EMERGENCY PURCHASE STATEMENT

Page 1 of 3State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement v.26.1

Emergency Purchases are conducted pursuant to 30 ILCS 500/20-30 and 44 Ill. Adm. Code 1.2030.

Zip: 38401State:TNCity:ColumbiaAddress: PO Box 654

Vendor: Certisurv, LLC

Zip: 62761State: ILCity:SpringfieldAddress: 535 W Jefferson St.

Division: Office of Healthcare RegulationAgency: Department of Public Health

Emergency Purchase Details BidBuy Reference #: B- 52529

Emergency Condition (select the appropriate option from the drop-down menu below):

Involving threat to public health or public safety

Provide a description and reasons for needing this emergency purchase:

The Illinois Department of Public Health needs to procure contracted clinical monitoring and survey services to address a sudden and significant increase in monitoring requirements for long term care facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities identified as high risk to resident health, safety, and welfare. The current surge in monitoring requirements includes both ongoing monitoring needs and a significant increase in complaint and incident investigations within the Intermediate Care Facilities for Individuals with Intellectual Disabilities program, further exceeding internal staffing capacity. The Department could not address the increased workload through existing staffing resources within the timeframe necessary to protect resident health and safety

Provide the conditions and circumstances that led to the need for this emergency purchase:

The Department has identified a need for sustained high volume monitoring and survey activities requiring the deployment of multiple clinical professionals over a defined emergency period. Based on current operational requirements, the Department estimates the need for approximately 960 total monitoring and survey workdays across multiple program areas during the emergency period, requiring concurrent deployment of multiple monitoring teams statewide. The Department is unable to meet the anticipated needs with current State and contracted staff. A failure to meet these needs will endanger the health and safety of residents and put the Department at risk of regulatory non-compliance.

Reason for selection of this particular vendor:

Due to the volume, geographic distribution, and immediacy of these requirements, the Department evaluated vendors based on their ability to rapidly scale operations, provide sufficient qualified clinical personnel, and initiate services without delay. The Department reviewed available vendors with experience in long term care monitoring and clinical oversight services.

The Department determined that the selected vendor was able to meet the full scope of required services, including the level of staffing and operational capacity necessary to support concurrent statewide deployment. The magnitude and urgency of the requirement did not allow sufficient time to conduct broader outreach, segment the work for multiple awards, or establish subcontracting arrangements with Business Enterprise Program certified vendors without delaying critical monitoring services and increasing risk to resident health and safety.

Description of supplies or services to be provided:

The vendor shall provide qualified Health Facility Surveillance Nurses, Developmental Disabilities surveyors, and associated clinical professionals to support immediate deployment. Services shall include both monitoring of high-risk facilities and completion of overdue complaint and incident surveys within the ICF IID program. Monitoring and survey activities shall be initiated based on Department identified risk indicators, including but not limited to high level deficiencies, complaint backlogs, incident investigations, quality of care concerns, licensure actions, or other conditions requiring intervention.

Services to be provided include

Page 2 of 3State of Illinois Chief Procurement Office for General Services

Vendor: Certisurv, LLC

Zip: 62761State: ILCity:SpringfieldAddress: 535 W Jefferson St.

Division: Office of Healthcare RegulationAgency: Department of Public Health

• Conduct unannounced on site monitoring visits and complaint or incident investigations at long term care facilities and ICF IID facilities as directed by the Department, including evenings, overnight hours, and weekends

• Observe facility operations, including staff and resident interactions, to assess delivery of care and services

• Review facility and resident records to evaluate compliance with State and Federal requirements

• Complete overdue complaint and incident surveys within the ICF IID program in accordance with applicable regulatory requirements

• Identify and document areas of noncompliance, decline, or improvement in facility performance

• Immediately notify the Department of any conditions that pose a risk to resident health, safety, or welfare

• Communicate observations and concerns to facility designated representatives as appropriate

• Submit written monitoring and survey reports within 24 hours of each visit in a format acceptable to the Department

• Provide ongoing monitoring and survey support based on Department direction until stabilization of identified conditions

The vendor shall provide sufficient staffing and operational support to meet the increased volume of monitoring and survey activities, including the ability to deploy multiple teams simultaneously across various locations statewide during the 90-day emergency period.

Emergency procurements shall be made with as much competition as is practicable under the circumstances, and agencies shall utilize best efforts to include contractors certified under the Business Enterprise Program in its emergency procurement process. 30 ILCS 500/20-30(a).

Describe the actions taken by the agency to make the emergency purchase with as much competition as is practicable under the circumstances:

The Agency contracted vendors known to have recently contracted after open bidding to complete this kind of service. The chosen vendor offered pricing in line with known industry standards and was able to meet the full scope of the services required with sufficient staffing, skillsets, and geographic coverage.

List the actions taken by the agency that constitute its best efforts to include contractors certified under the Business Enterprise Program in this emergency purchase:

The Department determined that the selected vendor was able to meet the full scope of required services, including the level of staffing and operational capacity necessary to support concurrent statewide deployment. The magnitude and urgency of the requirement did not allow sufficient time to conduct broader outreach, segment the work for multiple awards, or establish subcontracting arrangements with Business Enterprise Program certified vendors without delaying critical monitoring services and increasing risk to resident health and safety.

Is there an active State contract available for the required supplies or services? Yes No

This emergency contract was awarded on the earliest of these dates: (choose one) the State agency communicated to the vendor to start work publication on the Bulletin identified the selected vendor the contract was signed by both parties

Page 3 of 3State of Illinois Chief Procurement Office for General Services

Vendor: Certisurv, LLC

Zip: 62761State: ILCity:SpringfieldAddress: 535 W Jefferson St.

Division: Office of Healthcare RegulationAgency: Department of Public Health

Amount ($) of this expenditure is: 2,764,800.00 Amount is Actual or Estimated*: Estimated

*Pursuant to 44 Ill. Admin. 1.2030 (f)(5), if Estimated is indicated, an Emergency Final Cost form will be submitted by the State agency and published by the State Purchasing Officer no later than the tenth day of the succeeding month. If Actual is chosen and the total cost differs from the amount on this statement, an Emergency Final Cost form must be submitted and published within the same timeframe.

Select the type of funding to be used: Federal Funds State Appropriated Funds State Grant Funds Other

Signature This emergency purchase was made with as much competition as is practicable under the circumstances. Best efforts were utilized to include contractors certified under the Business Enterprise Program in the process.

I am authorized to make this emergency purchase, and I know and understand the contents of this statement and all statements herein are true and correct to the best of my knowledge.

Agency Signature: Title: APO

Printed Name: Mike Caceres Date: Jun 29, 2026

State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement V.26.1 Page of

EMERGENCY PURCHASE STATEMENT

Page of State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement v.26.1 Emergency Purchases are conducted pursuant to 30 ILCS 500/20-30 and 44 Ill. Adm. Code 1.2030.

Emergency Purchase Details Emergency Condition (select the appropriate option from the drop-down menu below):

Provide a description and reasons for needing this emergency purchase:

Provide the conditions and circumstances that led to the need for this emergency purchase:

Reason for selection of this particular vendor:

Description of supplies or services to be provided:

Emergency procurements shall be made with as much competition as is practicable under the circumstances, and agencies shall utilize best efforts to include contractors certified under the Business Enterprise Program in its emergency procurement process. 30 ILCS 500/20-30(a).

Describe the actions taken by the agency to make the emergency purchase with as much competition as is practicable under the circumstances:

List the actions taken by the agency that constitute its best efforts to include contractors certified under the Business Enterprise Program in this emergency purchase:

Is there an active State contract available for the required supplies or services?

If Yes is checked above, explain why the existing contract does not meet the need:

This emergency contract was awarded on the earliest of these dates: (choose one) *Pursuant to 44 Ill. Admin. 1.2030 (f)(5), if Estimated is indicated, an Emergency Final Cost form will be submitted by the State agency and published by the State Purchasing Officer no later than the tenth day of the succeeding month. If Actual is chosen and the total cost differs from the amount on this statement, an Emergency Final Cost form must be submitted and published within the same timeframe.

Select the type of funding to be used:

Signature This emergency purchase was made with as much competition as is practicable under the circumstances. Best efforts were utilized to include contractors certified under the Business Enterprise Program in the process.

I am authorized to make this emergency purchase, and I know and understand the contents of this statement and all statements herein are true and correct to the best of my knowledge.

11.0.0.20130303.1.892433.887364

The Department determined that the selected vendor was able to meet the full scope of required services, including the level of staffing and operational capacity necessary to support concurrent statewide deployment. The magnitude and urgency of the requirement did not allow sufficient time to conduct broader outreach, segment the work for multiple awards, or establish subcontracting arrangements with Business Enterprise Program certified vendors without delaying critical monitoring services and increasing risk to resident health and safety.

ExplanationSuppliesServices: The vendor shall provide qualified Health Facility Surveillance Nurses, Developmental Disabilities surveyors, and associated clinical professionals to support immediate deployment. Services shall include both monitoring of high-risk facilities and completion of overdue complaint and incident surveys within the ICF IID program. Monitoring and survey activities shall be initiated based on Department identified risk indicators, including but not limited to high level deficiencies, complaint backlogs, incident investigations, quality of care concerns, licensure actions, or other conditions requiring intervention.

Services to be provided include

• Conduct unannounced on site monitoring visits and complaint or incident investigations at long term care facilities and ICF IID facilities as directed by the Department, including evenings, overnight hours, and weekends

• Observe facility operations, including staff and resident interactions, to assess delivery of care and services

• Review facility and resident records to evaluate compliance with State and Federal requirements

• Complete overdue complaint and incident surveys within the ICF IID program in accordance with applicable regulatory requirements

• Identify and document areas of noncompliance, decline, or improvement in facility performance

• Immediately notify the Department of any conditions that pose a risk to resident health, safety, or welfare

• Communicate observations and concerns to facility designated representatives as appropriate

• Submit written monitoring and survey reports within 24 hours of each visit in a format acceptable to the Department

• Provide ongoing monitoring and survey support based on Department direction until stabilization of identified conditions

The vendor shall provide sufficient staffing and operational support to meet the increased volume of monitoring and survey activities, including the ability to deploy multiple teams simultaneously across various locations statewide during the 90-day emergency period.