Form 11211 "Professional Service Statement of Work Proposal" - New Jersey

What Is Form 11211?

This is a legal form that was released by the New Jersey Judiciary Court System - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 13, 2020;
  • The latest edition provided by the New Jersey Judiciary Court System;
  • 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 11211 by clicking the link below or browse more documents and templates provided by the New Jersey Judiciary Court System.

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Download Form 11211 "Professional Service Statement of Work Proposal" - New Jersey

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PP1 No.
FISCAL
BUDGET
PROFESSIONAL
Administrative Office of the Courts
YEAR:
YEAR:
SERVICE STATEMENT
Trenton, New Jersey 08625
OF WORK PROPOSAL
CONTRACTOR NAME and ADDRESS:
CONTRACTOR AGENT:
CONTRACTOR PHONE NO:
CONTRACTOR FEDERAL ID NUMBER:
CONTRACTOR EMAIL:
NJ START "V" NUMBER:
JUDICIARY CONTACT NAME:
JUDICIARY CONTACT EMAIL:
COST CENTER:
OBJECT CODE:
I. SPECIFIC SERVICE REQUIREMENTS
The CONTRACTOR shall:
II. FEE SCHEDULE
The CONTRACTOR shall provide pricing in accordance with Services defined in Section 1.
In no event shall full compensation requested to be performed under this PROPOSAL exceed $
III. TERMS AND CONDITIONS
1.
This proposal does not allow services to be performed prior to, or without, the execution of a valid State of NJ Agency
Agreement in the form of a purchase order; or in the form of an “RA” Accounting Bureau Requisition, or as an “AO”
Agency Contract Order.
2.
Awards resulting in the acceptance of this proposal shall be governed by the State of New Jersey Standard Terms &
Conditions. A copy will be made available upon request.
3.
Payments will be made in accordance with the Fee Schedule for the Term of the Proposal.
4.
If at any time the Contractor fails to comply with the terms of the agreement, the State of NJ reserves the right to suspend
and/or terminate services.
5.
Travel/Lodging expenses to be provided in accordance with Judiciary Travel Regulations.
SERVICES EFFECTIVE DATE:
SERVICES TERMINATION DATE:
FOR PURCHASING USE ONLY:
PO#
CONTRACTOR’S NAME (Please Print):
CONTRACTOR’S SIGNATURE:
DATE SIGNED:
JUDICIARY PROJECT MANAGER NAME (Please Print):
JUDICIARY PROJECT MANAGER SIGNATURE: DATE SIGNED:
PURCHASE & PROPERTY REVIEWER’S NAME (Please Print):
P & P REVIEWER’S SIGNATURE:
DATE SIGNED:
Revised: 07/13/2020, CN 11211
page 1
PP1 No.
FISCAL
BUDGET
PROFESSIONAL
Administrative Office of the Courts
YEAR:
YEAR:
SERVICE STATEMENT
Trenton, New Jersey 08625
OF WORK PROPOSAL
CONTRACTOR NAME and ADDRESS:
CONTRACTOR AGENT:
CONTRACTOR PHONE NO:
CONTRACTOR FEDERAL ID NUMBER:
CONTRACTOR EMAIL:
NJ START "V" NUMBER:
JUDICIARY CONTACT NAME:
JUDICIARY CONTACT EMAIL:
COST CENTER:
OBJECT CODE:
I. SPECIFIC SERVICE REQUIREMENTS
The CONTRACTOR shall:
II. FEE SCHEDULE
The CONTRACTOR shall provide pricing in accordance with Services defined in Section 1.
In no event shall full compensation requested to be performed under this PROPOSAL exceed $
III. TERMS AND CONDITIONS
1.
This proposal does not allow services to be performed prior to, or without, the execution of a valid State of NJ Agency
Agreement in the form of a purchase order; or in the form of an “RA” Accounting Bureau Requisition, or as an “AO”
Agency Contract Order.
2.
Awards resulting in the acceptance of this proposal shall be governed by the State of New Jersey Standard Terms &
Conditions. A copy will be made available upon request.
3.
Payments will be made in accordance with the Fee Schedule for the Term of the Proposal.
4.
If at any time the Contractor fails to comply with the terms of the agreement, the State of NJ reserves the right to suspend
and/or terminate services.
5.
Travel/Lodging expenses to be provided in accordance with Judiciary Travel Regulations.
SERVICES EFFECTIVE DATE:
SERVICES TERMINATION DATE:
FOR PURCHASING USE ONLY:
PO#
CONTRACTOR’S NAME (Please Print):
CONTRACTOR’S SIGNATURE:
DATE SIGNED:
JUDICIARY PROJECT MANAGER NAME (Please Print):
JUDICIARY PROJECT MANAGER SIGNATURE: DATE SIGNED:
PURCHASE & PROPERTY REVIEWER’S NAME (Please Print):
P & P REVIEWER’S SIGNATURE:
DATE SIGNED:
Revised: 07/13/2020, CN 11211
page 1