24-497DVA-MANTE-B-42564 IVHM Sewer Chewer Emergency Extension Request CPO Signed.pdf

EMERGENCY PURCHASE EXTENSION APPROVAL

State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Approval v.24.1 Page 1 of 3

Section 20-30(a) of the Procurement Code provides that a contract for an emergency may be extended beyond 90 calendar days with the approval of the chief procurement officer (CPO). Prior to execution of the extension, the CPO shall receive this completed form justifying the extension. The duration of the extension shall be limited to the scope of the emergency.

Zip: 60409State: IL City: Calumet CityAddress: 1530 Huntington Dr

Vendor: Gasvoda & Associates Inc

Zip: 60950State: ILCity: MantenoAddress: 1 Veterans Drive

Requesting Agency DVA - Veteran's Affairs Division: Manteno

Extension Justification BidBuy Reference #: 24-497DVA-MANTE-B-42564

Amount of original contract: $ 40,000

Actual or Estimated: Estimated

Original BidBuy Reference #: 24-497DVA-MANTE-P-64902

Original Emergency Term Start Date: 02/13/2024 Original Emergency Term End Date: 05/12/2024

Expected Extension Start Date: 02/13/2024 Expected Extension End Date: 08/11/2024

Amount of extension contract: $84,986.03 Actual or Estimated: Actual

Is there BEP participation on this contract? If no, explain why

Vendor is unable to outsource service to a certified BEP vendor.

Has this emergency contract been extended before? Please detail in the space below:

BidBuy Reference # Amount Start Date End Date

N/A $0.00 N/A N/A

N/A $0.00 N/A N/A

N/A $0.00 N/A N/A

1. Provide detail about the events that led the agency to conduct an emergency procurement:

Facility sewer system failed causing back up of sewage. emergency required to remove system and replace to maintain health and safety guidelines for residents and staff. Initial emergency extended due to existing system no longer being manufactured. facility must replace with new system that requires alterations to existing sewer lines

2. What is the scope of work of the initial emergency contract? Please detail below:

removal of existing sewer chewer system and replace with new like sewer chewer system.

3. Does this extension change the scope of work? Yes No If yes, please detail below:

Replace existing system with new system & alter existing sewer lines to properly hold new system

Emergency Purchase Extension Approval v.24.1 Page 2 of 3

Section 20-30(a) of the Procurement Code provides that a contract for an emergency may be extended beyond 90 calendar days with the approval of the chief procurement officer (CPO). Prior to execution of the extension, the CPO shall receive this completed form justifying the extension. The duration of the extension shall be limited to the scope of the emergency.

Zip: 60409State: IL City: Calumet CityAddress: 1530 Huntington Dr

Vendor: Gasvoda & Associates Inc

Zip: 60950State: ILCity: MantenoAddress: 1 Veterans Drive

Requesting Agency DVA - Veteran's Affairs Division: Manteno

4. Provide justification for extending the original emergency contract:

Original emergency extended due to existing manufacturer of original system no longer producing equipment. This resulted in the facility & vendor to have to find a new system to handle the facilities waste properly.

5. Does this emergency contract correct or eliminate the emergency condition?

Yes No Please detail:

This emergency will replace the broken system and allow the facility to operate under normal conditions

6. Explain why the need cannot be met through a competitive procurement process.

Without an immediate emergency and continued cleanings of the facility sewer system the facility would have sewage back up into the facility living and work spaces. the facility would need to shut down until the problem could be corrected through normal procurement processes

7. Is a competitive procurement in process to replace this emergency contract?

Yes No Status:

N/A

8. What is the effect of a denial of this extension request?

Denial of extension will result in the facility damaging buildings and property along with loss of funds due to facility needing to move residents and staff from the facility.

Emergency Purchase Extension Approval v.24.1 Page 3 of 3

Section 20-30(a) of the Procurement Code provides that a contract for an emergency may be extended beyond 90 calendar days with the approval of the chief procurement officer (CPO). Prior to execution of the extension, the CPO shall receive this completed form justifying the extension. The duration of the extension shall be limited to the scope of the emergency.

Zip: 60409State: IL City: Calumet CityAddress: 1530 Huntington Dr

Vendor: Gasvoda & Associates Inc

Zip: 60950State: ILCity: MantenoAddress: 1 Veterans Drive

Requesting Agency DVA - Veteran's Affairs Division: Manteno

BidBuy Reference #: 24-497DVA-MANTE-B-42564

Signatures below cannot be delegated.

APO Signature

I am requesting an extension of the requested emergency contract. I believe all statements herein are true and correct to the best of my knowledge.

APO Signature: Date:

SPO Signature

SPO Signature: Date:

CPO Signature Based on my review, I approve the Agency to proceed in accordance with the emergency contract extension detailed in this document.

Based upon my review, I approve the Agency to proceed with the following changes:

CPO Signature: Date:

Page of

Section 20-30(a) of the Procurement Code provides that a contract for an emergency may be extended beyond 90 calendar days with the approval of the chief procurement officer (CPO). Prior to execution of the extension, the CPO shall receive this completed form justifying the extension. The duration of the extension shall be limited to the scope of the emergency.

State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Approval v. 24.1

EMERGENCY PURCHASE EXTENSION APPROVAL

State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Approval v.24.1 Page of Section 20-30(a) of the Procurement Code provides that a contract for an emergency may be extended beyond 90 calendar days with the approval of the chief procurement officer (CPO). Prior to execution of the extension, the CPO shall receive this completed form justifying the extension. The duration of the extension shall be limited to the scope of the emergency.

Extension Justification Actual or Estimated:

Has this emergency contract been extended before? Please detail in the space below:

BidBuy Reference # Amount Start Date End Date

1. Provide detail about the events that led the agency to conduct an emergency procurement:

2. What is the scope of work of the initial emergency contract? Please detail below:

3. Does this extension change the scope of work?

If yes, please detail below:

4. Provide justification for extending the original emergency contract:

5. Does this emergency contract correct or eliminate the emergency condition?

Please detail:

6. Explain why the need cannot be met through a competitive procurement process.

7. Is a competitive procurement in process to replace this emergency contract?

8. What is the effect of a denial of this extension request?

Signatures below cannot be delegated.

APO Signature I am requesting an extension of the requested emergency contract. I believe all statements herein are true and correct to the best of my knowledge.

SPO Signature CPO Signature 11.0.0.20130303.1.892433.887364