Form TGS-1 "Technical and General Services Contract" - Arkansas

What Is Form TGS-1?

This is a legal form that was released by the Arkansas Department of Finance & Administration - a government authority operating within Arkansas. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on April 1, 2016;
  • The latest edition provided by the Arkansas Department of Finance & Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TGS-1 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Finance & Administration.

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Download Form TGS-1 "Technical and General Services Contract" - Arkansas

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STATE OF ARKANSAS
TECHNICAL AND GENERAL SERVICES CONTRACT
CONTRACT #
FEDERAL I.D. #
YES 
NO 
VENDOR #
MINORITY VENDOR
1. PROCUREMENT:
Check ONE appropriate box below for the method of procurement for this contract:
 Competitive Bid
 Emergency
Intergovernmental
 Request for Proposal
 Cooperative Contract
 Exempt by Law
 Invitation for Bid
 Request for Qualifications
 Small Order
 Sole Source by Justification
 Special Procurement
(Justification must be attached)
 Sole Source by Law - Act #
or Statute #:
2. TERM DATES:
The term of this agreement shall begin on
and shall end on
.
(mm/dd/yyyy)
(mm/dd/yyyy)
3. CONTRACTING PARTIES:
State of Arkansas is hereinafter referred to as the agency and contractor is herein after referred to as the Vendor.
AGENCY NUMBER & NAME
Service Bureau
VENDOR NAME
VENDOR ADDRESS
TRACKING # 1
TRACKING # 2
4A. TOTAL PROJECTED CONTRACT COST:
Total Projected Cost of entire project if all available extensions of this contract are
$
completed (up to the date anticipated and stated in Section 12)
4B. SERVICES AND COMMODITIES:
For work to be accomplished under this agreement, the Vendor agrees to provide the services and commodities at the
rates as listed herein. If additional space is required, a continuation sheet may be used as an attachment.
SERVICES
QUANTITY
COST PER ITEM
TOTAL COST
TOTAL SERVICES
$
COMMODITIES
QUANTITY
COST PER ITEM
TOTAL COST
TOTAL COMMODITIES
$
Total cost of services and commodities
$
STATE OF ARKANSAS
TECHNICAL AND GENERAL SERVICES CONTRACT
CONTRACT #
FEDERAL I.D. #
YES 
NO 
VENDOR #
MINORITY VENDOR
1. PROCUREMENT:
Check ONE appropriate box below for the method of procurement for this contract:
 Competitive Bid
 Emergency
Intergovernmental
 Request for Proposal
 Cooperative Contract
 Exempt by Law
 Invitation for Bid
 Request for Qualifications
 Small Order
 Sole Source by Justification
 Special Procurement
(Justification must be attached)
 Sole Source by Law - Act #
or Statute #:
2. TERM DATES:
The term of this agreement shall begin on
and shall end on
.
(mm/dd/yyyy)
(mm/dd/yyyy)
3. CONTRACTING PARTIES:
State of Arkansas is hereinafter referred to as the agency and contractor is herein after referred to as the Vendor.
AGENCY NUMBER & NAME
Service Bureau
VENDOR NAME
VENDOR ADDRESS
TRACKING # 1
TRACKING # 2
4A. TOTAL PROJECTED CONTRACT COST:
Total Projected Cost of entire project if all available extensions of this contract are
$
completed (up to the date anticipated and stated in Section 12)
4B. SERVICES AND COMMODITIES:
For work to be accomplished under this agreement, the Vendor agrees to provide the services and commodities at the
rates as listed herein. If additional space is required, a continuation sheet may be used as an attachment.
SERVICES
QUANTITY
COST PER ITEM
TOTAL COST
TOTAL SERVICES
$
COMMODITIES
QUANTITY
COST PER ITEM
TOTAL COST
TOTAL COMMODITIES
$
Total cost of services and commodities
$
STATE OF ARKANSAS
TECHNICAL AND GENERAL SERVICES CONTRACT
Contract # : _______________________
5. SOURCE OF FUNDS:
Complete appropriate box(es) below to total 100% of the funding in this contract. You may use an attachment if
needed.
Fund
% of Total
Fund Source
Identify Source of Funds*
Fund
Amount of Funding
Center
Contract Cost
Other Funds
$
Other Funds
$
Other Funds
$
Other Funds
$
Other Funds
$
TOTALS
$
100%
* MUST BE SPECIFIC (i.e. fees, tuition, agricultural sales, bond proceeds, donations, etc.)
** “State Funds” is defined as and deemed State General Revenue Dollars. If other state funds are being used such as tobacco funds,
general improvement funds, etc., these should be noted. Special revenue funds from taxes or fees generated for the agencies should be
shown as “Other” and the actual source of the funds should be clarified in the “Identify Source of Funds.”
6. OBJECTIVES AND SCOPE:
State description of services, objectives and scope to be provided. (DO NOT USE “SEE ATTACHED”)
7. PERFORMANCE STANDARDS AND COMPENSATION:
List performance standards for the term of the contract. (If necessary, use attachments)
8. ATTACHMENTS:
List ALL attachments to this contract by attachment number:
FORM TGS-1
Page 2 of 5
04/2016
STATE OF ARKANSAS
TECHNICAL AND GENERAL SERVICES CONTRACT
Contract # : _______________________
9. CERTIFICATION OF VENDOR
“I,
A.
(Vendor)
(Title)
certify under penalty of perjury that, to the best of my knowledge and belief, no regular full-time or part-
time employee of any State agency of the State of Arkansas will receive any personal, direct or indirect
monetary benefits which would be in violation of the law as a result of the execution of this contract.”
Where the Vendor is a widely-held public corporation, the term ‘direct or indirect monetary benefits’ “shall
not apply to any regular corporate dividends paid to a stockholder of said corporation who is also a State
employee and who owns less than ten percent (10%) of the total outstanding stock of the contracting
corporation.”
B.
List any other contracts or subcontracts you have with any other state government entities. (Not applicable
to contracts between Arkansas state agencies) (If no contracts or subcontracts, please put “N/A” or
“None”)
C.
Are you currently engaged in any legal controversies with any state agencies or represent any clients
engaged in any controversy with any Arkansas state agency? (If no controversies, please put “N/A” or
“None”)
10. DISCLOSURE REQUIRED BY EXECUTIVE ORDER 98-04:
Any contract or amendment to a contract executed by an agency which exceeds $25,000 shall require the Vendor to
disclose information as required under the terms of Executive Order 98-04 and the Regulations pursuant thereto. The
Vendor shall also require the subcontractor to disclose the same information. The Contract and Grant Disclosure
and Certification Form shall be used for this purpose.
Contracts with another government entity such as a state agency, public education institution, federal government
entity, or body of a local government are exempt from disclosure requirements.
The failure of any person or entity to disclose as required under any term of Executive Order 98-04, or the violation of
any rule, regulation or policy promulgated by the Department of Finance and Administration pursuant to this Order,
shall be considered a material breach of the terms of the contract, lease, purchase agreement, or grant and shall
subject the party failing to disclose, or in violation, to all legal remedies available to the Agency under the provisions
of existing law.
11. CANCELLATION CLAUSE
In the event the State no longer needs the service or commodity specified in the contract or purchase order due to
program changes, changes in laws, rules or regulations, relocation of offices or lack of appropriated funding, the
State may cancel the contract or purchase order by giving the vendor written notice of such cancellation 30 days
prior to the date of cancellation.
12. TERMS:
All official documents and correspondence related to this solicitation are included as part of this contract.
The term of this agreement begins on the date in SECTION 2 and will end on the date in SECTION 2, and/or as agreed
to separately in writing by both parties.
This contract may be extended until
, in accordance with the terms stated in
(mm/dd/yyyy)
FORM TGS-1
Page 3 of 5
04/2016
STATE OF ARKANSAS
TECHNICAL AND GENERAL SERVICES CONTRACT
Contract # : _______________________
the Procurement, by written mutual agreement of both parties and subject to: approval of the Arkansas Department
of Finance and Administration/Director of the Office of State Procurement, appropriation of necessary funding, and
review by any necessary state or federal authority.
Contracts will require review by Legislative Council or Joint Budget Committee prior to the approval of the
Department of Finance and Administration/Director of the Office of State Procurement and before the execution date
if the total initial contract amount or the total projected amount is greater than or equal to $100,000, including any
amendments or possible extensions.
Any amendment which increases the dollar amount or involves major changes in the objectives and scope of the
contract will require review by Legislative Council or Joint Budget Committee.
13. AUTHORITY:
A. This contract shall be governed by the Laws of the State of Arkansas as interpreted by the Attorney General of
the State of Arkansas.
B. Any legislation that may be enacted subsequent to the date of this agreement, which may cause all or any part of
the agreement to be in conflict with the laws of the State of Arkansas, will be given proper consideration if and
when this contract is renewed or extended; the contract will be altered to comply with the then applicable laws.
FORM TGS-1
Page 4 of 5
04/2016
STATE OF ARKANSAS
TECHNICAL AND GENERAL SERVICES CONTRACT
Contract # : _______________________
14. AGENCY CONTACTS FOR QUESTION(S) REGARDING THIS CONTRACT:
Contact #1 – Agency Representative submitting/tracking this contract
(Name)
(Title)
(Telephone #)
(Email)
Contact #2 – Agency Representative with knowledge of this project (for general questions and responses)
(Name)
(Title)
(Telephone #)
(Email)
Contact #3 – Agency Representative Director or Critical Contact (for time sensitive questions and responses)
(Name)
(Title)
(Telephone #)
(Email)
15.
AGENCY SIGNATURE CERTIFIES NO OBLIGATIONS WILL BE INCURRED BY A STATE AGENCY UNLESS
SUFFICIENT FUNDS ARE AVAILABLE TO PAY THE OBLIGATIONS WHEN THEY BECOME DUE.
16.
SIGNATURES:
VENDOR
DATE
AGENCY DIRECTOR
DATE
TITLE
TITLE
ADDRESS
ADDRESS
APPROVED:
DEPARTMENT OF FINANCE AND ADMINISTRATION
DATE
FORM TGS-1
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03/2018
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