BRK-04-0164.pdf

This is a Supply Requisition Form and Purchasing Authorization Form issued by the Office of the Secretary of State, Department of Physical Services, located in Springfield, Illinois. The requisition was initiated by the Brick Shop division on April 9, 2025, with requisition number BRK-04-0164. The requestor is Mark Bertolino, and the delivery is designated to the same individual at the Howlett Building location. The responsible entity is Physical Services, and the purchase falls under the state's purchasing procedures with an obligation number of BRK-04-0164 and an appropriation account code of 001-35010-1500-0000.

The requisition is for a single item: a 10-foot fiberglass step ladder with a 375-pound weight rating and OSHA-approved non-slip treads, sourced from vendor Grainger (contract number 1800GRAINGER). The unit price is $352.42, with a total contract cost of $352.42. The purchase order total is under $500, and the award method is based on total cost. The requisition justification indicates that the ladder is a replacement for an existing ladder that is not safe and requires decommissioning and replacement by April 9, 2025. Delivery is required to the Department of Physical Services Warehouse located at 3701 Winchester Road, Springfield, Illinois 62707, with billing directed to the Department of Physical Services at 501 S. 2nd Street, Springfield, Illinois 62756.