FY25 Emergency Purchase Statement Form - Kitchen Water-Mold Remediation - APPROVED.pdf

EMERGENCY PURCHASE STATEMENT

Emergency Statement Page 1 of 2 State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement Version v.23.1

Zip: 60950State: ILCity: MantenoAddress: 1725 N Boudreau Rd

Vendor: Nichols Enterprises, LLC

Zip: 60466State: ILCity: Park ForestAddress: 114 N. Orchard Drive

Division: DHS - Developmental DisabilitiesAgency: Elisabeth Ludeman Center

Emergency Purchase Details Reference #: B-44991

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

To prevent or minimize serious disruption in critical State services that affect health, safety, or collection of substantial State revenues

Reason for selection of this particular vendor:

Nichols Enterprises, LLC is a ServPro vendor experienced in mold and water remediation. This vendor was previously used at the Ludeman Center for FY23 water and mold remediation. The Center has been satisfied with the services provided by the vendor.

Description of supplies or services to be provided:

The vendor will provide all labor and materials to investigate and remediate water damage in the Ludeman Center kitchen area.

Emergency procurements shall be made with as much competition as is practicable under the circumstances, and agencies shall utilize best efforts to include contractors certified under the Business Enterprise Program in its emergency procurement process. 30 ILCS 500/20-30(a).

List the actions taken by the agency that constitute its best efforts to include contractors certified under the Business Enterprise Program in this emergency purchase:

N/A

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

Expected Start Date: Sep 30, 2024 Estimated End Date*: Dec 27, 2024

Amount of this expenditure is: $107,221.82 Actual or Estimated*: Estimated *

*Estimated 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

Emergency Statement Page 2 of 2 State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement Version v.23.1

Zip: 60950State: ILCity: MantenoAddress: 1725 N Boudreau Rd

Vendor: Nichols Enterprises, LLC

Zip: 60466State: ILCity: Park ForestAddress: 114 N. Orchard Drive

Division: DHS - Developmental DisabilitiesAgency: Elisabeth Ludeman Center

Signature This emergency purchase was made with as much competition as is practicable under the circumstances. Best efforts were utilized to include contractors certified under the Business Enterprise Program in the process.

I am authorized to make this emergency purchase, and 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: Oct 4, 2024

State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement V.23.1 Emergency Statement Page of

EMERGENCY PURCHASE STATEMENT

Emergency Statement Page of State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement Version v.23.1 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:

Emergency procurements shall be made with as much competition as is practicable under the circumstances, and agencies shall utilize best efforts to include contractors certified under the Business Enterprise Program in its emergency procurement process. 30 ILCS 500/20-30(a).

List the actions taken by the agency that constitute its best efforts to include contractors certified under the Business Enterprise Program in this emergency purchase:

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*:

*Estimated end date and cost will be reported later.

Select the type of funding to be used:

Signature This emergency purchase was made with as much competition as is practicable under the circumstances. Best efforts were utilized to include contractors certified under the Business Enterprise Program in the process.

I am authorized to make this emergency purchase, and I know and understand the contents of this statement and all statements herein are true and correct to the best of my knowledge.

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