260483 LAB Manpower 2 of 3.pdf
PDF 260 KB Posted
- Contract number
- 24-416CMS-BOSS4-P-56144
- Issued by
- Illinois
About this file
Summary
This is a Request for Placement Form for Temporary Staffing Services issued by the State of Illinois under FY 26. The document is part of Section 6 Exhibit A of the State of Illinois IFB Contract with Standard Business Terms and Conditions (Version 20.1). The end-user identified is Jeff Tucka, who serves as both the requesting party and primary contact for the placement request. All temporary staffing employee arrangements must be coordinated exclusively through the designated end-user liaison, with all requests submitted via the BidBuy procurement platform at https://www.bidbuy.illinois.gov/bso/.
The request is for two temporary staffing employees on a full-time basis, with employment commencing on June 1, 2026, and concluding on August 28, 2026. The position requires full-time work from 9:00 AM to 4:00 PM daily, with a half-hour lunch break, totaling 7.5 hours per day. The work location is 825 N. Rutledge, 4th Floor, Springfield, Illinois 62702. The required qualifications include a high school diploma and advanced computer skills in database management, Windows-based systems, Windows 5, and Office 365. Weekly timesheets and invoices will be managed and approved by Jeff Tucka, with correspondence directed to jeff.tucka@illinois.gov. No special conditions or additional skill requirements were specified for this placement request.
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Text version
Section 6 Exhibit A
REQUEST FOR PLACEMENT FORM
TEMPORARY STAFFING SERVICES
FY Z'&
ALL REQUESTS FOR TEMPORARY STAFFING EMPLOYEES WILL BE ARRANGED WITH THE VENDOR
THROUGH THE END-USER LIAISON ONLY.
End-User: _(j�e;_ff��-{&<�_/I_C�·,c{::,�tiL __ ,-_End-User Contact:
ra_ New Request □ Renewal of Current Temporary Worker
Number of temporary staffing employees requested for this assignment:
□ Request Change in Current Order
I <:ITl5-Zf-z, If duties vary for each temporary employee, a separate Release Requisition/PurchaSe Order must be submitted for each request.
Requested Start Date: __6/1/26________ _ Anticipated End Date:
I J
If the start date is RESCHEDULED or CANCELLED due to change in need, please notify the End-User Liaison IMMEDIATELY by e-mail. The End-User Liaison will notify the Vendor to change or terminate the search for candidates.
□ PartTime
Lunch
){FullTime
□ 1 Hour
Daily Work Hours: From: 'i: 00 �pm To: f ODamt@
Jl!l, 1/2 Hour Total Hours Per Day '7, 5· k..r S Signature of Supervisor signing wee,kly timesheets: � Print Supervisor's Name: J""'e..-{--f Tu cJ<.a_ Supervisor's Phone #: ,:;} / 7- 5;) L(_ 4 3 J 0 Supervisor's Email: j ef£±" C {t:."- e. � \\ ;·"" o\S , () G V
Name of Administrator/designee signing weekly approval form (if required): Je...f{--ru.ck Email Where Weekly Invoices are Sent: j e.,ff. ::b, dee.. c' JI l; vi o\ 5 , �ov Address Where Temporary Employee(s) Report to Work (building, floor, room, street address, etc., including parking instructions, anticipated tolls): � ,Q 5 N , /2Gt f ( e�) �-{1,._ f [oo 'yr-
<;'p n'0J.�J -S::: J_ (pc) 70,;l._.
Person to Report to First Day: Je_...{:--{ --fLL Ck Special Conditions (request previous temporary staff, pre-interview, demeanor for executive office, background check requirement, etc.):
This form must be attached to the Release Requisition/Purchase Order within BidBuy at https:llwww.bidbuy.illinois.gov/bso/ which identifies all Job Classifications and Additional Skills available through each Vendor.
Please specify the Additional Skill Requirements (as requested through BidBuy)
□ Bending/ Lifting 50 lbs:
□ Bendng/Lifting 75 lbs:
□ Drivers Lisences/ Class D:
□ Hand Truck:
□ Notary.
State of Illinois lFB
Contract: Standard Business Terms and Conditions
V.20.1
8/28/26
� High school diploma
□ Microfilm Operator
□ Keyboarding 35 wpm
□ Keyboarding 50 wpm
□ Sign language
□ Bilingual (specify language):
□ Computer Skills (specify programs) /!1iAdvanced Computer Skills (specify programs):
□ Agency Defined Position with attached Job Description:
Vendor Contact (Printed First and Last Name):: _______________ _
Vendor Contract#:: ______________ _ Vendor Email:: ________________ _ Vendor Phone·:. _______________ _
Date: __________________ _
State of Illinois lFB
Contract: Standard Business Terms and Conditions
V.20.1
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