26RM169.2 RFP surecrete 4-24.pdf

425 KB Posted

Attached to
Open Market Small Purchase IL|26-426DOC-KEWAN-P-97438
Contract number
26-426DOC-KEWAN-P-97438
Issued by
Illinois

About this file

Written by GovTribe AI ·

This is a Purchase Request form (DOC 0143, Rev. 3/2021) issued by the Illinois Department of Corrections for the Kewanee Life Skills Re-entry Center. The request number is 26RM169-2, dated 04/24/2026. Vendor #1 was selected as the awarded vendor for this procurement, which is designated for purchases under $2,000.

The purchase encompasses materials for the repair of HCU (Housing/Custody Unit) and Housing showers, including six line items with quantities and unit prices from Vendor #1: Fabbay 12.4 lb Decorative (2 units at $65.00 each totaling $130.00), SureCrete SureGrip Non-slip Additive 1 lb (2 units at $30.00 each totaling $60.00), SureCrete DK400WB Coating 1 Gallon (6 units at $260.00 each totaling $1,560.00), SureCrete Rubber Membrane 1 Gallon (3 units at $140.00 each totaling $420.00), SureCrete Microtek Overlay White 40lb (6 units at $110.00 each totaling $660.00), and SureCrete Pewter Stain 32 oz (2 units at $95.00 each totaling $190.00). The total contract amount is $3,020.00. The request was approved by Thomas Ryan (Department Head), Sheri Nolan (Business Administrator), and Natalie Mason, Warden (Chief Administrator) on 04/27/2026, with delivery directed to the Kewanee Life Skills Re-entry Center Warehouse at 2021 Kentville Road, Kewanee, Illinois 61443.

View the file

Other files

File Type Posted
standard-terms-and-conditions V.23.2_13..~26.pdf PDF
BOA - 26RM169.2 flooring.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Distribution: Business Office Printed on Recycled Paper DOC 0143 (Rev. 3/2021)

ILLINOIS DEPARTMENT OF CORRECTIONS

Purchase Request

Facility / Division OFD / Req. # Object Code Date

Item Requested Vendor #1 Vendor #2 Vendor #3 D. O.

Code Description of Item(s) Qty. Unit

Size Unit Price Total Price Unit Price Total Price Unit Price Total Price

NOTE: This form is for purchases under $2,000.

Freight

Total

Justification:

Item Requested Vendor #4 Vendor #5 Vendor #6 D. O.

Code Description of Item(s) Qty. Unit

Size Unit Price Total Price Unit Price Total Price Unit Price Total Price

NOTE: This form is for purchases under $2,000.

Freight

Total

Justification:

Distribution: Business Office Printed on Recycled Paper DOC 0143 (Rev. 3/2021)

Vendor #1 Vendor #2 Vendor #3 Name:

Vendor #:

Address:

Phone #:

Email Address:

Contact Person:

Comments:

Awarded Written Verbal Awarded Written Verbal Awarded Written Verbal

Vendor #4 Vendor #5 Vendor #6 Name:

Vendor #:

Address:

Phone #:

Email Address:

Contact Person:

Comments:

Awarded Written Verbal Awarded Written Verbal Awarded Written Verbal

Awarded Vendor’s FEIN#: If not low bidder, state justification in “comments.”

Ordering Procedure (check one): Mail OFD FAX OFD Contract Order #

Requester will phone in: Other:

Name of Contact

Deliver to:

Facility/Division

Department

Attention (Print Name)

Address

City State Zip Code

Requested by:

Print Name Extension Approved by:

Department Head’s Signature Date

Business Administrator’s Signature Date

Chief Administrator’s Signature Date

Check Function Code 01 Satellite #1 04 Security 07 Warehouse/Dietary 02 Satellite #2 05 Programs 08 Clothing 03 Medical 06 Maintenance 09 Administration

Item Requested
Freight
Item Requested
Freight
Check Function Code
01 Satellite #1
04 Security
07 Warehouse/Dietary
02 Satellite #2
05 Programs
08 Clothing
03 Medical
06 Maintenance
09 Administration
Facility Division: Kewanee Life Skills Re-entry Center
OFD Req: 26RM169-2
Object Code:
Date: 04/24/2026
D O CodeRow1:
Description of ItemsRow1: Fabbay 12.4 lb Decorative
QtyRow1: 2
Unit SizeRow1: e
Unit PriceRow1_2:
Total PriceRow1_2: 0
Unit PriceRow1_3:
Total PriceRow1_3: 0
D O CodeRow2:
Description of ItemsRow2: Color chips for Epoxy Flooring
QtyRow2:
Unit SizeRow2:
Total PriceRow2: 0
Unit PriceRow2_2:
Total PriceRow2_2: 0
Unit PriceRow2_3:
Total PriceRow2_3: 0
D O CodeRow3:
Description of ItemsRow3: Black,Gray,White
QtyRow3:
Unit SizeRow3:
Total PriceRow3: 0
Unit PriceRow3_2:
Total PriceRow3_2: 0
Unit PriceRow3_3:
Total PriceRow3_3: 0
D O CodeRow4:
Description of ItemsRow4: SureCrete SureGrip Non-slip
QtyRow4: 2
Unit SizeRow4: e
Total PriceRow4: 60
Unit PriceRow4_2:
Total PriceRow4_2: 0
Unit PriceRow4_3:
Total PriceRow4_3: 0
D O CodeRow5:
Description of ItemsRow5: Additive 1 lb
QtyRow5:
Unit SizeRow5:
Total PriceRow5: 0
Unit PriceRow5_2:
Total PriceRow5_2: 0
Unit PriceRow5_3:
Total PriceRow5_3: 0
D O CodeRow6:
Description of ItemsRow6: SureCrete DK400WB Coating
QtyRow6: 6
Unit SizeRow6: e
Total PriceRow6: 1560
Unit PriceRow6_2:
Total PriceRow6_2: 0
Unit PriceRow6_3:
Total PriceRow6_3: 0
D O CodeRow7:
Description of ItemsRow7: 1 Gallon
QtyRow7:
Unit SizeRow7:
Unit PriceRow7:
Total PriceRow7: 0
Unit PriceRow7_2:
Total PriceRow7_2: 0
Unit PriceRow7_3:
Total PriceRow7_3: 0
D O CodeRow8:
Description of ItemsRow8: SureCrete Rubber Membrane
QtyRow8: 3
Unit SizeRow8: e
Unit PriceRow8: 140
Total PriceRow8: 420
Unit PriceRow8_2:
Total PriceRow8_2: 0
Unit PriceRow8_3:
Total PriceRow8_3: 0
D O CodeRow9:
Description of ItemsRow9: 1 Gallon
QtyRow9:
Unit SizeRow9:
Unit PriceRow9:
Total PriceRow9: 0
Unit PriceRow9_2:
Total PriceRow9_2: 0
Unit PriceRow9_3:
Total PriceRow9_3: 0
D O CodeRow10:
Description of ItemsRow10:
QtyRow10:
Unit SizeRow10:
Unit PriceRow10:
Total PriceRow10: 0
Unit PriceRow10_2:
Total PriceRow10_2: 0
Unit PriceRow10_3:
Total PriceRow10_3: 0
Justification 1:
D O CodeRow1_2:
Description of ItemsRow1_2: SureCrete Microtek Overlay
QtyRow1_2: 6
Unit SizeRow1_2: e
Unit PriceRow1_4: 110
Total PriceRow1_4: 660
Unit PriceRow1_5:
Total PriceRow1_5: 0
Unit PriceRow1_6:
Total PriceRow1_6: 0
D O CodeRow2_2:
Description of ItemsRow2_2: White 40lb
QtyRow2_2:
Unit SizeRow2_2:
Unit PriceRow2_4:
Total PriceRow2_4: 0
Unit PriceRow2_5:
Total PriceRow2_5: 0
Unit PriceRow2_6:
Total PriceRow2_6: 0
D O CodeRow3_2:
Description of ItemsRow3_2: SureCrete Pewter Stain
QtyRow3_2: 2
Unit SizeRow3_2: e
Unit PriceRow3_4: 95
Total PriceRow3_4: 190
Unit PriceRow3_5:
Total PriceRow3_5: 0
Unit PriceRow3_6:
Total PriceRow3_6: 0
D O CodeRow4_2:
Description of ItemsRow4_2: 32 oz
QtyRow4_2:
Unit SizeRow4_2:
Unit PriceRow4_4:
Total PriceRow4_4: 0
Unit PriceRow4_5:
Total PriceRow4_5: 0
Unit PriceRow4_6:
Total PriceRow4_6: 0
D O CodeRow5_2:
Description of ItemsRow5_2:
QtyRow5_2:
Unit SizeRow5_2:
Unit PriceRow5_4:
Total PriceRow5_4: 0
Unit PriceRow5_5:
Total PriceRow5_5: 0
Unit PriceRow5_6:
Total PriceRow5_6: 0
D O CodeRow6_2:
Description of ItemsRow6_2:
QtyRow6_2:
Unit SizeRow6_2:
Unit PriceRow6_4:
Total PriceRow6_4: 0
Unit PriceRow6_5:
Total PriceRow6_5: 0
Unit PriceRow6_6:
Total PriceRow6_6: 0
D O CodeRow7_2:
Description of ItemsRow7_2:
QtyRow7_2:
Unit SizeRow7_2:
Unit PriceRow7_4:
Total PriceRow7_4: 0
Unit PriceRow7_5:
Total PriceRow7_5: 0
Unit PriceRow7_6:
Total PriceRow7_6: 0
D O CodeRow8_2:
Description of ItemsRow8_2:
QtyRow8_2:
Unit SizeRow8_2:
Unit PriceRow8_4:
Total PriceRow8_4: 0
Unit PriceRow8_5:
Total PriceRow8_5: 0
Unit PriceRow8_6:
Total PriceRow8_6: 0
D O CodeRow9_2:
Description of ItemsRow9_2:
QtyRow9_2:
Unit SizeRow9_2:
Unit PriceRow9_4:
Total PriceRow9_4: 0
Unit PriceRow9_5:
Total PriceRow9_5: 0
Unit PriceRow9_6:
Total PriceRow9_6: 0
D O CodeRow10_2:
Description of ItemsRow10_2: total from page 1
QtyRow10_2: 1
Unit SizeRow10_2:
Unit PriceRow10_4: 2170
Total PriceRow10_4: 2170
Unit PriceRow10_5:
Total PriceRow10_5: 0
Unit PriceRow10_6:
Total PriceRow10_6: 0
1:
2:
1_2:
2_2:
1_3:
2_3:
1_4:
2_4:
3:
1_5:
2_5:
3_2:
1_6:
2_6:
3_3:
undefined:
undefined_2:
undefined_3:
1_7:
2_7:
1_8:
2_8:
1_9:
2_9:
Awarded: Off
Written: Off
Verbal: Off
Awarded_2: Off
Written_2: Off
Verbal_2: Off
Awarded_3: Off
Written_3: Off
Verbal_3: Off
1_13:
2_13:
1_14:
2_14:
1_15:
2_15:
1_16:
2_16:
3_4:
1_17:
2_17:
3_5:
1_18:
2_18:
3_6:
undefined_4:
undefined_5:
undefined_6:
1_19:
2_19:
1_20:
2_20:
1_21:
2_21:
Awarded_4: Off
Written_4: Off
Verbal_4: Off
Awarded_5: Off
Written_5: Off
Verbal_5: Off
Awarded_6: Off
Written_6: Off
Verbal_6: Off
Awarded Vendors FEIN:
Mail OFD: Off
FAX OFD: Off
Contract Order: Off
undefined_7:
Name of Contact:
Other: Off
undefined_8:
FacilityDivision: Kewanee Life Skills Re-entry Center
Print Name: John Moraski
Extension: 21506
Department:
Attention Print Name: Warehouse
2026-04-24T14:50:47-0500
Thomas Ryan
Date_2: 04/24/2026
Address: 2021 Kentville Rd.
City: Kewanee
State: IL
Zip Code: 61443
2026-04-27T14:10:31-0500
Sheri Nolan
Date_3:
04 Security: Off
05 Programs: Off
06 Maintenance: On
2026-04-27T14:16:47-0500
Natalie Mason, Warden
Date_4: 04/27/2026
01 Satellite 1: Off
02 Satellite 2: Off
03 Medical: Off
07 WarehouseDietary: Off
08 Clothing: Off
09 Administration: Off
Justification 1_2: Institutional needs for repair of HCU and Housing showers. 26RM169
Unit PriceRow2:
Unit PriceRow3:
Unit PriceRow4: 30
Unit PriceRow5:
Unit PriceRow6: 260
Total PriceRow1: 130
Unit PriceRow1: 65
Freight 3:
Freight 2:
Freight 1:
Freight 4:
Freight 5:
Freight 6:
Total Price V1: 2170
Total Price V2: 0
Total Price V3: 0
Total Price V4: 3020
Total Price V5: 0
Total Price V6: 0
Check Box1: Off

File details come from the government source that posted it. Updated .