Polymer.doc
DOC document 110 KB Posted
- Attached to
- IDOC-Centralia CC-Polymer-JWW
- Solicitation number
- 19-426DOC-CENTR-B-3761
- Issued by
- Champaign County, Illinois
About this file
This document is a purchase request from the Centralia Correctional Center, a facility of the Illinois Department of Corrections. The request is for 330 gallons of polymer, which is described as a chemical needed for sewer plant operations as a drying agent. The document provides pricing information from three vendors, with the total cost, including freight, being $160. The request has been approved by the department head and business administrator.
The document does not provide any additional details about the procurement process, such as response dates, due dates, site visits, bidder's meetings, award dates, or contract term. It also does not include information about pricing terms, set asides, incumbents, funding requirements and sources, or any other salient details beyond the specific item being procured.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Illinois Department of Corrections Purchase Request
CENTRALIA CORRECTIONAL CENTER
10/15/2018
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 |
| SM7041 Polymer |
| 330 |
| gal |
| 0 |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 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 |
| 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 |
| $160.00 |
| Total |
| $160.00 FORMTEXT |
$160.00
$0.00 FORMTEXT
$0.00 FORMTEXT
Justification:
Chemical needed for Sewer Plant Operations (Drying Agent)
| Vendor #1 |
| Vendor #2 |
| Vendor #3 |
Name:
Address:
Phone #:
Fax #:
Contact Person:
Comments:
TBD
FORMCHECKBOX
Awarded
FORMCHECKBOX
Written
FORMCHECKBOX
Verbal
FORMCHECKBOX
Written
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:
CENTRALIA CORRECTIONAL CENTER
Facility/Division
WAREHOUSE
Department
9330 SHATTUC ROAD
Address
CENTRALIA
IL
62801
City State Zip Code Requested by:
Linus Ripperda
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 .