State of Iowa

info@iowa.gov

200 E Grand, Des Moines , IA, 50309, US

Print Document

When you click Print below we will prepare a printable document for you. It will automatically download when it's ready.

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After completing the above, the next step is to sign and send this to either the agency's DOM analyst or to Awna Kotchian at OCIO.

If this is an IT project, select Awna.Kotchian@iowa.gov

If this is NOT an IT project, select your specific DOM agency analyst contact email.

When you "Sign and Submit," in addition to selecting your DOM contact or Awna, you will be prompted to provide the name and email address of your agency's Finance Officer and Department Director. The Finance Officer and Director must give approval for your request.

Signature HereClick to Sign

11/02/2024Click to Sign

Signature HereFinance Officer Will Sign Here

11/02/2024

Signature HereDepartment Director Will Sign Here

11/02/2024

Signature HereOCIO/DOM Procurement Review Will Sign Here

11/02/2024

Signature HereCIO or DOM Director Will Sign Here

11/02/2024

Signature HereKraig Paulsen Will Sign Here

11/02/2024

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Additional Signatures Required

Document Signers

- 1 Submitter
- 2 Finance Officer
- 3 Department Director
- 4 OCIO/DOM Procurement Review
- 5 CIO or DOM Director
- 6 Kraig Paulsen

Supporting Documentation

Please upload any documents regarding this procurement to support your request.

There is a 250MB limit on each attachment.

Attachment 1 Click Here to Upload

Attachment 2 Click Here to Upload

Attachment 3 Click Here to Upload

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Supporting Documentation

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Listed Signers

Other Signers (The signers below will be invited to sign once the above signers have signed.)

Kraig Paulsen