- Administrative Policy 4-2 Purchasing Policy
Administrative Policy 4-2 Purchasing Policy
Policy 4-2 PURCHASING & PAYMENT PROCEDURES
PLEASE CLICK HERE FOR A FULL PDF VERSION OF THIS POLICY.
DISTRIBUTION: All Departments
EFFECTIVE DATE: November 3, 2017 SUBJECT: Purchasing Policy
PURPOSE: The purpose of the purchasing policy is to ensure that competitive bidding and fair
purchasing practices are utilized by all City departments, agencies or entities that utilize the services of
the City of Lawton Financial Services Division, which will maximize their ability to successfully provide
quality service to the citizens of Lawton. This policy shall be the primary source for purchasing
BACKGROUND: The City of Lawton Purchasing Policy was established in January 2003. On
September I, 2006 the policy was updated by the City Manager and those changes remained in effect
until May 22, 2014. On April 22, 2014 the Lawton City Council adopted Ordinance No. 14-1 I, which
increased the contract amounts that required formal competitive bidding in Lawton City Code. The
effective date of Ordinance No. 14-11 is May 22, 2014. This purchasing policy was updated on May 22,
2014 to correspond with the increased amounts authorized by City Code
a. This policy shall be followed by all City departments, agencies or entities that utilize the services of the
City" of Lawton Financial Services Division, make purchases for the City of Lawton, or utilize City of
b. The Financial Services Division Supervisor is charged with monitoring compliance with this policy,
with keeping department directors and division supervisors informed on problem areas and with
providing necessary training to City employees on proper purchasing procedures.
c. All supervisory personnel are charged with ensuring that all purchases made by their entities are in
accordance with this policy. They are further charged with working with the Financial Services Division
Supervisor in resolving problems and requesting training for their personnel where needed.
d. This policy does not apply to the selection of contractors for the CDBG Homeowner Rehabilitation
Program, and HOME Homeowner Programs. Procedures for selecting contractors for the Homeowner
Rehabilitation Program are covered in Administrative Policy 7-1.
2. Capital Outlay Expenditures. In addition to this policy, Administrative Policy 13-1 must be
followed for Capital Outlay expenditures.
3. Exemptions. §10-1-I 13C of the City Code exempts architectural engineering, legal and other
professional services from competitive bid procedures. Using this guidance, professionals in the arts will
also be exempted. §10-1-113D of the City Code exempts utility service from the competitive bid
procedures. Purchases for fuels, computer equipment, auto parts, road oils, and PVC pipe are
accomplished by spot bidding (§10-1-101C, E and F, City Code). These items may be purchased to a
limit of $50,000.00, with the exception of PVC Pipe which has a limit of $75,000.00. 57 O.S. §549.1D
allows purchases from the Department of Corrections without competitive bids.
4. Encumbrances. Departments/divisions shall encumber funds as necessary to obtain a purchase
order in advance. Encumbrances are also used to set aside monies for known obligations. Encumbrances
are processed using the guidelines established by this policy. Any requirement for quotes must be adhered
to prior to processing an encumbrance.
5. Sole Source. There are times when an item is only available from a single source. Sole source
requests are approved when the goods/services can be obtained from only one known vendor. The
following applies to sole source purchases:
I. Sole source requests must be submitted and approved before the obligation of funds. Sole source
requests must be made using the format enclosed as Figure 1. All information required in the
draft memorandum must be provided.
2. Before approval of a sole source request, actions will be taken by the Financial Services Division
to find other sources for the goods/services.
3. For repeated purchases from the same vendor, such as library book purchases, an encumbrance
may be submitted to cover subsequent purchases. Requisitions submitted after receiving approval
must reflect the approval number and date in the Remarks section of the requisition.
4. No City funds are to be obligated before the approval of the Sole Source request.
6. Computers. Purchases of computers, computer related equipment, and software must be
reviewed and approved by the Information Technology (IT) Supervisor. The requisition must be initialed
by the IT Supervisor prior to being submitted to the Financial Services Division.
7. Communications Equipment. Purchases of radio, pager, telephone equipment or services, and
any other communications equipment must be coordinated and approved by the Electronic Maintenance
Division or IT Supervisor. This action must be taken in accordance with Administrative Policy 14-I,
dated June 14, 2001.
8. Department/Division Director Approvals. All documents submitted for processing must be
approved by department/division directors. This includes purchase requisitions, new specifications,
requests for bids/proposals (gold sheets), and department/division recommendations pertaining to formal
bids and proposals.
9. Local Vendor Preference. In accordance with §10-1-102, 10-1-108, and 10-1-116 of the City
Code, as amended by Ordinance 99-14, the City may give preference to local vendors who have
submitted bids within five percent (5%) of the lowest responsive bidder who is not a local vendor. This
preference shall not apply to public construction contracts. "'Local vendor" means any person or business
whose primary place of business is located and operating within the corporate limits of the City who
submits responsive bids for the purchase of goods and materials in response to the City' s solicitation for
10. State Contract. Items on the state contract may be purchased without obtaining bids, subject to funds
being available, in accordance with city code 10-l-113E.
11. Public improvement construction contracts under $ 50,000.00 may be awarded to the lowest
responsible bidder after receipt of written quotes obtained by Financial Services. Bidders must complete
and sign the invitations to bid and contract form as shown in Appendix E. Vendors will be notified at the
time of solicitation if mandatory' pre-quote conferences are scheduled.
12. Specific purchasing topics are addressed in the following appendices:
a. Appendix A - Purchasing Limits
b. Appendix t3 - Approval Requirements for Purchases
c. Appendix C -
d. Appendix D -
e. Appendix E -
f. Appendix F -
g. Appendix G -
h. Appendix H -
i. Appendix I -
Specifications - Purchases Costing $10,000.00 or more
Formal Bid Processing
Invitations to Bid and Contract
Contract Change Order Procedures
Extension of Contracts
REFERENCES: Chapter 10, Lawton City Code and Administrative Policies 7-1, 13-1, and 14-1.
RESCISSION: This policy rescinds Administrative Policy 4-2 dated May 22, 2014.
RESPONSIBLE DEPARTMENT: Finance (Financial Services)
Jerry Ihle},..• - • -- "
Novemebr 3, 2017
Figure 1 - Example of Sole Source Request
Figure 2 - Form FN 528 (Gold Sheet)
Figure 3 - Form 36-002 Contract Change Order
Figure 4 - Affidavit for Payment
1. Maximum Purchase Limits.
a) The total limit a department/division may spend on one order, ticket or item without competitive
quotes is $ 4,499.99 .+
b) A minimum of three (3) oral or written quotes are required to be obtained by the
department/division on any one item or total order/invoice that costs between $ 4,500.00 and $11,999.99.
Dividing a single day's purchase from one (1) vendor into separate tickets will not exempt the purchase
from requiring oral quotes. Splitting a purchase to avoid the competitive bidding requirements is a
violation of City Code and State law. Quotes must be documented on the requisition or attached as a
separate document. A valid quote must include price, quantity, contact name, and telephone number. If
quotes have been received from an online source, quotes must include price, quantity, website and phone
number. Quotes received will be evaluated according to what is in the best interest of the City without
bias. The Financial Services Division reserves the right to confirm all vendor quotes and may request
additional quotes from known vendors if it be in the best interest of the City.
c) Purchases that cost between $ 12,000.00 and $50,000.00 must be forwarded to Financial Services
for three (3) written quotes. When submitting invoices to Financial Services for payment, all quotes must
accompany the invoice(s).
d) Any purchase over $50,000.00 requires formal bidding and a contract.
2. Purchasing limits pertain to items not covered by a City requirements contract. Items covered by
contract may be purchased above these limits.
3. Costs associated with things such as shipping, insurance, delivery and warranty shall be included
in computing the total cost of the purchase. If circumstances surrounding a solicitation will not allow the
same to be computed, an exception may be granted by Finance Director.
4. A non-collusion affidavit shall be required with any formal bid over $50,000.00. If items are on
contract, an affidavit must be on file in Financial Services. It is the responsibility of the
department/division to obtain this affidavit when needed.
5. For invoices exceeding $25,000, the department/division must obtain from the vendor the
affidavit for payment (Figure 4) and attach it to the invoice prior to sending it to Financial Services for
6. When obtaining oral quotes, one "no-bid" may be accepted if the phone number and point of
contact are recorded. No requisition may be processed with two "no-bids". If the department/division is
unable to obtain necessary oral quotes, they may forward the solicitation to Financial Services for
assistance. The vendor's name, address or website, item type, item price, quantity, and vendor's phone
number must be recorded for the oral quote to be complete. The Request for Quotes template located on
the P drive may also be utilized and sent to vendors.
7. Multiple purchases of the same item are considered a single item purchase. For example: one (1)
item costs $4,499.99 and may be purchased at will. Two (2) of this same item cost $8,999.98 and will
require three (3) oral quotes. Three (3) of the items cost $13,499.97 and require Financial Services to
obtain three (3) written quotes.
PURCHASING LIMIT GUIDELINES
Maximum Purchase Limits
Purchasing Department/Division Financial
Amount Services Remarks
$0 - $4,499.99 X No Quote Needed
$4,500 - $11,999.99 X Minimum of three (3) oral quotes
$12,000 Minimum of three (3) Written - $50,000 X
$50,000 or more X Requires Formal Bidding
woval Requirements for Purchases
Division XX XX XX XX 1 XX XX XX
Department XX XX XX XX 1 XX XX XX
Financial XX XX XX XX 1 XX XX XX
Finance XX XX XX 1
City XX XX 2
Special XX 3 XX 4 XX 5
Special payments (1) include damage claims, education reimbursements, petty cash
reimbursements, employee reimbursements, dues and membership payments, professional
services payments and travel.
Special payments (2) include petty, cash reimbursements and travel expenses paid to department
Purchases of computer and computer related equipment must be approved by the IT Supervisor.
This includes any hardware or software purchases. Computer supplies (e.g., paper, cartridges,
etc.) do not fall in this category.
Purchases of communications equipment (radios, telephone systems, pagers, etc.) must be
coordinated and approved by the Electronic Maintenance Division or IT Supervisor.
All purchases relating to motor vehicles and related equipment must be submitted through the
Equipment Maintenance Superintendent for approval prior to purchase. This will ensure all
motive equipment is entered into the maintenance program, unit numbers are assigned and issued,
and maintenance history for future repairs and replacement. All motor vehicles and equipment
must be turned in for disposal through the Equipment Maintenance Division in order to ensure
maintenance records are retired as needed and to salvage recoverable parts. Motor vehicle refers
to any vehicle that has a gas, diesel, propane or compressed natural gas engine that is not
permanently fixed to a facility or facility process. Contact the Equipment Maintenance
Superintendent if uncertain as to whether a particular item qualifies as a motor vehicle or related
Specifications Committee - Purchases Costing $10,000.00 or More
A. The Specifications Committee will review all specifications of goods and services whose cost is
estimated to be $10,000.00 or greater, and have no existing approved specifications. Departments/
divisions must coordinate with Financial Services when specifications will be presented to the
Specifications Committee as it typically only meets one ( 1 ) time per month at the discretion of Financial
Services Supervisor. A department!division representative must attend the Specifications Committee
meeting in order to present the item. The assigned Buyer within Financial Services should also attend the
meeting as necessary.
B. The Specifications Committee will be composed of the City Manger or designee, City Attorney or
designee, Equipment Maintenance Superintendent, Finance Director or designee, and the Parks and
C. Contracts and services administered by the City Engineer's office will not be required to have
review/approval by the Specifications Committee.
A. Financial Services Division
1. The Financial Services Supervisor, or designated representative, shall:
a) Attend all meetings to provide information and act in the capacity of advisor.
b) Have the authority to make recommendations and provide alternate specifications for
c) Schedule meetings as necessaw and prepare agenda.
d) Assist Departments/Divisions in the preparation of specifications.
e) Maintain a file of all approved specifications.
B. The Office of the City Attorney shall:
1. Attend all meetings in the capacity' of legal advisor and voting member of the Committee.
2. Review specifications to assure that all legal requirements are met and make recommendations
for changes at the Specification Committee Meeting.
C. Department/Division Responsibility:
1. Develop specifications for purchase/services that exceed $10,000.00.
2. Specifications shall not be restrictive and should allow for competitive bidding.
3. Prior to going to the Specification Committee for consideration, specifications for computers and
computer related equipment must be approved by the Information Technology (IT) Supervisor:
specifications for radios, telephone equipment or services must be approved by the IT Supervisor;
specifications for motor vehicles and related equipment must be approved by the Equipment
4. Special requirements, such as insurance needs, delivery times, or maintenance contracts should be
addressed in the specifications.
5. Submit the specifications to the Financial Services Division. Ensure that all necessary documents
are submitted with the specifications.
6. Attend Specifications Committee meeting to explain specifications.
Formal Bid Processing
Formal bids are required for purchases of $ 50,000.0 l or more.
The following documents are required to be submitted by the requesting department/division:
A. Request for Bids/Proposal, Form FN 528 (Gold Sheet) (Figure 2).
B. If the specifications have been previously approved, the department/division must review
and certify that the specifications are current. If specifications have not been approved,
they must be submitted to the Financial Services Division for review/approval prior to the
Financial Services Division advertising for bids. See Appendix C.
All of the above documents must be submitted prior to the Financial Services Division soliciting
4. All documents pertaining to a formal bid request (Gold Sheet, Requisition and Division
Recommendation for Award) must be signed by the department/division director.
5. All contracts that are included as part of a bid package must be the standard form contract that has
been approved by the Legal Department. If deviations are required, the contract must be reviewed by the
Legal Department prior to being included as part of the bid package.
MAIL SEALED PROPOSALS TO:
City of Lawton
212 SW 9th Street
Lawton, OK 73501
Date Proposal Typed:
City of Lawton
REQUEST FOR PROPOSALS
DIRECT INQUIRIES TO:
Date(s) Advertised: No Proposals Received After:
Proposal Number and Title: Proposal valid until:
Requirements-type Proposal: [--lyes  no
Vendor Name and Point of Contact: Reason for No Proposal:
City: State: 29 p:
Area Code and Phone Number:
FAX Area Code and Phone Number:
Federal Employer Identification Number or Social Security Number
THIS PROPOSAL INVALID IF NOT SIGNED AND NOTARIZED
STATE OF COUNTY OF , of lawful age, being first duly sworn, on oath says that:
1. Affiant is the duly authorized agent of the bidder/vendor and/or contractor submitting the competitive bid and executing the contract which is attached to this
statement, and that as such agent Affiant has the authority to bind the bidder/vendor, whether an individual, partnership, or corporation, for the purpose of
negotiating and entering into said agreement, and for certifying the facts pertaining to the essence of collusion among bidders and between bidders and City
officials or employees, as well as facts pertaining to the giving or offering of things of value to government personnel in return for special consideration in the letting
of any contract pursuant to the bid to which this statement is attached; 2. Affiant is fully aware of the facts and circumstances surrounding the making of the bid
and/or the procurement of the contract to which this statement is attached and has been personally and directly involved in the proceedings leading to the
submission of such bids; 3. Neither the bidder/vendor nor anyone subject to the bidder/vendor's d•ection or control has been a party: a. to any collusion among
bidders in restraint of freedom of competition by agreement to bid at a fixed price or to refrain from bidding, b. to any collusion with any municipal official or
employee as to quantity, quality or price in the prospective contract, or as to any other terms of such prospective contract, c in any discussions between bidders
and any municipal official concerning exchange of money or other thing of value for special consideration in the letting of a contract, nor d. to paying, giving or
donating or agreeing to pay, give or donate to any officer or employee of the City of Lawton, any money or other thing of value, either directly or indirectly, in
procuring the contract to which his statement is attached. 4. Affiant further agrees to be held personally liable in the event thatvAffiant has misrepresented the
scope or extend of Affiant's authority to bind the bidder herein, and to indemnify and hold harmless the City of Lawton its departments, boards, commissions,
agencies, institutions, and all employees of the aforementioned from all damages based upon such misrepresentation, including but not limited to all costs and
attorney fees incurred, in addition to any other remedies available by law.
(City, State, Tip)
SIGNATURE OF AUTHORIZED AGENT
PRINT/TYPE Name EFFI TLE
Subscribed & sworn before me this day of
My Commission expires:
Contract Change Order Procedures
I° Requests for contract change orders will be processed on Contract Change Order form, Form 36-002,
II. Contract change orders will be processed using the following procedures:
a. When there is a change of conditions that requires modifications to a current contract, the
responsible department/division will coordinate the change. The responsible department/division
will obtain a letter from the vendor outlining the changes and the costs associated with each
change. The department/division director will submit a memorandum, with vendor's letter
attached, and recommendation regarding the proposed changes to the Financial Services Division.
B. The Financial Services Division will review the request and send it to the City Attorney's office
for review. Upon completion of the legal review, the Financial Services Division will prepare a
Contract Change Order, Form 36-002, and forward it to the originating department/division for
C. The responsible department/division will forward the form to the vendor for completion. Upon
return from the vendor, the completed form will be forwarded to the Financial Services Division
for further processing.
D. The Financial Services Division will prepare the agenda item for City Council approval.
g. After approval, the Financial Services Division will provide copies of the approved Form 36-002
to the vendor and responsible department/division. If disapproved, the Financial Services
Division will notify the originating department/division.
III. Approval authority. The City Council is the ONLY approving authority for contract change orders.
1. Emergency Purchase Orders
A. Emergency situations occur which require purchasing goods or services immediately.
B. During normal duty hours. Before obtaining the goods/services, the department/division director or his
representative must call the Financial Services Division for an Emergency Purchase Order number. An
Emergency Purchase Order will be issued only after it is determined that the goods/services cannot be
obtained utilizing the routine procedures.
C. After normal duty hours. If an emergency occurs after normal duty hours, the department/division
director or his representative should have the work done. On the first business day after the emergency,
contact the Financial Services Division to obtain an Emergency Purchase Order number. The department
director must include a memorandum with the requisition explaining the circumstances that necessitated
the work being done on an emergency basis.
D. The Emergency Purchase Order is to cover the existing emergency. Any other work that needs to be
done must be processed in accordance with this policy.
E. Emergency Purchase Orders will not be issued for work expected to exceed $ 50.000.00 . These
emergencies must be approved by the City Council prior to the work being done.
F. The following information must be provided when requesting an Emergency Purchase Order number:
1. Nature of emergency
2. Efforts taken to resolve using routine procedures
3. Length of time problem existed
4. Estimated cost of goods/services
5. Vendor to be used to provide service
G. The Emergency Purchase Order number must be listed on the purchase requisition.
2. Authorization Numbers
A. Certain repairs are provided from a rotating vendors list. The Financial Services Division maintains a
list of approved vendors for the following services:
1) Alternator/Starter Repairs
2) Appliance Repairs
3) Electrical Work
4) Plumbing Services
5) Heat/Air Conditioning Repairs (for work not covered by contract)
6) Overhead Door Repairs
B. Before obtaining these services, the department/division must obtain an authorization number from the
Financial Services Division.
C. Authorization numbers are issued only for repair of current equipment.
D. After the repairs have been completed, the department/division must inform the Financial Services
Division of the costs incurred.
E. The authorization number must be listed on the requisition.
Transfers of funds within budgeted accounts may be made using controlled Internal Transfer forms
obtained from Financial Services. The following procedures must be followed to transfer appropriated
A. All transfers must be signed by the department/division director and the Financial Services Director.
B. The City, Manager will sign:
1) Any transfers out of the personnel services (100 series) accounts.
2) All transfers within the capital outlay (300 series) accounts for the purchase of items not
3) Any transfer over $10,000.00.
4) Transfers between statutory accounts, such as 100 series to 200 series, etc.
C. Transfers from one department to another department will be made pursuant to the current year Budget
D. Transmittal letters are not required to accompany a transfer form. However, in the reason for transfer
section, a brief description must explain the need for the funds going to the transfer-in account and the
reason funds are not required in the transfer-out account.
Extension of Contracts
Requirement contracts are bid for one (1) year, with the possibility of renewal for two (2) further years.
The following procedures shall be followed to extend an existing contract.
A. Approximately ninety (90) days before expiration date, the Financial Services Division will notify the
department/division director(s) of the expiration date and request their recommendation in writing on
whether to renew the contract. All recommendations must be signed or initialed by the
department/division director or assistant director.
l. If the department/division reply is affirmative, Financial Services will notify the vendor in writing
and request that the contract be extended. If the vendor agrees, a contract renewal form is signed and
returned by the vendor. If the vendor declines, Financial Services will advise the department/division
and get direction on how to proceed with the bid process.
2. If the department/division reply is negative, specific reasons for dissatisfaction with the contract must
be outlined in the department/division's reply. It is the responsibility, of the department/division to
notify' Financial Services on whether to proceed with any new bid solicitations.
3. For all contracts that are going out for the bid solicitation, instructions are provided in Appendix C,
Specifications, and Appendix D, Formal Bid Processing.
B. For contracts that are being extended, Financial Services will prepare an agenda item and contract
extension request for review by the City Attorney's office and ultimately submit it to the City Council. If
the extension is approved by City Council, the contract extension form is signed and copies are sent to the
department/division and to the vendor.
ATTACHMENTS - Appendix A-I, Figure 1
Sole Source Request
(to be submitted on Department letterhead)
TO: Financial Services Division
SUBJECT:Sole Source Request
Request that be accepted as a sole source provider for the
goods/services on the enclosed requisition. The goods/services requested are very specialized or a type of
acquired expertise is needed.
These goods/services will be used for the following:
A copy of the specifications for the goods/services is provided with this request.
To the best of my knowledge, is the only vendor that can provide these
goods/services. The goods/services must be obtained from this vendor for the following reasons:
The following is a brief description of all efforts which were made to determine if the goods/services are
available from our sources:
I understand that no city funds may be obligated for the goods/services until a determination is made on
this request. This department has not committed to purchasing these goods/services.
ATTACHMENTS - Appendix A-I, Figure 2
Form FN 528 (Gold Sheet)
REQUEST FOR BIDS
(FOR PURCHASES OF $ 50,000.01 AND OVER )
REQUEST FOR PROPOSALS
TO: Financial Services DATE:
1. ITEM DESCRIPTION :
(POINT OF CONTACT)
2. BUDGETED :
Yes Amount Budgeted
No Estimated Amount
3. TYPE OF CONTRACT :
One-time Purchase ( Attach copy of the requisition)
4. PREVIOUSLY APPROVED SPECIFICATIONS:
Yes Specifications Number & Date Approved:
No Attach a copy of detailed specification for item in correct format.
Attach Copy of Approved Transfer Request
5. KNOWN SOURCES OF SUPPLY : (Include all sources which have bid on similar items within the
preceding three (3) years.)
Division Supervisor Department Director
ATTACHMENTS - Appendix A-I, Figure 3
Form 36-002 Contract Change Order pg. 1
CITY OF LAWTON, OKLAHOMA
Finance Department, Financial Services
Contract Change Order
The City of Lawton
Change Order No.
and the above named vendor agree to the following changes in the previously
JUSTIFICATION FOR CHANGE
1. Specific items changed:
2. Necessity for change:
3. Is proposed change an alternate bid?
(Please Circle Yes or No)
4. Will this change affect expiration or amount of insurance
coverage? (Please Circle Yes or No) YES NO
Change in contract price due to this Change Order:
Difference between columns
Net change in contract price (Please Check One)
INCREASE DECREASE NO CHANGE
The sum of is hereby (Please Circle One) ADDED to DEDUCTED from the total
contract price, and the total adjusted contract price, for this vendor, to date thereby is
(Please Check One) INCREASED DECREASED NO CHANGE
FM 36-002 (July 96)
ATTACHMENTS - Appendix A-I, Figure 3
Form 36-002 Contract Change Order pg. 2
CONTRACT CHANGE ORDER (CONT)
The time provided for completion in
One) UNCHANGED, INCREASED, DECREASED by
all provisions of the contract will apply hereto.
the contract is (Please Check
calendar days. This document and
Purchasing Division Review: Date:
, Financial Services Supervisor
STATE OF COUNTY OF
.(name of affiant), of lawful age, being first duly sworn, on oath
1. Affiant is the duly authorized agent of the vendor awarded this contract and executing the above change
order, and that as such agent Affiant has the authority to bind the vendor, whether an individual,
partnership, or corporation, for the purpose of negotiating, altering and entering into said agreement, and for
certifying the facts pertaining to the existence of collusion among vendors and City officials or employees, as
well as facts pertaining to the giving or offering of things of value to government personnel in return for
special consideration in the letting or modifying of any contract entered to which this statement is attached; 2.
Affiant is fully aware of the facts and circumstances surrounding the making of the agreement and/or the
procurement of the contract to which this statement is attached and has been personally and directly involved
in the proceedings leading to the entry into such agreement; 3. Neither the vendor nor anyone subject to the
vendor' s direction or control has been a party: a. to any collusion among vendors in restraint of freedom of
competition by agreement to bid at a fixed price or to refrain from modifying this agreement; b. to any
collusion which any municipal official or employee as to quantity, quality or price in the contract, or as to any
other terms of such contract; c. in any discussions between vendors and any municipal official concerning
exchange of money or other thing of value for special consideration in the letting or modification of a
contract; nor d. to paying, giving or donating or agreeing to pay, give or donate to any officer or employee of
the City of Lawton, any money or other thing of value, either directly or indirectly, in procuring the contract
modification which his statement is attached. 4. Affiant further agrees to be held personally liable in the event
that Affiant has misrepresented the scope or extend of Affiant' s authority to bind the vendor herein, and to
indemni• and hold harmless the City of Lawton, its departments, boards, commissions, agencies, institutions,
and all employees of the aforementioned from all damages based upon such misrepresentation, including but
not limited to all costs and attorney fees incurred, in addition to any other remedies available by law.
Firm: SIGNATURE OF AUTHORIZED AGENT
(City, State, Zip) Subscribed & sworn before me this
My Commission Expires:
ATTACHMENTS - Appendix A-I, Figure 3
Form 36-002 Contract Change Order pg. 3
The City of Lawton, Oklahoma,
a Municipal Corporation
APPROVED as to form and legality on behalf of the City of Lawton on the
ENCUMBERING OFFICER REVIEW
I hereby certify, that the amount of this encumbrance has been entered against the designated
appropriation accounts and that this encumbrance is within the authorized available balance of said
Dated this day of ., 20
ATTACHMENTS - Appendix A-I, Figure 4
Affidavit for Payment
AFFIDAVIT FOR CONTRACTS AND PAYMENTS $25,000 OR MORE
State of Oklahoma
The undersigned (architect, contractor, supplier or engineer), of lawful age, being first duly sworn, on
oath says that this invoice or claim is true and correct. Affiant further states that the (work, services or
materials) as shown by this invoice or claim have been (completed or supplied) in accordance with the
plans, specifications, orders or requests furnished the affiant. Affiant further states that (s)he has made no
payment directly or indirectly to any elected official, officer or employee of the State of Oklahoma, any
count5r or local subdivision of the state, of money or any other thing of value to obtain payment of the
invoice or procure the contract or purchase order pursuant to which an invoice is required.
Business Name of Contractor, Architect,
Supplier or Engineer
Subscribed and sworn to before me this
My Commission Expires
day of ,20
Note: 62 Okla.St .Ann.:§ 310.9(B), Any county, municipality or school district executing a contract with
any architect, contractor, supplier or engineer for construction work, services or materials which are
needed on a continual basis from such architect, contractor, supplier or engineer under the terms of such
contract, or executing more than one contract during the fiscal year with such architect, contractor,
supplier or engineer, may require that the architect, contractor, supplier or engineer complete a signed
affidavit as provided for in subsection A of this section which shall apply to all work, services or
materials completed or supplied under the terms of the contract or contracts.