The Regents of the University of Colorado, a body corporate, acting on
behalf of the University of Colorado at Boulder ("University"),
is pleased to provide you with the Acquisition Card. The card represents
the University's trust in you and your empowerment as a responsible
employee of the University to safeguard and protect its assets.
I,____________________________________, hereby acknowledge receipt of a
University Acquisition Card, card number ________________________________.
As a cardholder, I agree to comply with the terms and conditions of this
Agreement and the stated provisions of the University Acquisition Card
Program User Handbook provided to me. I acknowledge receipt of the User
Handbook, confirm that I have read and understand its provisions and that
I will comply with the terms and conditions and those of subsequent User
Handbook revisions. I understand that the University is liable to First
Chicago MasterCard for all charges made by me. I further understand that
any unallowable grant charges made by me are the liability of my department.
As the holder of the University Acquisition Card, I agree to accept
responsibility for the protection and proper use of the card as outlined
in this Agreement and the User Handbook. I shall protect the card at all
times to prevent its unauthorized use. I understand that the University
WILL audit the use of this Acquisition Card and that I CANNOT use the
Acquisition Card for personal purchases or the prohibited commodities
listed in the User Handbook. Should the Acquisition Card be lost, stolen
or compromised in any manner, I shall immediately advise First Chicago
MasterCard (1-800-848-2813 for cancellation purposes) and my Department
Liaison.
I understand that the card is the property of the University, assigned to
me by my Department and that, in the event of willful or negligent default
of these obligations, the University shall take any recovery action deemed
appropriate, that is permitted by law. Furthermore, upon transfer from
the department or termination of employment with the University, I agree
to return this card to my Department Liaison for immediate cancellation.
APPLICANT:
Signature: _____________________________________________ Date:
_____________________
Print Name: ________________________________________
S.S.#/ID#: ___________________
Department: ______________________________________ Campus
Phone #: ______________
Campus Address:
__________________________________________________________________
1 signed copy to Cardholder
1 signed copy for each Cardholder on file in department
Any person employed by the State of Colorado
who purchases goods and services, or is involved in the purchasing
process, for the State, shall be bound by this code and shall: