State of Hawaii

State Procurement Office

Procurement of Health and Human Services (SPOH)  

Chapter 103F, HRS

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Last updated: 23 October, 2006

 

Procurement Forms and Instructions

for State Agency Use

 

Looking for the  RFP template?

Looking for the contract general conditions?

Looking for the contract template?  It is an internal AG form on the Forms Central website.

Below are the State Procurement Office forms for use by State agencies to be used when purchasing health and human services . They are in their original format (MS Word or MS Excel).  Most are also available in the printer-friendly Adobe Acrobat format (PDF).

To save the file in MS Word or MS Excel format as appropriate, right click (click with your right mouse button) on  the "doc" or "xls". (If you do not click with your right mouse button on .xls or .doc forms it may take a long time for the document to open or your computer may lock up.) To view the form or print it out from your web browser click on "pdf".

Please note that with the exception of the RFP template files, forms having no form number are are placed here for your convenience and are not mandatory.

Form No. Form Title
 

Instructions for Budget Forms

These Instructions, in Adobe Acrobat format, are fillable for Special Instructions by State purchasing Agencies.
SPO-H-205A Instructions for Organization-Wide Budget by Source of Funds
(PDF) (fillable)
SPO-H-205B

Instructions for Organization-Wide Budget by Programs

(PDF) (fillable)
Looking for the budget forms and instructions?  They are on the Forms for Private Provider webpage.
Don't forget to click with your right mouse button when downloading .xls or .doc documents.  See instructions above.
Competitive Method of Procurement Responses to Proposals

 

Statement of Findings and Decision Sample Format 
(doc- MS Word)  or   (PDF)

 

Statement of Rejection Sample Format  
(doc- MS Word)   or   (PDF)
Request for After-the-Fact Secondary Purchase  

SPO-H-300

(7/1/03)

Request for After-the-Fact Secondary Purchase

(doc- MS Word)   or  (PDF) (fillable)

See the Secondary Purchase Manual 
(Adobe Acrobat)
Request for Restrictive Purchase

SPO-H-500

(revised 9/06)

Request for Restrictive Purchase Pursuant to Section 103F-403, HRS

(doc- MS Word)   or  (PDF)   and Instructions (PDF)
Protests            Procedures, Flowchart and all forms for protests (PDF) (3/05)
Flowchart   for Protests

SPO-H-802
(revised 4/03)

Settlement and Scheduling Conference, Chapter 103F, HRS, Purchases of Health and Human Services (pdf)

SPO-H-803
(revised 4/03)

 

Protest Scheduling Order, Chapter 103F, HRS, Purchases of Health and Human Services  
(PDF)
SPO-H-804
(4/03)		 Request for Clarification     

(PDF)    
SPO-H-805
(4/03)		 Response to Request for Clarification

(PDF)

SPO-H-807

(4/03)

  Response (to Formal Protest)

(PDF)

SPO-H-150 Request for Exemption from Chapter 103F, HRS

(revised 9/06)

(doc- MS Word)     (PDF)  Instructions (PDF)
Request for Crisis Purchase of Service

SPO-H-600

(revised 9/06)


(doc- MS Word)    (PDF)  Instructions (PDF)

Contracts Database
(revised 12/05)
 Contracts Database Reporting System Worksheet (pdf)
(Optional form. If the person posting data to the CDRS does not know the contracts details, the contracts specialist can complete the form and give it to the person posting the data.)
Procurement Violation Report of Findings and Corrective Action/Request for After-the-Fact payment
SPO 16 (doc- MS Word)      Instructions (PDF)
Data Input for Report of Planned Purchases
Use this form if you would like to add a new procurement to the Report of Planned Purchases-
  ( right-click and "save target as...")  (MSExcel)

 

Should you have any questions, please contact 
Mara Smith at 587-4704 or mara.smith@hawaii.gov or
Corinne Higa at 587-4706 or corinne.y.higa@hawaii.gov
 or fax us at 587-4703.

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State Procurement Office Health & Human Services Forms & Instructions for Private Providers 

 

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