Overlock Machine (Hemmer).doc

DOC document 112 KB Posted

Attached to
ICI - Menard 465 Overlock Hemmer do
Solicitation number
19-426DOC-ICIME-B-6161
Issued by
St. Clair County, Illinois

About this file

This document is a Purchase Request from the Illinois Department of Corrections for an Overlock (Hemmer) Machine. The request is for one unit of the Pegasus E256-130/504-253 Overlock (Hemmer) Machine, or an equal or equivalent model, to be delivered fully assembled to the Menard Correctional Facility. The request includes details on the object code, date, vendor options, and description of the item.

The pricing details for the three vendor options are provided, with space for the awarded vendor's FEIN number. The ordering procedure indicates the item can be ordered via mail, fax, contract order, or the requester picking up the item. The request requires approvals from the Department Head, Business Administrator, and Chief Administrator.

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Text version

Illinois Department of Corrections Purchase Request

465-19-052

03/01/2019

Facility / Division OFD / Req. # Object Code Date

Item Requested
Vendor #1
Vendor #2
Vendor #3
D. O. Code
Description of Item(s)
Qty.
Unit Size
Unit Price
Total Price
Unit Price
Total Price
Unit Price
Total Price
Curved Needle High Speed
1
each
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

Overlock (Hemmer) Machine
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
Equal Or Equivalent To
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
Pegasus - E256-130/504-253
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
Fully Assembled FOB Menard
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
0 FORMTEXT

$0.00

0 FORMTEXT

$0.00

0 FORMTEXT
Freight
$0.00
Total
$0.00 FORMTEXT

$0.00 FORMTEXT

$0.00 FORMTEXT

Justification:

Vendor #1
Vendor #2
Vendor #3

Name:

Address:

Phone #:

Fax #:

Contact Person:

Comments:

FORMCHECKBOX

Awarded

FORMCHECKBOX

Written

FORMCHECKBOX

Verbal

FORMCHECKBOX

Written

FORMCHECKBOX

FORMCHECKBOX

Written

Awarded Vendor’s FEIN#:

If not low bidder, state justification in “comments.”

Ordering Procedure (check one):

FORMCHECKBOX

Mail OFD

FORMCHECKBOX

FAX OFD

FORMCHECKBOX

Contract Order #

FORMCHECKBOX

Requester will pick up

FORMCHECKBOX

Requester will phone in:

FORMCHECKBOX

Other:

Name of Contact

Deliver to:

Facility/Division

Department

Address

City State Zip Code Requested by:

Print Name Extension Approved by:

Department Head’s Signature Date

Business Administrator’s Signature

Chief Administrator’s Signature

Check Function Code

FORMCHECKBOX

01 Administration

FORMCHECKBOX

05 Housekeeping

FORMCHECKBOX

09 Medical

FORMCHECKBOX

02 Business Office

FORMCHECKBOX

06 Recreation (Leisure)

FORMCHECKBOX

10 Security

FORMCHECKBOX

03 Clinic

FORMCHECKBOX

07 Maintenance

FORMCHECKBOX

11 Dietary

FORMCHECKBOX

04 Work Camp

FORMCHECKBOX

08 Utilities

FORMCHECKBOX

12 Laundry

Distribution:

Business Office Printed on Recycled Paper DOC 0143 (Rev. 11/2002)

File details come from the government source that posted it. Updated .