PRV - Infrastucture Tools.docx

PRV #: Purchase Request for IT/Telecom Goods and Services

PBC #:

Title: Wintel Infrastructure Tools Requestor Information

AIM Contact:

Procurement Approach Select the appropriate procurement approach and complete and attach the form or questionnaire identified in parenthesis. Forms and questionnaires can be found at https://doit.portal.illinois.gov/exec/AIM/PrcrmntFrms/Forms/AllItems.aspx. Contact DoIT Vendor Management Office for assistance in completing this or any supplemental forms and/or questionnaires.

|_| Amendment (Hearing Determination questionnaire) Original contract #:

|_| Emergency (Emergency justification form)

|_| Extension (Hearing Determination questionnaire) Original contract #:

|_| Inter-Governmental Agreement

|_| Invitation for Bid (IFB/RFP Supplemental Info form) |_| Brand Specific (Brand Name justification form)

|_| Order Against Statewide Master/Agency-Specific Contract Master Contract #:

|_| Renewal (Hearing Determination questionnaire) Original contract #:

|_| Request for Information

|_| Request for Proposal (IFB/RFP Supplemental Info form) |_| Brand Specific (Brand Name justification form)

|_| Sole Economically Feasible/Sole Source/Sole Source Amendment (Sole Source questionnaire) Vendor Name and Contact Information:

|_| Small Purchase

|_| Technical Services Program (Technical Services Program justification form)

|_| Terms & Conditions Contract

Contract Information Expected Start Date: Date of execution Estimated Value/Cost of Initial Term: $305.00 Expected End Date/# of months of Initial Term: Date of exection # of desired additional renewals and frequency: Estimated Value/Cost of Renewal Terms: $ each Procurement Description / Justification Description / Programmatic Objective Provide the quantity, brand/make/model, and/or description of the product/service being procured.

Quantity 1 - Aluminum folding hand truck Quantity 1 - Craftsman Evolv 5 piece Plier set Quantity 1 - Craftsman Evolv 3 piece adjustable wrench set Quantity 1 - Craftsman Slotted screwdriver set Quantity 1 - High Lumen LED flashlight set (2 pack) Quantity 1 - Rubber Mallet Quantity 1 - DEWALT DCF680N2 8V Max Gyroscopic screwdriver 2 battery kit Quantity 1 - 13-piece Tox Bit Socket set t8-T60 Quantity 1 - Bastex Tamper Proof Security screw hex bit head set

Ship To:

Department of Innovation and Technology BCCS IT Warehouse Don Smith / Jeff Brown 719 West Jefferson Street Springfield, IL 62702 doit.psvm@illinois.gov

Identify the program or project the product/service will support and the functionality, capability or benefits the product/service provides or enhances. Include a Charter number, Enterprise Service Request (ESR) number or other related tracking number, if applicable.

These tools are requested to support the Wintel Infrastructure hardware team supporting the installation and opertion of the CCF and other sites that DoIT has servers installed.

Economic Justification Describe the risk of not procuring the product/service requested, and/or the economic benefit of the product/service requested. Indicate additional related procurements/expenditures that will be processed separately in support of or in conjunction with this procurement, including but not limited to implementation, installation, maintenance, etc.

If these tools are not procured, the Infrastructure team will continue to use whatever means are found to install and support the servers across the state.

Fund: SSRF Service Center Code(s): 33430 Cost: $305.00 Explain how this cost was calculated: Amazon estimation

History/Background Explain how the business need is currently being met if applicable. List previous procurements of similar and/or related goods or services (PBC # or contract #). Indicate if this is a new initiative, replacement or expansion of an existing product/service or contract, or a continued, ongoing need procured on a routine basis.

If a renewal or an amendment, indicate the PBC and IPB notice numbers of original and subsequent procurements, contract terms of the original contract and subsequent transactions. Specify what procurement approach was used to execute the original contract.

If replacing a contract, explain if the contract expired with no renewal options or if we are choosing not to execute remaining renewals and why. If bid in previous years, specify what procurement approach was used and any amendments made to the resulting contract.

Currently the DoIT Infrastructure team is using tools that were procured over 10 years ago. Many of these tools are either broken or at the end of their useful life.

Governor’s Office Procurement Criteria:

Choose all that apply and provide justification to support each criteria in the space provided.

|_| 1. Critical to the life, health and/or safety of the citizens of the State of Illinois (i.e., food for prisoners, maintaining tornado sirens, etc.)

|_| 2. Will cause the loss of federal funds if not completed.

|_| 3. Fulfills a legal or contractual commitment of the State of Illinois to its unions or other third parties.

|_| 4. Is time sensitive and critical to the mission of the agency, and special consideration is required due to the best interests of the State.

Many of the tools that the Infrastructure team use are either broken or at the end of life. These tools will help support the installation and maintenance of servers across the state.

Submit completed form to Doit.psvm@illinois.gov for processing.

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