Bid 10013 Notice of Award Form - Fox Valley Fire and Safety approved.pdf

Notice of Award Form

V.19.1 Page 1 of 2

Agency and Awarded Vendor Information

*Description: Replacement of recalled fire sprinkler heads at Madden Mental Health Center.

*Bid Number: 10013 *Agency: DHS

*Vendor Selected for Award: Fox Valley Fire & Safety Co.

*Line Item Description: Replacement of recalled fire sprinkler heads $121,600. Price per sprinkler head $59.21 x 1,320 = $78,157.20

*Award Amount: $199,757.20 *Length of Initial Term: 9 months No. of Renewals: None

Farm Leases and Concessions

Value to the State:

Estimated Financial Return to the State for the Life of the Contract (Includes Renewals)

Value to the Vendor:

Estimated Gross Revenue to the Vendor for the Life of the Contract (Includes Renewals)

Business Enterprise Program/Veterans Business Program

% of BEP Per Utilization Plan: 0 % of VBP Per Utilization Plan: 0

Other:

Unsuccessful Bidder(s)

*Number of Responding Bidders: 1 Number of Unsuccessful Bidder(s) 0 Number of Awarded Bidder(s): 1

Bidder(s)/Offeror(s) Not Selected: Bid Amount:

N/A

Agency Contact

Contact Name: Samantha Morgan Telephone Number: 217-782-0706

Email Address: Samantha.Morgan@illinois.goc Fax Number: 217-557-9044

Street Address: 401 N. 4th St, Centrum North, 2nd Fl. City: Springfield

State: IL Zip Code: 62702

V.19.1 Page 2 of 2

SPO Written Determination for Contract Award Decision

General - Applies to Emergencies, Split Awards, Award to Other than Lowest Responsible and Responsive Bidder. The Rationale described by the purchasing agency in the recommendation to award seems reasonable, and serves as the basis for the contract decision.

Invitation for Bid - The contract was procured through the Invitation for Bid Process, and the contract has been awarded to the lowest priced responsive and responsible bidder.

Request for Proposal - Based on factors set forth in the Request for Proposal, the contract has been awarded to the offeror whose proposal is most advantageous to the State.

Change Order- The contract is a change order where the circumstances that necessitate the change in performance were not reasonably foreseeable at the time the contract was signed, or the change is germane to the original contract and reasonable in size and scope, or the change is in the best interest of the State. The change order is based on the purchasing agency's justification.

Renewal - The contract is a renewal in accordance with the terms of the existing contract. The award decision is based on justification presented by the purchasing agency's justification.

Comments:

Other:

Explanation of other terms:

SPO Signature: Date:

V.19.1 Page of Agency and Awarded Vendor Information Farm Leases and Concessions Estimated Financial Return to the State for the Life of the Contract (Includes Renewals) Estimated Gross Revenue to the Vendor for the Life of the Contract (Includes Renewals) Business Enterprise Program/Veterans Business Program Unsuccessful Bidder(s) Bidder(s)/Offeror(s) Not Selected:

Bid Amount:

Agency Contact SPO Written Determination for Contract Award Decision 11.0.0.20130303.1.892433.887364