UC SANTA BARBARA PROCUREMENT SERVICESREQUEST FOR CONTRACT (FORM I)For use when Departments need UCSB to write a contract when UC is buying goods or services.Once complete, please attach the printout PDF to your Gateway Contract Request Form requisitionProcurement Services will use the information provided on this form to write a contract, and will send the contract to the Supplier for negotiation and execution. The following pages should be completed by the requesting department, and not by the supplier. This form is not a contract. To ensure accurate and timely processing:Please answer all questions in detail.If applicable, please attach the prospective supplier's proposal or contract. UC policies require that we use our UC contract templates and terms, unless an exception applies.1. SERVICES TO BE PROVIDED1a. Supplier (Company) Name: * 1b. Dates of Service *Begin date*: End date **. **If the work has been completed in its entirety, please complete the Confirming Order Form in Gateway rather than fill out this form.1c. Scope of Work - Please describe in detail the services to be provided. If applicable, please attach the supplier's proposal or contract, but using your own words to describe the Scope is necessary. Attach additional page(s) if needed. * 1d. Department Coordinator Supervising Supplier's Activities *Name: * Email: * ⚠️ Please enter a valid email address (e.g., username@ucsb.edu).1e. Principal Investigator (PI) or Faculty Member Supervising Supplier's Activities *Name: * Email: * ⚠️ Please enter a valid email address (e.g., username@ucsb.edu).1f. Where will the services be performed? Will the services will be performed on UC property? * 1g. Will the Supplier use any University supplies or equipment? * Yes NoIf Yes, describe below 1h. Will the Supplier's services potentially involve written works, editing, software, website design, logo design, artwork, film, or photography often involving copyright, trademark, and/or other intellectual property issues? * Yes NoIf Yes, describe below 1i. Will the Supplier provide technology services, such as cloud, Software as a Service (SaaS) or platform services? * Yes NoIf Yes, please also attach an IT Data Worksheet: bfs.ucsb.edu/procurement/forms1j. Will the Supplier need access to UC systems (UC computers, on premise servers or UC cloud services)? * Yes NoIf Yes, please also attach an IT Data Worksheet: bfs.ucsb.edu/procurement/forms2. COST AND PAYMENTHourly or Daily RateAn hourly/daily rate of ($) per hour day for up to (hours/days) Subtotal ($) Professional FeeA professional fee of ($) Travel ExpensesTravel expenses* - Please describe: *Travel expenses must be in accordance with UC Bulletins BUS-79 and G-28Amount ($) Other ExpensesOther expenses - Please describe: Amount ($) Total Cost - must equal the total of the fees and the expenses listed, and will be the maximum amount paid out under this agreement. ($) * 3. DELIVERABLES3a. What deliverables will be provided by the Supplier? * 3b. Complete the following Milestone matrix to establish any phases and/or any deliverable dates:Milestone 1Milestone Expected completion date Amount to be paid ($) + Add Another Milestone ATTACHMENTSAttach supporting documents. Formats: PDFs will be rendered visually into the printout stream via PDF.js.Supplier's proposal or contract IT Data Worksheet Generate PrintoutOnce complete, please attach the PDF printout to your Gateway Contract Request Form requisitionRev. 09-2026