Emergency Purchase Stmt Gowns and Shields jms~1.pdf

EMERGENCY PURCHASE STATEMENT

Statement Page 1 of 2 State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1

Zip: 60439State: IL City: LemontAddress: 1256 Janus Lane

Vendor: The Moving Concierge

Zip: 62702State: ilCity: SpringfieldAddress: 410 N. 4th Street Centrum No. 2nd Floor

Division: Office of Clinical Administrative and Program SupportAgency: Department of Human Services

Emergency Purchase Details Reference #: OBSPRO21000007

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

Involving threat to public health or public safety

Reason for selection of this particular vendor:

Established vendor and master contract holder with multi-year relationship with IDHS was able to procure and deliver personal protection equipment for COVID19 Crisis in a short timeframe.

This vendor had product available for immediate delivery. IDHS inventory records contained an error -- the number of Level II isolation gowns on hand was reported as over 300,000 and that there were over 70,000 face shields. These numbers included gowns and face shields which were received from IEMA. The Level I gowns and the single use face shields IEMA supplied were not a substitute for Level II gowns and more substantial face shields IDHS requires. When the inventory numbers were clarified, it was revealed that the agency had less than 20,000 gowns and 0 multi use face shields. IDHS learned this vendor had both products available immediately and so made the purchase.

Description of supplies or services to be provided:

378,450 Disposable Medical Gowns in compliance with FDA Level 2 certification and 28,790 Face Shields.

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

Expected Start Date: Aug 4, 2020 Estimated End Date*: Sep 30, 2020

Amount of this expenditure is: 1,660,234.50 Actual or Estimated*: Estimated *

*Actual end date and cost will be reported later.

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

Statement Page 2 of 2 State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1

Zip: 60439State: IL City: LemontAddress: 1256 Janus Lane

Vendor: The Moving Concierge

Zip: 62702State: ilCity: SpringfieldAddress: 410 N. 4th Street Centrum No. 2nd Floor

Division: Office of Clinical Administrative and Program SupportAgency: Department of Human Services

Signatures

I am making this statement and providing it to the CPO Office, the Auditor General, and the Procurement Policy Board in compliance with the Illinois Procurement Code and within 10 days after award of the contract.

I have authorized the emergency procurement in accordance with the requirements of the Illinois Procurement Code (30 ILCS 500) and the applicable administrative rule. 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: Agency Procurement Officer

Printed Name: Jean Sandstrom Date: Aug 11, 2020

EMERGENCY PURCHASE EXTENSION

Extension Page 1 of 2 State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1

Zip: 60439State: IL City: LemontAddress: 1256 Janus Lane

Vendor: The Moving Concierge

Zip: 62702State: ilCity: SpringfieldAddress: 410 N. 4th Street Centrum No. 2nd Floor

Division: Office of Clinical Administrative and Program SupportAgency: Department of Human Services

Extension Justification Reference #:

Original Emergency Term Start Date: Original Emergency Term End Date:

Amount of original: Actual or Estimated*:

Expected Extension Start Date: Expected Extension End Date*:

Amount of extension expenditure: Actual or Estimated*:

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

Describe the scope of the original emergency (supply, service, etc.):

Describe the scope of the extension (supply, service, etc.). Show justification for extending the original emergency contract, and explain why the extension need cannot be met through a competitive process:

Was authorization to proceed verbally given? No Yes NA

Term of emergency procurement shall not exceed 90 days. Contract may be extended beyond 90 days if CPO determines additional time is necessary; however, prior to execution of extension, CPO must hold a public hearing and provide written determination

*Actual end date and cost will be reported later.

EMERGENCY PURCHASE EXTENSION

Extension Page 2 of 2 State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1

Zip: 60439State: IL City: LemontAddress: 1256 Janus Lane

Vendor: The Moving Concierge

Zip: 62702State: ilCity: SpringfieldAddress: 410 N. 4th Street Centrum No. 2nd Floor

Division: Office of Clinical Administrative and Program SupportAgency: Department of Human Services

Signatures Reference #:

I am requesting an extension of the requested emergency contract. 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:

Printed Name: Date:

Approved CPO/SPO Signature: Date:

EMERGENCY PURCHASE FINAL COST AND TERM

Final Cost and Term Page 1 of 1 State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1

Zip: 60439State: IL City: LemontAddress: 1256 Janus Lane

Vendor: The Moving Concierge

Zip: 62702State: ilCity: SpringfieldAddress: 410 N. 4th Street Centrum No. 2nd Floor

Division: Office of Clinical Administrative and Program SupportAgency: Department of Human Services

Final Costs and Term Reference #:

Final total cost of supplies and services: Final total term of contract:

I am reporting the final costs and term for the referenced emergency contract to the CPO and the Auditor General.

Agency Signature: Title:

Printed Name: Date:

Page of

State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1 .\CPO Letterhead\CPO Letterhead.png

EMERGENCY PURCHASE STATEMENT

Statement Page of State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1 .\CPO Letterhead\CPO Letterhead.png Emergency Purchase Details Emergency Category (select the appropriate option from the drop-down menu below):

Reason for selection of this particular vendor:

Description of supplies or services to be provided:

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

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

Actual or Estimated*:

*Actual end date and cost will be reported later.

Select the type of funding to be used:

Signatures I am making this statement and providing it to the CPO Office, the Auditor General, and the Procurement Policy Board in compliance with the Illinois Procurement Code and within 10 days after award of the contract.

I have authorized the emergency procurement in accordance with the requirements of the Illinois Procurement Code (30 ILCS 500) and the applicable administrative rule. I know and understand the contents of this statement and all statements herein are true and correct to the best of my knowledge.

EMERGENCY PURCHASE EXTENSION

Extension Page of State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1 .\CPO Letterhead\CPO Letterhead.png Extension Justification Actual or Estimated*:

Actual or Estimated*:

Select the type of funding to be used:

Describe the scope of the original emergency (supply, service, etc.):

Describe the scope of the extension (supply, service, etc.). Show justification for extending the original emergency contract, and explain why the extension need cannot be met through a competitive process:

Was authorization to proceed verbally given?

Term of emergency procurement shall not exceed 90 days. Contract may be extended beyond 90 days if CPO determines additional time is necessary; however, prior to execution of extension, CPO must hold a public hearing and provide written determination *Actual end date and cost will be reported later.

Signatures I am requesting an extension of the requested emergency contract. I know and understand the contents of this statement and all statements herein are true and correct to the best of my knowledge.

EMERGENCY PURCHASE FINAL COST AND TERM

Final Cost and Term Page of State of Illinois Chief Procurement Office Emergency Purchase Statement Version 20.1 .\CPO Letterhead\CPO Letterhead.png Final Costs and Term I am reporting the final costs and term for the referenced emergency contract to the CPO and the Auditor General.

11.0.0.20130303.1.892433.887364

This vendor had product available for immediate delivery. IDHS inventory records contained an error -- the number of Level II isolation gowns on hand was reported as over 300,000 and that there were over 70,000 face shields. These numbers included gowns and face shields which were received from IEMA. The Level I gowns and the single use face shields IEMA supplied were not a substitute for Level II gowns and more substantial face shields IDHS requires. When the inventory numbers were clarified, it was revealed that the agency had less than 20,000 gowns and 0 multi use face shields. IDHS learned this vendor had both products available immediately and so made the purchase.