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2. Equipment / Supply Purchase Request
3. Fire Purchase Workflow
   Fire Purchase Workflow
5. Name*
7. Is This Purchase for Equipment and/or Supply? *

   1. Yes
   2. No
8. Total Estimated Cost*
10. Will Purchase Exceed $5,000?*

    1. Yes
    2. No
12. Vendor*
13. Model/Part #*
15. Useful Life*

    Please Indicate When Item(s) Will Expire and Need Replacement By

16. Total Cost*
18. Obtain Quote and Submit for Approval.*
20. Should There be a Contract (Think Services)? *

    1. Yes
    2. No
22. Obtain 3 Quotes or Fill Out Exceptions Below, Then Submit for Approval.
24. Quote #2
25. Quote #3
27. Exceptions - Please Provide Explanation as to Why Vendor is the Only One Able to Provide the Requested Goods or Services

    1. Specialty - Only Known Manufacturer of This Product.
    2. No Substitute - The Requested Product Has Unique Design/Performance Specification or Quality Requirements Which are Essential to Department Operations and Not Available in Comparable Products.
    3. Compatibility - The Requested Product is an Integral Repair Part or Accessory Compatible With Existing Equipment and the Item/Service Can be Obtained From Only One Vendor.
    4. Software Upgrade - Upgrade to Existing Software. Available Only From the Producer of This Software.
    5. Inadequate Competition - After Solicitation of Several Sources, Competition is Determined Inadequate (Record of Source Contacts Attached).
    6. Special Training - The Requested Product is One With Which Staff Have Specialized Training and/or Extensive Expertise. Retraining Would Incur Substantial Cost in Time and/or Money.
    7. Other - Please Explain
29. Please Explain
31. Obtain Quote and Scope of Service, Then Submit for Approval.*
33. Are You Sure? Services That Don't Require a Contract Must be Deemed Low Risk.*

    1. Yes
    2. No
35. Obtain Quote and Scope of Service, Then Submit for Approval. *
37. Contact Admin to Determine if the Service is Low Risk.*

    1. Low Risk
    2. High Risk
39. Obtain Quote and Scope of Service, Then Submit for Approval. *
41. Obtain Quote and Scope of Service, Then Submit for Approval. *

    Once approved, Admin will draft and route the agreement to Legal. Services can not be performed until there is an executed agreement. 

43. Is This a Replacement of Lost or Damaged Equipment? *

    1. Yes
    2. No

    Please select NO when replacing items at end of life cycle or for routine replacement.  Life cycle/routine replacements should be as part of your annual budget plan submitted to your program manager.

45. Justification for Purchase:*
47. Program Manager*
    -- Select One --Operations Division Chief BerensBattalion Chief CorteseBattalion Chief GilbertBattalion Chief RhodesAdministrative Battalion Chief BecerraCaptain AimarCaptain BaraccoCaptain BurgessCaptain CaldwellCaptain ChagonjianCaptain ChamnessCaptain CroweCaptain DavisCaptain DombrowskiCaptain GenaroCaptain JonesCaptain KochCaptain LangfordCaptain MortimoreCaptain OlivaCaptain UlitinCaptain VoglerGreg FortuneShuree Egloff

    You Supervisor Will Receive This Request

49. Special Program / JL*
    -- Select One --Swat (FDSWATTRN)Honor Guard (FDHONOR)Apparatus Program (FDAPP)Personal Protective Equipment (FDPPE)Power Equipment (FDPWREQ)Peer Support (FDPEER)Breathing Air Program (FDBRAIR)Fitness (FDFITNESS)Hazmat (FDHAZMAT)Hands Only CPR (FDHOCPR)Investigations (FDINVSTG)Safe (FDSAFE)Urban Search and Rescue (FDUSAR)Water Rescue (FDWTRRES)Hoses and Nozzles (FDHOSENZ)Medical Supplies (FDMEDIC)Training Officer (FDTO) Explorer Program (FDEXPLORER)Fire Stations (FDSTATION)Social Media Team (FDSOCIAL)No Associated JL
51. Part of submitted budget purchases for Fiscal Year?

    1. Yes
    2. No

    Is this part of your planned purchases submitted at the beginning of the fiscal year to your program manager?

53. Does This Purchase Exceed the Allocated Program Budget for Fiscal Year?*

    1. Yes
    2. No

    If yes, approval from the Operations Division Chief is required. 

Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field