邢唷��>� /1��.��欹�€ ��@bjbj � � wh�h�@�� $��----9$-�L]ssssNNNVXXXXXX��bX NNNNNX ss�mN s sVNVs��纍�^撋-d:B�0��: 0NNNXX�:NNN�NNNN��NNNNNNNNN� �: THE UNIVERSITY OF SCRANTON REQUEST FOR OFFICE OF THE GENERAL COUNSEL CONTRACT REVIEW TO: ______________________________ Office of the General Counsel FROM: _______________________________ Name _______________________________ Title _______________________________ Department DATE: _______________________________ Name, address, and phone number of other party: __________________________________________________ __________________________________________________ (_____)___________________________________________ Other party(s attorney(s name and phone number, if known: _________________________________________________ (____)____________________________________________ Is this contract a: Standard form agreement _______________ Renewal of an existing agreement _____________ Modification (amendment, extension) of an existing contract _______________ On a photocopy of the agreement, please circle or highlight which, if any, preprinted or prior terms have been changed. Contract cost to the University (specify total or yearly): $______________ Term of contract (specify months or years): ____________________ Summary of goods or services to be obtained under the contract (or purpose of contract): _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Financial review, if any, by : ________________________________________________ Important provisions which have been negotiated (and which must appear in contract): _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Date transmitted to the Office of the General Counsel: ____________________________ Date by which review needed: _____________________________ Note: Turn around time may be affected by several factors, including length of contract, complexity, extent of revisions, whether subject matter is entirely new, etc. If turnaround time needed is less than 4 weeks, explain why: _______________________ __________________________________________________________________ If pre-existing deadline, is it? ____________ the other party(s? ___________ the University(s? University contact person name and extension: ______________________________ _________________ ALL ORIGINALS OF CONTRACT, ALL ATTACHMENTS, EXHIBITS OR ADDENDA TO THE CONTRACT, AND ALL COPIES OF PREVIOUS CONTRACTS WITH THE SAME PARTY ON SAME SUBJECT MATTER ARE ENCLOSED. I HAVE KEPT A PHOTOCOPY OF THE CONTRACT FOR DISCUSSION PURPOSES. 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