Local Purchase Order Form

This Sierra Leone-specific "Local Purchase Order Form" is a document released by the Sierra Leone National Public Procurement Authority.

Download the fillable PDF by clicking the link below and use it according to the applicable legal guidelines.

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Republic of Sierra Leone
Local Purchase
Order
Use of Document Draft
This Local Purchase Order (LPO) format should be used for low value procurements
following a Request for Quotations or a Direct Procurement procedure, or for very simple
requirements when a more comprehensive form of contract is unnecessary
Refer to the Local Purchase Order User Guide for guidance on preparing the LPO.
Explanation:
[ ] denotes the information to be inserted when drafting the LPO.
{ } denotes an explanation to procurement staff when drafting a Local Purchase Order –
these should be deleted from the final document before issue.
This entire page should be deleted once the Local Purchase Order is completed.
Page 1 of 3
Republic of Sierra Leone
Local Purchase
Order
Use of Document Draft
This Local Purchase Order (LPO) format should be used for low value procurements
following a Request for Quotations or a Direct Procurement procedure, or for very simple
requirements when a more comprehensive form of contract is unnecessary
Refer to the Local Purchase Order User Guide for guidance on preparing the LPO.
Explanation:
[ ] denotes the information to be inserted when drafting the LPO.
{ } denotes an explanation to procurement staff when drafting a Local Purchase Order –
these should be deleted from the final document before issue.
This entire page should be deleted once the Local Purchase Order is completed.
Page 1 of 3
[Name of Procuring Entity]
[Address of Procuring Entity]
L
P
O
OCAL
URCHASE
RDER
Procurement Number
Procuring Entity
Department/Project
Sequence Number
Bid/RFQ/RFP No
Contract/PO No
Financial Year
To: {Name And Address of Supplier}
…………………………………………………………..
…………………………………………………………………………………………………….
…………………………………………………………………………………………………..
Your quotation reference [reference number] dated [date of quotation] is accepted and you are
required to supply the goods or perform the works or services {amend as appropriate}as detailed on
the attached Schedule of Requirements against the terms contained in this Purchase Order. This order
is placed subject to the attached General Conditions of Contract for Local Purchase Orders, except
where modified by the terms stated below.
Specific Terms of this Purchase Order:
1)
Contract Sum: The Contract Sum is [state contract sum and currency].
2)
Completion Period: The goods are to be delivered or the works or services performed within
………… days/weeks/months from the date of this Purchase Order.
Warranty: The warranty/guarantee period is: …………………months.
3)
4)
Delivery point: The goods are to be delivered to, or the works or services provided at [physical
address]…………………………………………………………………………
5)
Contact Person: Enquiries and documentation should be addressed to [name and position of
individual] at [address] ……………………………………..………………………….
Telephone Number:……………..……………… Fax Number ……………………….
6)
Payment to Supplier:
Payment will be made in full within forty-five (45) days [or state alternative agreed payment
terms] on completion of satisfactory performance of the contract. The following documentation
must be supplied for payments to be made:
i).
An original and two copies of an Invoice;
ii). A delivery note evidencing despatch of the goods,
iii). A completion certificate signed by [Authority responsible for certifying satisfactory
completion of the order];
iv). [List other documents required e.g. packing lists, certificates, special shipping
documents]
7)
[Add any other specific terms of contract appropriate to the Local Purchase Order].
8)
The following documents attached as appendices form part of this Contract:
 Government of Sierra Leone General Conditions of Contract for Local Purchase Orders;
[List any other such documents]
Purchase Order Authorised by:
Signature:………………………………….. Name:………………………………………..…
Position:……………………………………………. Date: ……………………
Page 2 of 3
L
P
O
OCAL
URCHASE
RDER
(continued)
Procurement Number
Procuring Entity
Department/Project
Sequence Number
Bid/RFQ/RFP No
Contract/PO No
Financial Year
S
R
/A
S
CHEDULE OF
EQUIREMENTS
CTIVITY
CHEDULE
Item
Description
Unit of
Quantity Unit Price
Total Price
No
Measure
(Currency)
(Currency)
(Attach additional specification if necessary)
Total Order Price
Receipt of Order by the Supplier :
Signature:………………………………………Name:………………………………………
Position:………………………………………………………………………………………..
On behalf of: ……………………………………..…. Date: ….……………….
Page 3 of 3

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