Water heater elements Shell.doc
DOC document 112 KB Posted
- Solicitation number
- 19-426DOC-CENTR-B-3553
- Issued by
- Madison County, Illinois
About this file
This document is a Purchase Request from the Illinois Department of Corrections for the Centralia Correctional Center. The request is for the purchase of water heater elements, specifically 1 unit of A.O. Smith - 100110126 Flanged Incoloy Element, 480/3KW/3, and 8 units of A.O. Smith 100110129, 7500W, 480/277V Flanged Incology Element. The total cost for the requested items is $250.00. The purchase is an emergency repair for a dishwasher that is unable to meet the required temperature.
The document does not provide any information about pricing terms, set asides, incumbents, funding requirements and sources, or contract term and renewal options. It simply outlines the specific items requested, the quantities, and the total cost.
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Text version
Illinois Department of Corrections Purchase Request
CENTRALIA CORRECTIONAL CENTER
10/01/2018
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 |
| A.O. Smith - 100110126, Flanged Incoloy |
| 1 |
| each |
| 250 FORMTEXT |
$250.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| Element, COMM, 480/3KW/3 |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| A.O. Smith 100110129, 7500W, |
| 8 |
| each |
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
$0.00
| 0 FORMTEXT |
| 480/277V Flanged Incology Element |
| 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
$0.00
| Total |
| $250.00 FORMTEXT |
$250.00
$0.00 FORMTEXT
$0.00 FORMTEXT
Justification:
Emergency repair to dishwasher. Unable to meet the required temperature.
| Vendor #1 |
| Vendor #2 |
| Vendor #3 |
Name:
Address:
Phone #:
Fax #:
Contact Person:
Comments:
TBD
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:
CENTRALIA CORRECTIONAL CENTER
Facility/Division
WAREHOUSE
Department
9330 SHATTUC ROAD
Address
CENTRALIA
IL
62801
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 .