PO27-149 Federal Revenue Enhancement VET Waiver Request Form.pdf

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Version 26.1 Printed by Authority of the State of Illinois 7/26 https://cei.illinois.gov

IOCI 27-6

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VBP Waiver Request and Review Form The Illinois Procurement Code establishes a goal of awarding not less than 3% of the total dollar amount of state contracts to small businesses owned and controlled by veterans and service-disabled veterans. See 30 ILCS 500/45-57(a). Failure to complete and include a Veterans Business Program (VBP) Utilization Plan, including documentation demonstrating good faith efforts when requesting a waiver, may render the bid or offer non-responsive.

To obtain a CEI-approved waiver, the bidder or offer or must complete the following requirements in detail, demonstrating their actions and efforts for each of the requirements.

Section I – Solicitation Information Section II – Prime Vendor Waiver Request

3. By checking the following box, the prime vendor affirms that no certified vendors were rejected as unqualified without sound justification based on a thorough and objective evaluation of their capabilities.

4. Provide documentation demonstrating your good faith effort to solicit eligible certified vendors. Your submission must include proof that certified vendors were given sufficient time to respond to the solicitation or bid, the information shared with them, including the scope, specifications, and requirements of the opportunity, and evidence of follow-up communications to encourage participation or respond to inquiries. All documentation should reflect the timeline and thoroughness of the outreach effort.

5. Provide a clear demonstration that you engaged in good faith negotiations with VBP-certified firms. Include the names and contact information of the firms approached, information shared, and the reason(s) an agreement could not be reached (if applicable).

Insert the certified vendor’s name below.

Provide the information shared with the certified vendor and the reason an agreement could not be reached (if applicable).

List the address and telephone number for the certified vendor below.

Address Telephone Number

8. By checking the following box, the prime vendor affirms that it made efforts to utilize certified vendors by selecting portions of the work to be performed by certified vendors, which may, when appropriate, include breaking out portions of the work to be performed into economically feasible units to facilitate certified vendor participation.

11. Please complete the Prime Vendor Authorization statement below.

I have completed this waiver request to the best of my ability and confirm that the responses and associated documentation provided represent due diligence on my behalf.

Prime vendors must not make any entries on this form beyond this point. Include the signed document with your bid or offer submission to the purchasing entity identified in the solicitation.

Section III – Purchasing Entity Review and Recommendation If the prime vendor's waiver request is for a procurement under the Chief Procurement Office for Capital Development Board (CPO-CDB) or the Chief Procurement Office for Higher Education (CPO-HE), CEI will evaluate the waiver request and determine upon receipt of the purchasing entity’s review and recommendation.

The individual listed below, representing the specified purchasing entity, confirms that the review and recommendation provided below are complete and accurate to the best of their knowledge and ability.

Submit the completed form, including this signed Section III and all other parts, to your assigned Compliance Officer,copying Jacob Perez, CEI Deputy Director at Jacob.Perez@Illinois.gov.

Purchasing entities must not make any entries on this form beyond this point.

Section IV - CEI Deputy Director Review and Determination The individual listed below confirms that the review and determination provided below are complete and accurate to the best of their knowledge and ability.

This fully completed form with all signatures will be sent to the purchasing entity for inclusion in the procurement file.

11.0.0.20130303.1.892433.887364 VBP Waiver Request and Review Form