LCMSMS Contract for vendor to sign.docx
DOCX document 43 KB Posted
- Attached to
- EMERGENCY Notice Tandem Mass Spectrometer
- Solicitation number
- 26-532EPA-LAB53-B-48883
- Issued by
- St. Clair County, Illinois
About this file
This document is a contract template for an Illinois Environmental Protection Agency (IEPA) procurement solicitation for an Ultra High Purity Liquid Chromatography/Tandem Mass Spectrometer. The contract is identified by two reference numbers: 26-532EPA-LAB53-B-48883 and 25-532EPA-LAB53-B-46953, indicating a scientific laboratory equipment acquisition. The document provides a standard state contract framework with placeholders for vendor information, including name, address, contact details, and signature lines for both the vendor and state officials.
The contract appears to be a standard state procurement document with multiple signature sections for the Acting Director (James Jennings), Chief Legal, and CFO (Jacob Poeschel). The document includes optional sections for tracking agency-specific procurement details such as small business set-asides, minority/women/veteran-owned business participation, and funding source identification. While specific pricing and detailed specifications are not included in this document, it serves as the primary contractual template for formalizing the equipment purchase between the selected vendor and the Illinois Environmental Protection Agency.
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Text version
The following information will become the contract between the awarded vendor and the Illinois Environmental Protection Agency. Instructions and requirements to submit a bid response are found in the attachment titled “Invitation for Bid Vendor Instructions and Requirements”.
Illinois Environmental Protection Agency Contract Ultra High Purity Liquid Chromatography/Tandem Mass Spectrometer
26-532EPA-LAB53-B-48883
25-532EPA-LAB53-B-46953
VENDOR
| Vendor Name: Click here to enter text. |
| Address (City/State/Zip): Click here to enter text. |
Phone: Click here to enter text.
| Printed Name: Click here to enter text. |
| Email: Click here to enter text. |
| Title: Click here to enter text. |
| Date: |
Signature:
STATE OF ILLINOIS
| Purchasing Agency: IEPA |
| Phone: Click here to enter text. |
| Street Address: 2520 West Isles |
| Email: EPA.FiscalServ@Illinois.gov |
City, State ZIP: Springfield, Il 62703
| Official Signature: |
| Date: |
Printed Name: James Jennings
Official’s Title: Acting Director
| Legal Signature: |
| Date: |
Legal Printed Name: James Jennings
Legal’s Title: Chief Legal
| Fiscal Signature: |
| Date: |
Fiscal’s Printed Name: Jacob Poeschel
Fiscal’s Title: CFO
State of Illinois Contract v.25.3
AGENCY USE ONLY NOT PART OF CONTRACTUAL PROVISIONS
· Agency Reference #:
· Project Title:
· Contract #:
· Procurement Method (IFB, RFP, Small Purchase, etc.):
· BidBuy / Bulletin Reference #:
· BidBuy / Bulletin Publication Date:
· Award Code:
· Subcontractor Utilization? |_| Yes |_|No Subcontractor Disclosure? |_| Yes |_|No
· Funding Source:
· Obligation #:
| · Small Business Set-Aside? |_| Yes |_|No | Percentage: | ||
| · Minority Owned Business? |_| Yes |_|No | Percentage: | ||
| · Women Owned Business? |_| Yes |_|No | Percentage: | ||
| · Persons with Disabilities Owned Business? |_| Yes |_|No | Percentage: | ||
| · Veteran Owned Small Business? |_| Yes |_|No | Percentage: |
· Other Preferences?
File details come from the government source that posted it. Updated .