VOIDABLECONTRACT REVIEW REQUEST

(PROCUREMENT CODE SECTION 50-60a)

RequestingUniversity: Date of Request:

Solicitation / Contract Number:

Project Title:

Bulletin Notice Number:Date of Bulletin Posting:

Vendor:Dollar Value:

Contract Term: Begin Date:End Date:

NATURE OF REQUEST:

Based on the facts and circumstances and for the reasons stated herein, the University requests that the transaction described in this request be:

RatifiedDeclared Void

DESCRIPTION OF TRANSACTION AND RATIONALE FOR REQUESTED ACTION:

a)Describe the underlyingtransaction in detail and the benefit received by the University as a result of the transaction.

b)Describe the circumstances that led to this request. Such description shall include, but not be limited to:

(1)applicable provisions of the Illinois Procurement Code (or rules) or other law;

(2)any mitigating factors;

(3)the contractor’s role, if any, in causing the circumstances that led to this request;

(4)reasons why the recommended action is in the best interest of the University;

(5)the potential impact on the University if the recommended action is not followed; and

(6) steps that have been taken to prevent recurrence of the circumstances that led to this Request.

VOIDABLE CONTRACT REVIEW REQUEST – Cont’d.

(PROCUREMENT CODE SECTION 50-60a)

Requesting University:

Solicitation / Contract Number:Project Title:

With knowledge of the factssurrounding the circumstances that led to this request, I certify that the information, circumstances, and details described above are complete, accurate and true;the action requested is in the best interest of the University;appropriate senior levels of the University have been advised of the circumstances leading to this request and have authorized the requested action; and I hereby request that the Chief Procurement Officer approve this request to ratify void the transaction.

_(Signature) (Date)

University Purchasing Director

University Senior-Level Administrator: I concur do not concur with the Request.

__(Signature & Title) (Date)

RECOMMENDATION OF STATE PURCHASING OFFICER:

After review of the University’s request, Iconcur do not concur with the University’s request (must explain non-concurrence).

__(Signature of SPO)(Date)

CHIEF PROCUREMENT OFFICER

PROCUREMENT CODE SECTION 50-60a

DETERMINATION TO RATIFY OR VOID

Requesting University: Date of Request:

Solicitation / Contract Number:

Project Title:

Bulletin Notice Number:Date of Bulletin Posting:

Vendor: Dollar Value:

After considering the recommendation of the requesting university and the State Purchasing Officer, I am taking the following action as being in the best interests of the State and the university. I hereby:

RATIFY the contract. This ratification is not an approval of the underlying actions. This ratification is solely to accept the contract.

VOID the contract.

______

Chief Procurement Officer—Higher EducationDate

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