NIGP Code Revision Request Form.pdf

Illinois Commission on Equity and Inclusion NIGP Code Revision Request Form

NIGP Code Revision Request Form V.23.1 Page 1 of 2

Per CEI Notice 2023.3, prime vendors without Business Enterprise Program (BEP) or Veteran Business Program (VBP) certifications must use certified BEP and/or VBP subcontractors registered in the solicitation's NIGP codes unless they obtain revision approval from the purchasing entity before the bid opening date. Self-performing certified BEP/VBP prime vendors must be registered in all of the solicitation’s NIGP codes unless they obtain revision approval from the purchasing entity before the bid opening date.

Section I – General Information (to be completed by the requesting vendor)

Vendor Name:

Purchasing Entity:

Bulletin Reference Number:

Solicitation Title:

Solicitation Description:

Current BEP Goal Percentage:

Current VBP Goal Percentage:

Section II – Vendor Justification (to be completed by the requesting vendor)

Are you certified in the BEP or VBP programs?

Select the appropriate option:

List the NIGP codes specified in the solicitation:

Which NIGP codes are you currently registered in?

Select the type of NIGP code revision:

List the NIGP Codes that should be added. If this field is not applicable, enter "N/A".

Illinois Commission on Equity and Inclusion NIGP Code Revision Request Form

NIGP Code Revision Request Form V.23.1 Page 2 of 2

List the NIGP Codes that should be removed. If this field is not applicable, enter "N/A".

Provide a justification for the requested revision(s):

Did you contact vendors in the current NIGP code pool? If yes, list the vendors below. If no, explain why.

Section III – Vendor Certification and Signature (to be completed by the requesting vendor)

The undersigned certifies that the statements set forth in this document are true and accurate.

Printed Name:

Title:

Phone Number:

Email Address:

Vendor Signature:

Date:

Note: Submit the completed form to the appropriate purchasing entity contact for review and processing.

Section IV – Purchasing Entity Determination (to be completed by the purchasing entity’s procurement officer)

☐ I approve this request.

☐ I do not approve this request.

Comments:

Printed Name:

Email Address:

Purchasing Entity Signature:

Date: