[Sec. 1-13 Waiver # 2012-1]
PROCUREMENT CODE COMPLIANCE WAIVER (PA 97-643)
This is a request for the Chief Procurement Officer to waive to one or more certification, registration or hearing requirementof the Illinois Procurement Code (Code) as allowed pursuant to section 1-13 of the Code.
Requesting University:Date Submitted:
Vendor name and contact information:
Project/Contract Title:
Method of Source Selection: ___competitive bid ___competitive proposal ___small ___sole source ___emergency ___other (explain)
Procurement is for one of the following categories for which waivers are allowed:
___Contract with a foreign entity necessary for research or educational activities, and the foreign entity does not maintain an office in the
United States or is the sole source.
___FDA-regulated goods, products and services necessary for the delivery of care and treatment at medical, dental, or veterinary
teaching facilities utilized by the University of Illinois or Southern Illinois University.
___ Contract for programming and broadcast license rights for university-operated radio and television stations.
___ Fulfillment of a grant.
Bulletin Notice Number:Date of Bulletin Posting:
Contract Description:
Describe scope of the contract
Term
Cost
Funding source: __Federal funds __State Appropriated Funds __State Grant Funds __University funds (describe)
Certification, Hearing or Registration Requirement Needing Waiver
Statute citation:
Rule citation:
Describe the statute or rule provision needing waiver.
Why is compliance not practical?
State in detail why compliance is not practical.
Why did the vendor object to compliance? Attach any documentation from the vendor showing objection to the requirement subject of this waiver request.
What good faith efforts were made to obtain full compliance? Attach any documentation of university action to convince the vendor to comply.
[Sec. 1-13 Waiver # 2012-1]
Why is it necessary to contract with this particular vendor? Provide detail to support the conclusion.
Are there reasonable alternatives to this vendor or the product provided by this vendor? Provide detail to support the conclusion.
University Certifications:
The undersigned university executive with authority over the university procurement office certifies that: 1) the procurement is for one of the categories for which section 1-13 of the Procurement Code allows a waiver, 2) all information provided in this form, including the necessity for contracting with the named vendor, is accurate,3)that a good faith effort was undertaken to obtain compliance from the named vendor and those efforts are accurately described in this form and 4) that given the nature of the item to be procured or the terms of any applicable grant, compliance is not practical.
The undersigned university executivealso acknowledgesthe requirement of section 1-13d of the Code that any waiver of the registration requirements of Section 20-160 of the Code does not permit a business entity and any affiliated entities or affiliated person to make campaign contributions if otherwise prohibited by section 50-37 of the Code. Further, the total amount of contracts awarded in accordance with section 1-13 of the Code shall be included in determining the aggregate amount of contracts or pending bids of a business entity and any affiliated entities or affiliated persons. I certify that in relation to a waiver described in this paragraph, the resulting contract with the named vendor shall include an acknowledgment and agreement to comply with this section 1-13d of the Code.
Title:
Name______Signature ______Date______
SPO Recommendation:
____approve the waiver request ____ deny the waiver request ____ need more information
Reason for Recommendation:
State Purchasing Officer
Name______Signature ______Date______
CPO Determination:
____approve the waiver request ____ approve with conditions ____ deny the waiver request ____ need more information
Ben Bagby
Chief Procurement Officer—Higher Education
Signature______
Date______