• Contract Type*
  • JotForm Table of Approved School Site Assemblies that are board approved

  • Is on the approved School Site Assembly list above?
  • Is this a request for License & Insurance Verification
  • Is this a Technology Agreement
  • CRF must be accompanied by the following supporting documents:*
  • Do you want to request a Special Education Master Contract
  • Type of Contract:
  • Type of Agreement:
  • Is this a New Contract to your Site/Department*
  • Check box if vendor is NOT in Galaxy*
  • Format: (000) 000-0000.
  • Date(s) of Service Start*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date(s) of Service End*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Is the Contractor/Vendor an individual that needs to be fingerprinted under MUSD requirements before performing services for the District (will be on campuses on a regular basis, unsupervised)*
  • Date Vendor was referred to Personnel
     - -
    2 digit month, 2 digit day, 4 digit year
  • FUNDING INFORMATION:

  • Contract Dollar Amount:
  • Are reimbursement for expenses included?*
  • Are reimbursement for materials included?
  • Is this a Cost to MUSD*
  • Are costs to be reimbursed from any other source of income?*
  • What is the SACS Code:  -    *-      -         -      -      

  • What is the 2nd SACS Code:  -    *-      -         -      -      

  • Is this an amendment to a current contract?
  • Original Board Approval Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Reason for Amendment: (Check all that apply)
  • APPROVAL - By signing below, you are indicating that the above information is correct & you have reviewed the attached documents (Rate sheet/MOU/Proposal, etc.)

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • CONTRACT REQUEST FORM (CRF) INSTRUCTIONS FOR COMPLETION

  • CONSULTANT/INDEPENDENT CONTRACTOR - An outside vendor who is providing services for the District on District property. MOU - A Memorandum of Understanding between the District and an outside vendor. A MOU usually is provided by an outside vendor.  AMENDMENT - A separate agreement that is modifying an agreement that has already been Board approved. DEPARTMENT - The department that is submitting the contract for approval. DEPARTMENT CONTACT PERSON - The contact name and phone extension of the person in the department who should be contacted with questions about this form and/or the contract. LEGAL NAME - The legal name of the company or person with whom the District in entering into the agreement with. . DBA - Thenameofthe company that the contractor is doing business under. Example: John Doe (is the legal name), DBA Doe Support Services (is hiscompany's name This is usually when a contractor is an individual/sole proprietor and using a social security number for the Employer Identification Number (EIN) but doing business under a company name. MAILING ADDRESS - The full mailing address of the contractor. CONTACT NAME - The name of the person to be contacted from the company with any questions. CONTACT PHONE - Phone number(s) for the company contact. CONTACT FAX Number - Fax number for the company contact.Contact Email Address - EMAIL ADDRESS -of company contact. This is where the contract will be emailed once it is executed..VENDOR NUMBER in Galaxy - The vendor number assigned to contractor in Galaxy. NEW VENDOR - Check this box if the contractor does not have a vendor number in Galaxy. A W-9 is needed to add a new vendor into Galaxy. DESCRIPTION OF SERVICES - ALL services that will be provided under the Agreement by Contractor. Attached additional sheet(s) if more space is needed. DATE(s) OF SERVICE - The date(s) when services will begin and end. Services should not begin until after Board approval date. . MULTI-YEAR -Check "No" if contract begins & ends in the same school year; check "Yes" if the contract crosses over school years and/or extends for morethan one school year. Consultant contracts should only be entered into for one school year at a time.  DOLLAR AMOUNT: Total Dollar Amount - The maximum dollar amount to be paid under this contract. Do not enter an hourly rate or per service cost here. REIMBURSEMENTS -Are reimbursement for expenses included? - Will the contractor be reimbursed for any expenses (including mileage, travel, fingerprinting, incidentals, etc under this contract? Check Yes or No. If yes, specify what expenses will be reimbursed and the cost agreed upon. Are reimbursement for materials included? - Will the contractor be reimbursed for any materials that are purchased for the services provided under this contract? Check Yes or No. If yes, specify what materials the contractor will be reimbursed for and the cost of theAre costs to be reimbursed from anyothersource ofincome? -If MUSD will be reimbursed by any - other source for services provided under this contact, check Yes and list the source and dollar amount to be reimbursed. If not, check No. FUNDING STRING - Enter the funding string that will be used to pay this contract. BUDGET CHECKED BY - Enter the name or initials of the person in the department that checked the budget to verify funds are available forPurchase Order Number - Enter the PO number for the original contract. BOARD APPROVAL DATE OF THE ORIGINAL CONTRACT - Enter the Board approval date of the original contract.BOARD APPROVED ORIGINAL DOLLAR AMOUNT OF THE ORIGINAL CONTRACT - Enter the Total Dollar Amount of the original contract approved by the Board. . BUDGET CHECKED BY- Enter the name or initials of the person in the department that checked the budget to verify funds are available for this. REASON FOR THE AMENDMENT - Indicate what is being changed from the original contract: Services, Dollar Amount, Service Dates, or Other.

    This form must be approved by a Site/Dept Approver, Asst. Superintendent and Technology if applicable.

  • Please attach back-up.  This form will be submitted to Business Services for processing.  Check shared Google Contracts Database for status.

    No contract should be signed by anyone other than an authorized signer for Menifee Union School District. No vendor should begin work until contract has been Board Approved.

    1. Site/Department has a need for contracted services. 2. Site/Department contacts the vendor and works out the details (dates, time, cost, start date, etc. 3. If Contractor needs to be fingerprinted per MUSD Fingerprinting Requirements below, Site/Department needs to refer Contractor to MUSD Personnel Department to get information on obtaining fingerprint clearance ASAP. No Contractor can begin services without receiving fingerprint clearance for MUSD unless they are exempt from fingerprinting per MUSD Fingerprinting Requirements below. If you have questions about whether or not a vendor needs to be fingerprinted, please contact the Purchasing Department. 4. Site/Department fully completes Contract Request Form (CRF) and sends completed CRF to Business Services Secretary to the Asst. Supt. 5. Once received, Purchasing will enter the contract into the shared Contracts Database. Site/Department can then monitor the progress there. For Consultant/Independent Contractor Agreements (and Amendments), Purchasing will complete an MUSD Independent Contractor from the received documentation.  6. Once completed, the  Site/Department will complete the Contracts for Board Approval spreadsheet and submit their item to Business Services prior to the Board Agenda item due date. Contracts cannot be added to the Board Agenda if required documentation is missing or the Board Agenda Item Request Form is not received by the deadline. 7. Once Board approved, and signed by the Authorized Signer, the contract will be sent to the vendor, and uploaded to the Shared folder for back-up. Vendors are able to begin work and will be sent their fully executed copy. 8. Site must enter a Requisition for payment at this point. 9. If contract amount, services, or term needs to be amended, complete a new CRF for the Amendment.

  • MENIFEE UNION SCHOOL DISTRICT FINGERPRINTING REQUIREMENTS

  • Menifee Union School District requires ALL outside contractors that will come into contact with a student at any of its sites complete acriminal background check per Ed. Code Section 45125.1. If a contractor is a sole proprietor that has been contracted for services theyMUST be fingerprinted and cleared through Menifee Union School District's Personnel Department prior to performing services - NO EXCEPTIONS! If a contractor is an employee of an outside company, an authorized company representative must complete Exhibit "E" of the Menifee Union School District's Independent Contractor Agreement to certify that their employee has completed and cleared the required criminal background check.In certain circumstances an individual may be exempt from the required criminal background check when emergency or exceptionalThe Contractor and/or its employees will have limited contact with students during the course of the approved Agreement; or . During the course of the Agreement, the Contractor and/or its employees will be supervised 100% of the time by a District staff member who has been fingerprinted under the provisions of Ed. Code 45125.1.If a Contractor is seeking an exemption from completing a criminal background check, they must affirm that they fall into one of the above categories by signing Exhibit "E" of the Menifee Union School District's Independent Contractor Agreement. A MUSD Department Administrator and Authorized Signer of the District must also affirm that the Contractor is exempt under one of the above categories.Departments/Sites are responsible for referring Contractors that need to be fingerprinted to the MUSD Personnel Department to get information on obtaining fingerprint clearance. MUSD does not receive fingerprint clearances/notifications from other school districts. Individuals who have been fingerprinted in another school district will need to be re-fingerprinted thought the District (unless they were fingerprinted under the Riverside County Fingerprint Consortium - vendor can check with Personnel regarding this Fingerprinting should be done as soon as it is determined by the department that services are needed
  • If the Contractor requires fingerprinting through the District, the Contractor will be charged a $52 fee for fingerprinting services.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Request for a Specific Board Approval Date or Ratification?
  • Request a Specific Board Approval Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date Services Need to Start
     - -
    2 digit month, 2 digit day, 4 digit year
  • Next Board Meeting Date
     - -
    2 digit month, 2 digit day, 4 digit year
  •  
  • CRF Check
  • Should be Empty: