<p> EXECUTIVE SUMMARY OF PROCUREMENT TO BE AWARDED</p><p>The Agency must submit this form (or an approved substitute) for all procurements, together with:</p><p> Certification and Disclosure required by Executive Order 134 – on Form DPP134–C&D: “Executive Order 134 Certification and Disclosure,” and</p><p> Ownership Disclosure Form for the vendor selected for the intended award, in compliance with the Ownership Disclosure statute, N.J.S.A. 52:25-24.2, certified by the vendor within the past six (6) months.</p><p>Transaction Information</p><p>Full Legal Name of Vendor: </p><p>Solicitation, RFP or Contract No.: </p><p>Award Amount: </p><p>Description of Procurement: </p><p>Duration of Procurement: </p><p>Agency Contact Information</p><p>Agency: </p><p>Name: </p><p>Phone No: E-Mail: </p><p>Submit to: Executive Order 134 Review Unit P.O. Box 039 33 West State Street, 4th Floor Trenton, New Jersey 08625</p><p>Rev.: 3/4/2005 Page 1 of 1 DPP 134 ESP </p>