Form STD.66 "Purchase Estimate" - California

What Is Form STD.66?

This is a legal form that was released by the California Department of General Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the California Department of General Services;
  • 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 STD.66 by clicking the link below or browse more documents and templates provided by the California Department of General Services.

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Download Form STD.66 "Purchase Estimate" - California

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STATE OF CALIFORNIA
PURCHASE ESTIMATE
STD. 66 (REV. 10/2019)
DATE PREPARED BY
DATE STOCK
AGENCY BILLING
PURCHASE ESTIMATE NUMBER
PAGE OF
AGENCY
WANTED
CODE
MO.
DAY
YEAR
MO.
DAY
YEAR
1
1
DELIVERY AREA CODE
IMPORTANT
S
H
Follow instructions on
1
2
3
4
5
6
7
8
9
10
11
12
I
reverse for completing
CERTIFICATION OF REFERENCED VENDOR
P
this form.
T
DVBE
SMALL BUSINESS
NONE
O
SUPPLIER REFERENCE OR INFORMATION TO PROCUREMENT DIVISION
MAIL INVOICE IN TRIPLICATE TO
C
H
A
R
G
E
AGENCY CONTACT REGARDING THIS ESTIMATE (NAME AND PUBLIC PHONE NUMBER)
T
O
Same as SHIP TO unless otherwise noted.
LINE
QUANTITY
UNIT
COMMODITY CODE NUMBER
DESCRIPTION
UNIT PRICE
EXTENSION
NO.
$0.00
$0.00
$0.00
$0.00
$0.00
Subtotal
$0.00
$0.00
Tax
7.75%
PROGRAM/CATEGORY (Code and Title)
I hereby certify upon my own personal knowledge that budgeted funds are
$0.00
available for this encumberance (after T.B.A. No.
or B.R. No.
)
ACCOUNTING OFFICER
FUND TITLE
PHONE NO. (CALNET)
(OPTIONAL USE)
ITEM
CHAPTER
STATUTE
FISCAL YEAR
I hereby certify upon my own personal knowledge the expenditures
above are necessary to perform the functions stated.
SIGNATURE AND TITLE
PHONE NO. (CALNET)
OBJECT OF EXPENDITURE (Code and Title)
O.E.
EQUIP.
ENCUMBRANCE ADJUSTMENT
UNENCUMBERED REMAINDER AFTER
POSTING AEL.
I hereby authorize the estimated expenditure above.
INCREASE
DECREASE
SIGNATURE AND TITLE
PHONE NO. (CALNET)
PROPERTY SURVEY NUMBERS
DO FUNDS EXPIRE AT THE END OF F.Y.
YES
NO
ATTACHED
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STATE OF CALIFORNIA
PURCHASE ESTIMATE
STD. 66 (REV. 10/2019)
DATE PREPARED BY
DATE STOCK
AGENCY BILLING
PURCHASE ESTIMATE NUMBER
PAGE OF
AGENCY
WANTED
CODE
MO.
DAY
YEAR
MO.
DAY
YEAR
1
1
DELIVERY AREA CODE
IMPORTANT
S
H
Follow instructions on
1
2
3
4
5
6
7
8
9
10
11
12
I
reverse for completing
CERTIFICATION OF REFERENCED VENDOR
P
this form.
T
DVBE
SMALL BUSINESS
NONE
O
SUPPLIER REFERENCE OR INFORMATION TO PROCUREMENT DIVISION
MAIL INVOICE IN TRIPLICATE TO
C
H
A
R
G
E
AGENCY CONTACT REGARDING THIS ESTIMATE (NAME AND PUBLIC PHONE NUMBER)
T
O
Same as SHIP TO unless otherwise noted.
LINE
QUANTITY
UNIT
COMMODITY CODE NUMBER
DESCRIPTION
UNIT PRICE
EXTENSION
NO.
$0.00
$0.00
$0.00
$0.00
$0.00
Subtotal
$0.00
$0.00
Tax
7.75%
PROGRAM/CATEGORY (Code and Title)
I hereby certify upon my own personal knowledge that budgeted funds are
$0.00
available for this encumberance (after T.B.A. No.
or B.R. No.
)
ACCOUNTING OFFICER
FUND TITLE
PHONE NO. (CALNET)
(OPTIONAL USE)
ITEM
CHAPTER
STATUTE
FISCAL YEAR
I hereby certify upon my own personal knowledge the expenditures
above are necessary to perform the functions stated.
SIGNATURE AND TITLE
PHONE NO. (CALNET)
OBJECT OF EXPENDITURE (Code and Title)
O.E.
EQUIP.
ENCUMBRANCE ADJUSTMENT
UNENCUMBERED REMAINDER AFTER
POSTING AEL.
I hereby authorize the estimated expenditure above.
INCREASE
DECREASE
SIGNATURE AND TITLE
PHONE NO. (CALNET)
PROPERTY SURVEY NUMBERS
DO FUNDS EXPIRE AT THE END OF F.Y.
YES
NO
ATTACHED
STATE OF CALIFORNIA
PURCHASE ESTIMATE
STD. 66 (REV. 10/2019) (REVERSE)
INSTRUCTIONS
(PLEASE READ CAREFULLY)
All Purchase Estimates must be submitted to the Procurement Division in typed form. Only one (1) copy of the Purchase Estimat e is required.
To avoid rejection, DO NOT list more than one (1) commodity group, as defined in the PIN Commodity Catalog, on the Purchase Estimate
submitted. Each commodity group requires a separate Purchase Estimate.
Adherence to the following specific instructions for completing the Purchase Estimate form will promote timely processing of each purchasing
document. Emphasis on neatness and accuracy of Purchase Estimate is most important.
1. DATE PREPARED BY AGENCY
Use the date the Purchase Estimate is typed.
2. AGENCY BILLING CODE
Enter your Agency Billing Code. (PRIOR to use, new Agency Billing Codes
must be forwarded to the Department of General Services, Accounts Receivable,
for addition to the PIN system.)
3. PURCHASE ESTIMATE NUMBER
The agency-assigned Purchase Estimate Number must be entered in this field and
must not exceed 15 digits and can be either alphabetic, numeric or a combination
of both. The Agency Purchase Estimate Number must be entered from left to
right.
4. DELIVERY AREA CODE
Circle ONLY ONE (1) Delivery Area Code. Please list any additional delivery
information either on this form if space is available, or as supplemental
information. Delivery Area information is available on the Delivery Area Map in
the PIN Commodity Catalog.
5. CERTIFICATION OF
— -
Government Code Section 14838.5 shall be utilized to contract with an eligible
REFERENCED VENDOR
certified small business or an eligible certified disabled veteran business whenever
practicable and possible. Check one or two boxes to identify the certification(s) of
the referenced vendor.
6. LINE NUMBER
— -
Each page of a Purchase Estimate is limited to a maximum of five (5) PIN
Commodity Code numbers which must be numbered sequentially beginning with
number one (1) . (Please double space between each completed line.)
7. UNIT
Unit of measure must be shown EXACTLY as indicated in the PIN Commodity
Catalog.
8. COMMODITY CODE NUMBER
The ENTIRE Commodity Code number must be shown EXACTLY as indicated
in the PIN Commodity Catalog.
9. DESCRIPTION
— -
Must be typed EXACTLY as shown in the PIN Commodity Catalog.
Additionally, give an adequate description of the commodity to be purchased so
that ANYONE reading the description can interpret what commodity is being
purchased.
Completion of all other information categories is self-explanatory. It should be noted that all approval signatures and accounting and fiscal
data have been consolidated on the bottom of the form.
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