Form 108 11/17/2022	Virginia Department of Forestry Procurement Checklist

Vendor Name:
Vendor Data/Payment Method:	Accepts Electronic Orders?	YES	NO
Accepts VISA?	YES	NO	Accepts P-cards?	YES	NO
Comments:
1)	Could a Mandatory State Contract be used for the goods or services?	YES	NO
If Mandatory or Optional Contract used, State Contract Number listed on PO?	YES	NO
Minimum contract price verified?	YES	NO
2)	Is the vendor a SWAM-DMBE certified vendor?	YES	Small	Small-Woman	Small-Minority	Micro	NO
If no, must justify using Coding below.	(REQUIRED)
3)	Is the vendor eVA registered?	YES	NO
Have the goods or services been entered into eVA?	YES	PO #:	NO
If no, justify.
4)	Does eVA address match the invoice being processed?	YES	NO
If no, is it the vendor’s HQ location?	YES	NO
If no, justify.
5)	Is this a Sole Source Purchase (for orders $5,000 and greater)?	YES	NO
If yes, is the sole source form (Form 118) attached? (REQUIRED)	YES	NO
Has Sole Source been posted on VBO? (REQUIRED)	YES	NO
6)	Is this an Emergency Purchase?	YES	NO
If yes, is the emergency award justification form (Form 109) attached? (REQUIRED)	YES	NO
If yes, was a purchase order processed into eVA marked as Emergency (E01)?	YES	NO
Has Emergency Purchase been posted on VBO? (REQUIRED)	YES	NO
7)	Is a Quote/Estimate attached? (REQUIRED)	YES	NO
Is this a Contract?	YES	Contract #	NO
8)	Is a Certificate of Insurance attached for services done on State of Virginia property? (REQUIRED)	YES	NO
Certificate must be current for the term of the work and/or contract.	Certificate Expiration Date:
9)	Is the vendor on the state debarment list? (Debarment list can be found on the eVA website, www.eva.virginia.gov, after log-in)	YES	NO
PREPARER NAME (print)	PREPARER SIGNATURE	DATE
REVIEWER NAME (print)	REVIEWER SIGNATURE	DATE
Reviewer’s Comments:
Key for DMBE Coding	Key for eVA Exclusion Coding
PNR	Price Not Fair & Reasonable	SS	Sole Source	ADV	Advertisement
DVNA	DMBE Vendor Not Available	OTHER	Contract Purchasing Prior to Purchase	REG	Conference Registration
DI	Distance to Vendor Problematic	HON	Honoraria/Awards
OC	Optional Use Contract	UTI	Public Utilities
MC	Mandatory Contract Source	GOV	State/Government Purchase
EP	Emergency Purchase	OTHER	Specify – Refer to complete Exclusion List