EP Extension Frozen Meat Emergency Purchase Extensionehd.pdf

EMERGENCY PURCHASE EXTENSION

Extension Page 1 of 2 State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Version 22.2

Zip: 92010State: CACity: CarlsbadAddress: 3115 Melrose Drive

Vendor: Good Source Solutions, Inc.

Zip: 62353State: IlCity: Mt. Sterling Address: 2500 Route 99 South

Division: Western Illinois Correctional CenterAgency/University: Corrections

Extension Justification Reference #: R-112238

Original Emergency Term Start Date: Nov 30, 2021 Original Emergency Term End Date: Feb 27, 2022

Amount of original: $165,655.20 Actual or Estimated*: Estimated *

Expected Extension Start Date: Feb 28, 2022 Expected Extension End Date*: May 31, 2022

Amount of extension expenditure: $180,000.30 Actual or Estimated*: 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.):

The vendor will provide breaded chicken patties and various chicken products for distribution at statewide correctional centers.

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:

The needed extension will continue to provide the needed food products. The Department is posting bid 22-426DOC-CENTO-B-27143 which is the long term contract that will address the issue.

Was authorization to proceed verbally given? No Yes NA

Who authorized the work?

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.

*Estimated end date and cost will be reported later.

Extension Page 2 of 2 State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Version 22.2

Zip: 92010State: CACity: CarlsbadAddress: 3115 Melrose Drive

Vendor: Good Source Solutions, Inc.

Zip: 62353State: IlCity: Mt. Sterling Address: 2500 Route 99 South

Division: Western Illinois Correctional CenterAgency/University: Corrections

Signatures Reference #: R-112238

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: APO

Printed Name: Jacenta Wilson Date: Feb 7, 2022

CPO Signature

Based on my review, I authorize the Agency to proceed in accordance with the published Notice referenced above.

Based upon my review, I authorize the Agency to proceed with the following changes:

Approved CPO Signature: Date:

Page of

State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Version 22.2

EMERGENCY PURCHASE EXTENSION

Extension Page of State of Illinois Chief Procurement Office for General Services Emergency Purchase Extension Version 22.2 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.

*Estimated 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.

CPO Signature 11.0.0.20130303.1.892433.887364