university contract?\",\"answer\":\"If the answer is yes, the instructions state to stop, because this form is not required.\"},{\"question\":\"What additional items must be provided when the purchase is federally funded?\",\"answer\":\"When federally funded, the unit must complete an Independent Price Estimate prior to issuing any solicitation, and the form asks whether an Independent Price Estimate has been attached (or why not).\"}]","RFX Intake Form - v1AUG19 - RFX intake for $150,000 or greater | PDF",1789842752]