Contract Renewal updated 5.12.2023v.23.2.docx
DOCX document 61 KB Posted
- Attached to
- PO24-034 RENEWALS UP - Investigator Kits, TP
- Solicitation number
- 24-418DCFS-PROCU-B-36782
- Issued by
- Rock Island County, Illinois
About this file
This document is a Contract Renewal between the State of Illinois Department of Children and Family Services (DCFS) and the Arc of the Quad Cities for the purchase and assembly of investigator kits for DCFS investigator staff. The renewal term is from September 1, 2023 through August 31, 2026. The contract includes items such as a medium zippered tote bag, a digital thermometer, an LED flashlight, tape measures, cleaning rags, Sharpie markers, batteries, and various other investigative tools. The total cost of the kits and associated labor, boxes, and shipping is $161.53 per kit, with a maximum contract value of $250,000.00. The contract does not utilize any subcontractors.
The pricing details for the individual kit components are provided, including the estimated prices, quoted prices, and product descriptions. There is no indication of any set-asides or incumbent information, and the funding source is noted as Obligation #5911499013. The contract was originally procured through the State of Illinois Procurement Bulletin with Reference #B-16835 and a publication date of August 12, 2020.
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Other files
| File | Type | Posted |
|---|---|---|
| DCFS B36782 renewal invest kits NOA spo signed.pdf |
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Text version
STATE OF ILLINOIS
TAXPAYER IDENTIFICATION NUMBER
The undersigned Agency and Vendor, Department of Children and Family Services and Arc of the Quad Cities, (the Parties) agree that the following shall renew the Contract referenced herein. All terms and conditions set forth in the original Contract, not amended herein, shall remain in full force and effect as written. In the event of conflict, the terms of this Renewal shall prevail.
IN WITNESS WHEREOF, the Agency and the Vendor cause this Renewal to be executed on the dates shown below by representatives authorized to bind the respective PARTIES.
VENDOR
| Vendor Name: Arc of the Quad Cities |
| Address: 4016 9th Street Rock Island, IL 61201 |
| Signature: |
| Phone: 309-786-2362 |
| Printed Name: Click here to enter text. |
| Fax: 309—786-2680 |
| Title: Click here to enter text. |
| Email: Click here to enter text. |
Date:
STATE OF ILLINOIS
| Procuring Agency: Dept. of Children and Family Services |
| Phone: 217-557-5842 |
| Street Address: 406 E. Monroe |
| Fax: 217-782-3796 |
City, State ZIP: Springfield, IL 62701
| Official Signature: |
| Date: |
Printed Name: Click here to enter text.
Official’s Title: Click here to enter text.
| STATE USE ONLY | NOT PART OF CONTRACTUAL PROVISIONS | ||||
| PBC# 21-045; 24-034 | Project Title | Investigator Kits | |||
| Contract # 5911499013 | Procurement Method (IFB, RFP, Small, etc): State Use | ||||
| IPB Ref. # B-16835 | IPB Publication Date: 8/12/2020 | Award Code: H | |||
| Subcontractor Utilization? Yes x No | Subcontractor Disclosure? Yes x No | ||||
| Funding Source | 220 | Obligation # | 5911499013 |
CPO 33 – General Counsel Approval:
STATE OF ILLINOIS
CONTRACT RENEWAL
Department of Children and Family Services Investigator Kits Renewal Bidbuy # B-116835; Renewal # B-36782 PO21-045; PO24-034
| Signature N/A | Printed Name | Date | |
| State of Illinois Chief Procurement Office for General Services | 1 |
Contract Renewal V.23.2 State of Illinois Chief Procurement Office for General Services 2 Contract Renewal V.23.2
1. DESCRIPTION OF CONTRACT BEING RENEWED (include original contract number): PO21-045 purchase and assemble investigator kits for DCFS investigator staff.
2. TERMS AND CONDITIONS: This Renewal is on the same terms and conditions as the Contract being renewed except as changed and described herein.
3. RENEWAL TERM: This RENEWAL shall begin September 1, 2023 and shall run through August 31, 2026.
4. COSTS (describe calculation and/or cost basis, if applicable):
| Product |
| Preferred Item |
| est. Price |
| Product Notes |
| Product Quoted |
| Quoted Price Year 3 |
| *Medium zippered tote with font or side pocket - Sturdy enough to hold items - no imprint |
| link |
| $4.00 |
| Medium zippered tote bag |
| $4.07 |
| Taylor extended temperature range multipurpose meat (pocket digital thermometer) |
| link |
| $13.40 |
| Taylor pocket thermometer |
| $15.64 |
| Indoor Digital Hygrometer, 14 to 140 F |
| link |
| $10.05 |
| Digital thermometer |
| $11.73 |
| Industrial LED Handheld Flashlight, Aluminum, Maximum Lumens Output: 332, Black |
| link |
| $37.75 |
| Industrial LED 332 flashlight |
| $44.05 |
| 25 ft. Steel SAE Tape Measure with lock, Black/High Visibility Green Numbers |
| link |
| $13.25 |
| 25 ft Steel tape measure |
| $14.30 |
| Reusable Wipes / Cleaning Rags, 12x13, 1/4 Fold - 4 each - blue or white |
| link |
| $0.21 |
| Can be bought in bulk |
| Reusable Wipes Cleaning |
| $0.89 |
| Sharpie Fine Point Markers 2 each |
| link |
| $1.66 |
| Can be bought in bulk |
| Fine Sharpie point 2 markers |
| $3.30 |
| 1 roll Masking Tape |
| link |
| $2.39 |
| 1/2 Masking Tape 60 yds |
| $1.97 |
| AA Batteries, 8 each |
| link |
| $12.88 |
| Can be bought in bulk |
| AA Batteries |
| $10.12 |
| Forensic L Shaped Ruler |
| link |
| $13.00 |
| Forensic L shaped ruler |
| $14.01 |
| Baseline® Measurement Tape, 60 inch |
| link |
| $5.25 |
| Baseline 60 inch tape measure |
| $4.67 |
| Clear Resealable Baggies (100 Pack) |
| link |
| $15.40 |
| Grainger # or comparable |
| Resealable baggies (100 Pack) |
| $10.61 |
$135.34
| Kit cost |
| 135.34 |
| Labor, box, shipping |
| 26.19 |
Year 3
| Total cost |
| $161.53 |
5. MAXIMUM AMOUNT: The total payments under this contract shall not exceed $250,000.00 without a formal amendment.
6. SUBCONTRACTORS: Will subcontractors be utilized? |X| No
I certify that:
The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and I am a U.S. person (including a U.S. resident alien).
· If you are an individual, enter your name and SSN as it appears on your Social Security Card.
· If you are a sole proprietor, enter the owner’s name on the name line followed by the name of the business and the owner’s SSN or EIN.
· If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s name on the name line and the D/B/A on the business name line and enter the owner’s SSN or EIN.
· If the LLC is a corporation or partnership, enter the entity’s business name and EIN and for corporations, attach IRS acceptance letter (CP261 or CP277).
· For all other entities, enter the name of the entity as used to apply for the entity’s EIN and the EIN.
Name: Click here to enter text.
Business Name: Click here to enter text.
Taxpayer Identification Number:
Social Security Number: Click here to enter text.
or Employer Identification Number : Click here to enter text.
Legal Status (check one):
| |_| Individual | |_| Governmental | ||||
| |_| Sole Proprietor | |_| Nonresident alien | ||||
| |_| Partnership | |_| Estate or trust | ||||
| |_| Legal Services Corporation | |_| Pharmacy (Non-Corp.) | ||||
| |_| Tax-exempt | |_| Pharmacy/Funeral Home/Cemetery (Corp.) | ||||
| |_| Corporation providing or billing | |_| Limited Liability Company | ||||
| medical and/or health care services | (select applicable tax classification) | ||||
| |_| Corporation NOT providing or billing | |_| D = disregarded entity | ||||
| medical and/or health care services | |_| C = corporation | ||||
| |_| P = partnership |
Signature of Authorized Representative:
Date: Click here to enter a date
State of Illinois Chief Procurement Office for General Services Taxpayer Identification Number V.23.2 image1.wmf image2.wmf image3.wmf image4.wmf
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