UPP Change Order Request Form - JPMC SW Facility MRO Industrial Supplies - fully signed.pdf

Change Order Request for Participation or Piggyback Contract

State of Illinois Chief Procurement Office General Services Change Order Request for Participation or Piggyback Contract v.25.1 Page 1 of 2

Section I - General Information

Requesting Agency CMS - Central Management Services

Project Title JPMC SW Facility MRO Industrial Supplies

Name of Cooperative Sourcewell Name of Vendor W.W. Grainger, Inc.

Initial Term of Agency Contract 07/01/2023 - 06/30/2026 Initial Value $100,000,000.00

Purchase Method Participation Agency BidBuy PO# 23-416CMS-BOSS4-P-52692 Agency Change

Order Req #

27-416CMS-BOSS4-

R-317829

Section II - Change Order Information

1. Provide the original contract description:

To establish a joint purchase master contract for facilities maintenance and repair & operating related services (MRO) through its participation in Sourcewell contract #091422-WW led by Sourcewell.

Scope: This addendum covers the Facilities Maintenance and Repair & Operating Related Supplies (MRO) #091422-WWG led by Sourcewell for use by state agencies and other entities located in the Participating State authorized by that State’s statutes to utilize State contracts with the prior approval of the State’s Chief Procurement Official.

2. Provide a detailed description and explanation for the change required:

The change order request is to extend the current contract by twelve (12) months as was allowed in the original Sourcewell contract and subsequent JPMC participating contract. Sourcewell contract 091422-WWG was extended by Sourcewell and W.W. Grainger, Inc. until 11/8/27 on 2/13/26. CMS is requesting the same extension to our participation contract.

3. The completion date will be extended, shortened or remain the same.

3.1 Revised Completion Date Nov 8, 2027

4. The Cost will be increased, decreased or remain the same.

4.1 Revised cost indefinite quanity

5. The circumstances said to necessitate this change was not reasonably foreseeable at the time the contract was signed.

Yes No The change is germane to the original contract as signed.

Yes No

APPROVAL SIGNATURES

Agency Purchasing Officer Approval I know and understand the contents of this Change Order Request and attest that all statements are true and correct.

APO Signature

Printed Name David Thomas Date Apr 23, 2026

State of Illinois Chief Procurement Office General Services Change Order Request for Participation or Piggyback Contract v.25.1 Page 2 of 2

State Purchasing Officer Recommendation Based on my review of the provided information, I agree with the requested change(s) for the following reason(s):

Sourcewell and Grainger have agreed to extend the contract to 11/08/2027, as evidenced by the attached agreement signed by the parties on 02/13/2026. By CMS extending their participation contract it will provide the availability of MRO products for the State's use.

SPO Signature

Printed Name John H.H. Demien, CPPB Date Apr 23, 2026

Unified Procurement Program Review and Recommendation Based on my review of the provided information, it is in the best interests of the State to allow the requested change(s) to the existing contract for the following reason(s):

it allows for the continuation of a contract that is meeting an extremely critical need.

UPP Representative's Signature

Printed Name Andrew Hennig Date Apr 28, 2026

Chief Procurement Officer Approval Based on my review of the provided information, I determine it is in the best interests of the State to allow the requested change(s) to the contract for the following reason(s):

allows the contract to be continued which meets a critical need.

Chief Procurement Officer's Signature

Printed Name Ellen Holzman Daley Date Apr 29, 2026

State of Illinois Chief Procurement Office General Services Change Order Request for Participation or Piggyback Contract v.25.1 Page of Section I - General Information Section II - Change Order Information

1. Provide the original contract description:

2. Provide a detailed description and explanation for the change required:

3. The completion date will be

4. The Cost will be

5. The circumstances said to necessitate this change was not reasonably foreseeable at the time the contract was signed.

The change is germane to the original contract as signed.

APPROVAL SIGNATURES

Agency Purchasing Officer Approval I know and understand the contents of this Change Order Request and attest that all statements are true and correct.

State Purchasing Officer Recommendation Based on my review of the provided information, with the requested change(s) for the following reason(s):

Unified Procurement Program Review and Recommendation Based on my review of the provided information, in the best interests of the State to allow the requested change(s) to the existing contract for the following reason(s):

Chief Procurement Officer Approval Based on my review of the provided information, I determine in the best interests of the State to allow the requested change(s) to the contract for the following reason(s):

6.5.0.20190320.2.935878.932721

Scope: This addendum covers the Facilities Maintenance and Repair & Operating Related Supplies (MRO) #091422-WWG led by Sourcewell for use by state agencies and other entities located in the Participating State authorized by that State’s statutes to utilize State contracts with the prior approval of the State’s Chief Procurement Official.