approved BRAND WAIVER RAYPAK.pdf
PDF 1 MB Posted
- Contract number
- 26-426DOC-SHAWN-P-86720
- Issued by
- Illinois
About this file
This document is a Brand Name Only Justification form from the State of Illinois Chief Procurement Office for General Services, specifically for the Shawnee Correctional Center. The form, bearing Req/Bid Number R-287721, is completed by Agency Procurement Officer Amanda Hardwick for Jacenta Wilson on September 22, 2025, seeking approval to procure specific branded components.
The procurement involves three specific Raypak parts: Raypak Igniter #017875F, Raypak Flame Sensor #017876F, and Raypak 12"x12"x1" Air Filter #012553F. The justification for using a brand-specific specification is to ensure compatibility with the facility's existing hot water boiler system. The form indicates that these exact parts are necessary to make repairs and maintain system integrity. The document is structured to provide rationale for the brand-specific procurement, with the agency checking the box for "To ensure compatibility in existing systems" as the primary reason for the brand-name-only specification.
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| File | Type | Posted |
|---|---|---|
| SIGNED BOA 26SHA0299.pdf |
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Text version
Brand Name Only Justification
State of Illinois Chief Procurement Office for General Services Brand Name Only Justification Form v.25.2
Req/Bid Number: R-287721 Buyer/Requester: Shawnee Correctional Center
Brand Name: RAYPAK
Description:
Raypak Igniter #017875F, Raypak Flame Sensor #017876F, Raypak 12"x12"x1" Air Filter #012553F
In accordance with Section 1.2050 d) of the Chief Procurement Officer for General Services Standard Procurement Rules and pursuant to the requirements of the Illinois Procurement Code (30 ILCS 500/20-50), the agency is requesting to use a Brand Name Only specification for the following reason:
To fill medical prescription needs
To stock State retail-type operations
To ensure compatibility in existing systems
To preserve warranty
Requires certified dealer to perform repair or maintenance
To comply with a Department of Innovation and Technology communication or information technology standard
Other For all reasons given, explain why the use of Brand Name Only specification is necessary:
Parts must be that specific brand to make the repairs and be compatible with our hot water boiler.
Supplemental documentation attached
Agency Procurement Officer
Signature: Printed Name:
Amanda Hardwick for Jacenta Wilson
Date: Sep 22, 2025
State Purchasing Officer Determination I have reviewed and agree with the agency's justification and it is my determination that a Brand Name Only specification may be used for this procurement.
I have reviewed the agency's justification and it is my determination that a Brand Name Only specification may NOT be used for this procurement (explain in comments).
I have reviewed the agency's justification, and it is my determination that a Brand Name Only specification may not be used for this procurement. The agency may use a Brand Name or equal specification.
SPO Comments:
SPO Signature: Printed Name:
Date:
Button
Page of Brand Name Only Justification State of Illinois Chief Procurement Office for General Services Brand Name Only Justification Form v.25.2 In accordance with Section 1.2050 d) of the Chief Procurement Officer for General Services Standard Procurement Rules and pursuant to the requirements of the Illinois Procurement Code (30 ILCS 500/20-50), the agency is requesting to use a Brand Name Only specification for the following reason:
For all reasons given, explain why the use of Brand Name Only specification is necessary:
Agency Procurement Officer State Purchasing Officer Determination 9.0.0.2.20120627.2.874785
| CurrentPage: |
| PageCount: |
| BidNumber: R-287721 |
| Buyer: Shawnee Correctional Center |
| BrandName: RAYPAK |
| TextField6: Raypak Igniter #017875F, Raypak Flame Sensor #017876F, |
Raypak 12"x12"x1" Air Filter #012553F
| CheckBoxPrescription: 0 |
| CheckBoxRetail: 0 |
| CheckBoxCompatibility: 1 |
| CheckBoxWarranty: 0 |
| CheckBoxMaintenance: 0 |
| CheckBox2: 0 |
| CheckBoxOther: 0 |
| Explanation: |
| TextField5: Parts must be that specific brand to make the repairs and be compatible with our hot water boiler. |
| CheckBox1: 0 |
| AgencyUniversitySign: |
| AgencyUniversityPrint: Amanda Hardwick for Jacenta Wilson |
| AgencyUniversityDate: 2025-09-22 |
| ReasonForNo: |
| CheckBoxYes: 0 |
| CheckBoxNo: 0 |
| : |
| TextField4: |
| SPOSignature: |
| SPOPrintedName: |
| SPODate: |
| Button1: |
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