FORMS

 FORM NAME SOURCE DESCRIPTION REVISION
Bond Forms STATE.WV.US Bid Bond, Labor and Material Payment Bond, Maintenance Bond,
Performance Bond
06/2013

09/12/16

BOG 48
MUBOG48HR
MU Agreement for Companies
Agreement for Individuals Note
04/14/2008
06/2016
Cloud Addendum MU Cloud Computing Contract Addendum 11/30/15
Disclosure of Interested Parties WV Ethics Commission A state agency may not enter into a contract, or a series of related contracts, that has/have an actual or estimated value of $1,000,000 or more until the business entity submits to the contracting state agency a Disclosure of Interested Parties to the applicable contract Rev 6/8/2018
Drug Free Workplace Affidavit STATE.WV.US Drug Free Workplace Conformance Affidavit 07/07/17
Essential Services MU Essential Services List 12/2014
Independent Contractor Worksheet MU Pre-Hire Worksheet 09/26/2013
Lease Purchase – Equipment MU Lease Purchase of Equipment 06/05/2012
Lease Purchase w/Escrow – Equipment MU Lease Purchase w/Escrow – Equipment 06/05/2012
Master Lease Purchase w/Financing -Equip MU Master Lease Purchase with Financing – Equipment 06/05/2012
MU-96 MU Agreement Addendum 01/2018
MU-96A MU Agreement Addendum for Software 01/2018
MU100 MU Sole Source Justification Checklist 08/08/2017
MU101 MU Independent Contractor Declaration 04/03/2012
MU102 MU After the Fact Purchase Request Form 08/08/2017
MUB0G3 MU Hospitality Form 06/2018
Purchasing Affidavit STATE.WV.US Purchasing Affidavit 01/19/18
Surplus Property MU Physical Plant Yard Sale Pickup Form online
Supplementary Conditions to AIA Docs STATE.WV.US A107-2007 Supplementary Conditions Std Form of Agreement Between Owner and Contractor for a Project of Limited Scope
A201-2007 Supplementary Conditions to Std Form of Agreement Between Owner and Contractor
B101-2007 Supplementary Conditions to AIA Doc B101-2007 Std Form of Agreement Between Owner and Architect
05/27/16

05/27/16

06/01/09

Tax Exemption Form SSTGB F0003 STATE.WV.US Tax Exemption Certificate 05/10/11
Vendor Preference Certificate STATE.WV.US Vendor Preference Certificate 09/15/17
WV1 STATE.WV.US Vendor Registration and Disclosure Statement ($125 fee) 09/18/15
WV1A STATE.WV.US Vendor Registration and Disclosure Statement 09/18/15
W9 IRS.GOV Request for Taxpayer Identification Number and Certification 11/2017