Please complete the following form and submit to the Office of

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CONTRACT CLOSE OUT FORM
Please complete the following form and submit to the Office of General Counsel in
Hannah Hall, Room 310. TYPE / PRINT ALL RESPONSES LEGIBLY.
Contract Originator & Title:
College/Dept.:
E-mail:
Extension:
Contract Compliance
1. Were all the monies expended for this contract?
a. If no, what amount is unspent:
$
Yes
No
2 Contractor/Vendor Performance:
a. Overall Performance:
Exceptional
Satisfactory
Unsatisfactory
b. Commodity Delivery:
Exceptional
Satisfactory
Unsatisfactory
c. Commodity Performance:
Exceptional
Satisfactory
Unsatisfactory
d. Service Delivery:
Exceptional
Satisfactory
Unsatisfactory
e. Service Performance:
Exceptional
Satisfactory
Unsatisfactory
f. Hub Participation:
N/A
Contract Number:
Contractor/Vendor:
Contract Amount:
Contract Effective Date:
Contract Originator
Exceeded
Met
Unsatisfactory
K$
Termination Date:
Date
Note: Modification of this Form requires approval by the Office General Counsel.
Office of General Counsel
Contract Close-out Form
TSUOGC-S-1210-012
Page 1 of 1
Rev. 12-2010

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