ICONS Purchasing Form - Institute for Connected Sensor-Systems

Your Role*

PI
Grad Student or PostDoc
Other

Role if you selected "Other" above:*

Your Name*

First Last

Email*

Phone*

I would like to:*

place an order with a non-Marketplace vendor.
place an order worth more than $5000 for any vendor.
request a FedEx label.

Select PI Name(s)*

Project(s)/Phase(s) to Charge*

Please click the plus sign button at the end of the row to add additional rows.

Project ID	Dollar Amount ($) to be charged to this ID

3:00 p.m. Daily Approval Deadline Acknowledgment

3:00 p.m. Daily Approval Deadline*

IconS will process all orders received and approved by a Principal Investigator (PI) before 3:00 p.m. on the same day they are received. On occasions where Holiday schedules or University closures are in effect (denoted in the red box above), deadlines will be adjusted accordingly.

Yes, I understand my order must be received and approved by a PI before 3:00 p.m. to be processed on the same business day. FedEx label requests after 3:00 p.m. are subject to the same daily approval deadline and will be processed the following business day.

Vendors Section

Number of Vendors*

Optional – Spreadsheet Upload*

You have the option of skipping later questions by uploading a spreadsheet attachment or submitting a google spreadsheet link. Please ensure your spreadsheet matches this template.

Yes, I’ll upload a spreadsheet that matches the template.
Yes, I’ll share a Google Drive Spreadsheet with editing permissions that matches the template.
No, I’ll fill out the table in the section below.

Upload Spreadsheet*

Please ensure your spreadsheet matches the template.

Max. file size: 8 MB.

Option to Link Google Spreadsheet*

Please ensure your spreadsheet matches the template and has shared editing rights with ICONS-purchasing@ncsu.edu.

Vendor Types*

Most MarketPlace vendors are very efficient with shipping and can often deliver here within 1-2 days for orders placed before 3:00pm.
MarketPlace vendors are often the most cost-effective option as well. If you are unsure of where to find a specific part of supply, please email ICONS-purchasing@ncsu.edu to see if there is an option you may not have considered.

Marketplace Vendors
Non-Marketplace Vendors
Both Marketplace and Non-Marketplace Vendors

Please select your Marketplace Vendor(s).*

Vendors marked with an asterisk (*) are also under state contract for orders over $5,000.

Please enter the names and websites of your Non-Marketplace Vendors*

Click the plus sign at the end of the row to add additional rows.

Vendor Name	Vendor Website

For Non-Marketplace Vendors, do you have a quote?*

Yes
No

Representative Contact Name*

First Last

Representative Contact Email*

Representative Contact Phone*

Upload Quotes for Non-Marketplace Vendors*

Drop files here or

Max. file size: 8 MB.

Building AND Lab/Room Number Where Materials/Equipment Will Be Used*

Please include the building AND laboratory or room number where the requested materials and/or equipment will be deployed or used most frequently.

Requested Items Section

List of Items Requested from All Vendors*

Click the plus sign at the end of the row to add additional rows.

Vendor Name	Item Name	Item URL	Part Number	Price/Item	Quantity Requested	Subtotal

Total Order Amount*

Single Vendor Purchases of $5,000 or more*

Any request for services over $5,000 must be processed by entering a purchase requisition into the automated NCSU system.
Purchasing will then seek competitive bids and issue a purchase order for services.
If a vendor is currently under state contract (denoted by the asterisk next to the vendor’s name in MarketPlace), a sole source justification (SSJ) is not required.
However, if the vendor is not on the MarketPlace, then an SSJ is required.

Yes, my order of $5,000+ is from a vendor currently under state contract.
No, my order of $5,000+ is not from a vendor currently under state contract.

Sole Source Justification*

Please upload the Sole Source Justification for your order of $5,000+ from a single vendor not under state contract.

Max. file size: 8 MB.

Is this fabricated equipment?*

Please refer to NCSU Policy 10.05.16 for more information.

Yes
No

What is the item(s) to be fabricated?*

Is this part of a current piece of equipment, if so, what is the Asset Management Tag number?*

Will this fabrication create a single item and cost $5K or more?*

Will the university retain the title?*

Why is the item needed?*

How does this item relate to the original scope of work?*

Provide a detailed description of the item:*

What are the components for fabrication, including individual prices?*

Include a diagram, drawing, or picture of equipment being fabricated*

Max. file size: 8 MB.

Business Justification*

Please submit a detailed Business Justification.

Shipping Section

Please choose your desired method of shipping.*

Standard 2-5 business days (most economical)
Ground
3rd Day
2nd Day
Next Day
Amazon Prime
No Preference
Not Applicable

Expedited Shipping Notification*

Many orders with expedited shipping are not picked up for days after delivery, indicating the item was not as critical as the shipping priority suggests. Research dollars can be saved by planning your supply needs in advance and using regular shipping options.

Please be aware the University cannot accept deliveries on weekends or outside the hours of 8am-5pm on weekdays.

PI approval for expedited shipping is also required.

Yes, I understand PI approval is required for Next Day or 2 Day shipping charges.

Please select your desired shipping address.*

**2410 Campus Shore Dr, 423 E Monteith Research Center
911 Partners Way, 2009 Engineering Building I, Raleigh, NC 27695
890 Oval Dr, 3114 Engineering Building II, Raleigh, NC 27695
1840 Entrepreneur Dr, 3002 Engineering Building III, Campus Box 7910, Raleigh, NC 27695
1840 Entrepreneur Dr, Room 4130-EB3, Raleigh, NC 27695-7115
I need to enter a new or custom address.
I plan to pick up the package from the shipping company’s offices.

Name for Shipment Receiving*

Please enter the name of the person who will receive your delivery.

First Last

Custom Shipping Address*

Please enter your new or custom shipping address here.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number for Shipment Receiving*

Please give a number the delivery company can call during business hours for help in delivering your shipment to the custom address entered above.

Shipping Comments or Driver Instructions*

Packing Slips Reminder*

All packing slips are due to MRC 223 upon receipt of the package.
You may hand deliver, campus mail to box 7564, fax to 515-3027 or email scanned copies to ICONS-purchasing@ncsu.edu.

If you receive a package without a packing slip, please send a photograph of the item(s) to ICONS-purchasing@ncsu.edu.

Yes, I understand I must submit the packing slip or a picture of the items when I receive the package.

FedEx Label Details

FedEx Shipment Pick Ups/Drop Offs

FedEx Shipment Details*

I will drop off my package to FedEx and understand I am responsible for meeting all deadlines to ensure timely delivery.
I would like to schedule a pick up and will leave my package in the IconS receiving office.

Originating Address*

Please give the complete address for the sender or the location where the shipment is being picked up.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping from the US, Puerto Rico or the US Virgin Islands to China or Russia?

Changes to FedEx Electronic Export Information as of September 27, 2020 for shipments from the US, Puerto Rico or US Virgin Islands with a destination of People’s Republic of China (CN), Russia (RU) or Venezuela (VE). US exports of all other ECCN items destined for CN, RU and VE require an EEI to be filed in AES regardless of whether a license is required or the value of the items.

What does this mean for me? If you’re shipping from the US, Puerto Rico or the US Virgin Islands to China or Russia you must determine the ECCN and applicable EEI filing requirements that apply to the commodities you plan to export. Also, FedEx does not currently provide service to Venezuela.

To find out more about this development, please visit FedEx Regulatory Alerts & Updates.

Nature of Organization*

Please select the relation of the recipient for the package shipment.

University
Company
Individual

University Name*

Department Name*

Company Name*

Recipient Name*

First Last

Recipient Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Recipient Phone*

Requestor’s Phone Number is not accepted in this field. The Recipient’s Phone Number is required. Requests without a Recipient’s Phone Number will not be processed.

Recipient Email*

Requestor’s Email Address is not accepted in this field. The Recipient’s Email Address is required. Requests without a Recipient’s Email Address will not be processed.

Please select your desired method of FedEx shipping.*

1st Overnight
Priority Overnight
Standard Overnight
FedEx 2 Day
FedEx 2 Day AM
Express Saver (usually by COB 3 days)
Cheapest
Fastest

Please select your package type.*

FedEx Envelope (weight limit 0.5 lbs)
FedEx Pak – Small
FedEx Pak – Large
FedEx Box – Small
FedEx Box – Medium
FedEx Box – Large
FedEx Box – Extra Large
FedEx Tube
Your Packaging

Please enter the dimensions of your packaging.*

Please enter Height by Width by Depth in Inches.

Package Weight*

Please enter the estimated weight in pounds.

Package Value*

Please enter the known or estimated value of your package in US Dollars $.

Shipment Starting Date*

Please enter the date you want your package picked-up or the date you will drop it off.

Earliest Available Time*

Please enter the earliest time your package will be dropped off by you OR the earliest the package will be left at the pick-up point you designated above.

:

Return Label

Include a Return Label?

(Select “Yes” if the recipient be returning a package to you within 90 days)

S. Ashby
A. Bozkurt
J. Budhathoki-Uprety
C. Byrd
M. Daniele
M. Dickey
M. Kudenov
E. Lobaton
A. Locke
V. Misra
S. Neupert
B. O'Connor
J. Ristaino
C. Schal
S. Venkatesh
W. Wang
H. Ware
Q. Wei
L. Xiang
R. Yu

Accu-Tech
Airgas*
Alfred Williams*
Amazon*
Anixter*
Apex Contract Carpet*
Apple*
Applied Industrial*
Arc3 Gases*
Best Plumbing
Bio-Rad*
Bioline
Merchant Logo
Bonitz Flooring Group*
Brame Specialty*
CDW-G (CPI)*
Capital Air Filters*
Carolina Biological*
Dell (CPI)*
Digi-Key
Dillon Supply*
En Pointe*
Ergo Genesis*
Eton Bioscience*
Fastenal*
FedEx Office
Ferguson Enterprises*
Fisher Scientific Warehouse*
Fisher Scientific*
Genesee Scientific
GovConnection*
Grainger*
Graybar*
HD Supply Facilities Maint*
Henry Schein*
Home Depot*
Integrated DNA Technologies
KSE Scientific*
Lenovo (CPI)*
Life Tech/Applied Bio/Invitro
MSC Industrial Supply*
McMaster-Carr
Murray Supply
National Air Filters
Newark
Office Depot*
ProSan Maintenance*
Promoversity (RFQ LLC)*
Qiagen
Sigma-Aldrich
Software House International*
Staples Janitorial*
Staples Office Supply*
State Electric*
Storr Office Environments*
The Roberts Group*
USA Scientific*
VWR International*
Vallen
Veritiv(Unisource – Fac Only)*
FedEx
Custom Gas Solution

3:00 p.m. Daily Approval Deadline Acknowledgment

Vendors Section

Requested Items Section

Shipping Section

FedEx Label Details

FedEx Shipment Pick Ups/Drop Offs

Shipping from the US, Puerto Rico or the US Virgin Islands to China or Russia?

Return Label

Optional Comments