Liquid and Dry Nitrogen - Attachment A~1.docx

illinois.gov/iema ready.illinois.gov

Vendors are to specify whether each of the Mandatory Requirements is agreed to and satisfied by checking the appropriate “Met” or “Not Met” box, and where appropriate, provide the requested information. Vendors should complete the “Vendor Narrative” section to explain how they meet the requirement or provide requested information and/or include other documentation that provides additional detail.

If any mandatory requirement is not met, or requested information is not provided, the entire bid will not be considered. If all responding vendors fail to meet a particular mandatory, that mandatory may, at the sole discretion of the State, be removed so the evaluation process may continue.

Please complete and submit this form to andrew.wampler1@illinois.gov or fax to (217) 785-9962.

Mandatory Specification M1: Springfield Delivery – Vendor agrees to deliver within forty-eight (48) hours of order notification unless an alternate delivery time or established schedule is agreed upon by an IEMA authorized representative.

☐ Met ☐ Not Met

Vendor Narrative:

Mandatory Specification M2: Power Plant Deliveries – Vendor agrees to deliver once a week to the six (6) locations listed in Attachment B unless an alternate delivery time or established schedule is agreed upon by an IEMA authorized representative.

☐ Met

Vendor Narrative:

Mandatory Specification M3: Power Plant Deliveries – Vendor or Vendor’s agents involved with delivery at the Nuclear Power Plants agree to comply with Exelon nuclear power plant requirements, safety rules, regulations, and procedures. These may include, but are not limited to, urinalysis, background review, escorted visitor or contractor requirements and vehicle search.

☐ Met

Vendor Narrative:

Mandatory Specification M4: Minimum Orders – Vendor agrees to ship F.O.B. destination to the locations listed in Mandatory 1 above with no minimum order required.

☐ Met

Vendor Narrative:

Mandatory Specification M5: Cylinders – Vendor agrees to invoice for all cylinders and/or cylinder deposits as a separate line item on all invoices. The vendor also agrees to pick up all empty cylinders at no additional cost to the State at the time of delivery.

☐ Met

Vendor Narrative:

Mandatory Specification M6: Gases – Vendor agrees that it can provide and deliver all gases, tanks, and items listed in Attachment B.

☐ Met

Vendor Narrative:

Mandatory Specification M7: Charges – Vendor agrees that all charges for gases, tank rentals, fees, and delivery charges are included in the Pricing Tables on Attachment B.

☐ Met

Vendor Narrative:

Company Name

Completed By

Date

19-588IEMA-RADSA-R-10866

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