LM260072 FY26 PR 040 29000 KRSP Pumping_jrw~1.pdf

PDF 934 KB Posted

Attached to
Kankakee River SP pumping service 12 Mos.
Solicitation number
26-422DNR-LNDMG-B-49178
Issued by
Kane County, Illinois

About this file

This is a Purchase/Contract Request form from the Illinois Department of Natural Resources (IDNR) for the Kankakee River State Park. The document details a pumping service contract for 90,000 gallons over 12 months, with a unit price of $0.32 per gallon, resulting in a total contract value of $28,800.00. The contract is categorized as a new contractual purchase under Budget Period 26, with a Functional Area of 12000000NE000000 and Fund Center of 4225050201.

The contract does not indicate a specific start or end date, and no federal project information is noted. The request was initiated by Melissa Jett and approved by supervisors John Wilker and Paula R Martel, with financial oversight from Jacob Roberts. The shipping location is the Kankakee River State Park in Bourbonnais, Illinois, with Stacey Johnson listed as the contact person. The purchase follows IDNR procurement guidelines for master contract purchases and requires routing to the Procurement department.

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Text version

Illinois Department of Natural Resources

Funded Program:

Budget Period: Reference Document #

WBS

Element:

BidBuy# (Master Contract) Item Name/Description/Master Contract # Quantity

Attachments: Yes No Type:

Approval(s) Requester Information/Signatures and Asset Manager Signature, if applicable.

Possible Vendor Name/Address (if applicable) Name of Area/Program:

Parent (Current) Assest #:

Region:

Requested by:

Date: Supervisor:

Date:

Contact person:

Date:

Division/Liaison:

Office phone:

Finance Officer:

FEIN #

Small Business Certified:

Yes No

New Renewal

Contractual

CONTRACTS ONLY:

Start Date:

Amendment/Change

End Date:

Amendment/Change Justification/Type of Change (Contracts)

Why is this change/amendment needed? (Contracts)

IT

SPECIAL

CONDITIONS:

Emergency

Sole Source

Provisions: Yes No CFDA#

Date:

TYPE OF PURCHASE:

Master

Printing

Commodities

Equipment

Other(brief explanation)

TOTAL:

NIGP

Code

Purchasing Guidelines - Use this form for:

SHIP TO - Contact person:

Site:

County:

Address:

City, State, Zip:

Phone:

Email:

BILL TO - Contact person:

Site:

County:

Address:

City, State, Zip:

Phone:

Email:

Grant #

Contract Obligation#

DOC# Unit Price Total Cost Item

UOM

Federal Project: Yes No

Federal Project Information:

(Items on State contract must be listed by BidBuy Item #, Commodity #, and contract number) v2 (1-1-2019)

• All Master Contract Purchases - route form to Procurement.

• Purchases (non-master) under $2,000.00 - as determined by Fiscal Officer.

• Purchases $2,000.00 and above - required for BidBuy/Procurement.

Additional Funded Programs & Fund Centers (if applicable):

PURCHASE/CONTRACT REQUEST

Page of

Asset Manager: Asset Shell#:Date:

Fund Center:

Functional Area:

Ref Doc#: LM260072
Contractual: Yes
Commodities: Off
Master: Off
Equipment: Off
Printing: Off
IT: Off
Emergency: Off
Sole Source: Off
Other:
Fed Y: Off
Fed N: Off
Provisons Y: Off
Provisions N: Off
CFDA#:
Grant #:
Fed Project Info:
Cont/Ob#:
Contract Renewal: Off
Cotract Amend: Off
Contract New: Off
Contract Start:
Contract End:
Contract amend needed?:
Contract AmendmentChange Justification:
BB#1:
NIGP#1:
DOC#1:
Item Desc #1: Pumping service Upon Execution-12 Mos.
Quantity#1: 90000
Total Cost#1: 28800
BB#2:
NIGP#2:
DOC#2:
Item Desc#2:
Quantity#2:
Unit Price#2:
Unit Price#1: .32
Total Cost#2: 0
BB#3:
NIGP#3:
DOC#3:
Item Desc#3:
Quantity#3:
Unit Price#3:
Total Cost#3: 0
BB#4:
NIGP#4:
DOC#4:
Item Desc#4:
Quantity#4:
Unit Price#4:
Total Cost#4: 0
BB#5:
NIGP#5:
DOC#5:
Item Desc#5:
Quantity#5:
Unit Price#5:
Total Cost#5: 0
Total Cost GRAND: 28800
Attach Y: Off
Attach N: Off
Attach Type:
Bill Contact: same
Ship Contact: Stacey Johnson
Ship Site: Kankakee River SP
Ship County: Kankakee
Ship Address: 5314 W. Route 102
Ship City State Zip: Bourbonnais, IL 60914
Ship Phone: 815-933-1383
Ship Email: Stacey.johnson@illinois.gov
Bill Site:
Bill County:
Bill Address:
Bill City State Zip:
Bill Phone:
Bill Email:
Vendor Name Address:
Vendor Contact person:
Vendor Phone:
Vendor FEIN:
Small Business Y: Off
Small Business No: Off
Region: 2
Area Program Name: Kankakee River State Park
Requested by Date:
Supervisor Sign Date: 08/26/2025
Div Sign Date:
Finance Officer Date: 8/27/2025
2025-08-26T15:58:18-0500
John Wilker
2025-08-27T13:46:37-0500
Paula R Martel
2025-06-18T08:33:37-0500
Melissa Jett
2025-08-27T13:36:20-0500
Jacob Roberts
UOM#1: gal
UOM#2:
UOM#5:
UOM#4:
Additional Approps:
UOM#3:
P1: 1
Budget Period: 26
Funded Program: 0040.42250.1200.000000NE
WBS Element: 422.3121.5813
Parent (Current) Assest:
Asset Mngr Date:
Assest Shell No:
P2: 1
Funded Center: 4225050201
Functional Area: 12000000NE000000

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