INVITATION FOR BIDS - procure.stateuniv.state.il.us FOR BIDS ... Bid responses may be either delivered by hand or sent through U.S. Mail or other courier services available …

Bid# IJW008 Dental Supplies for all Clinics in the College of Dentistry

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INVITATION FOR BIDS THIS IS NOT AN ORDER-USE FORM TO SUBMIT BID

Date: April 19, 2013

Vendor Name: ___________________________________________________________________________________________

Address: _______________________________________________________________State:______________Zip:____________

Submit one (1) Bid with original signatures in a sealed envelope to the address listed below before or on the stated Bid Due Date and Time.

Purchasing Division (M/C 560)

Office of Business and Financial Services

The University of Illinois at Chicago

809 South Marshfield Avenue, Room 312

Chicago, Illinois 60612-7203

Bid Number: IJW008 BID TITLE: Dental Supplies for All Clinics in the College Of Dentistry

Bid Due Date: May 8, 2013 Time: 2:00 PM LOCAL TIME

For additional information regarding this bid, you may contact: Ingrid Worrell at phone 312-996-2839

(Contract Coordinator-For Director of Purchasing)

To provide uniformity of method and to facilitate comparison of bids by the University, the bidders, and interested members of the public, only bids submitted

on this bid form will be acceptable. Any exception must have prior approval. In the event terms contained in your form differ from terms contained in this

form, the terms contained in this form shall govern.

Bidder must complete this page, sign in designated area, and return with bid proposal in order for bid to be considered. See GENERAL TERMS AND CONDITIONS on page two.

1. Your firm’s Federal Tax Identification Number (TIN): ________________________________________________________________________

Social Security Number (SSN) if self-employed:_____________________________________________________________________________

I am doing business as a (please check one):

Individual Corporation Government Entity Sole Proprietorship Not-for-profit Corporation Tax Exempt Organization (IRC 501 (a) only

Partnership Real Estate Agent Trust or Estate

Medical and Healthcare Service Provider Corporation

2. Your State of Illinois Department of Human Rights Prequalification Number:_____________________________________________________

(See attached General Terms and Conditions – Item #14 – for additional information.)

NOTE: DHR Numbers issued prior to July 1, 1998 expired on August 31, 1999. Please see item 14 on

Page 3 for information on how to re-register.

3. F.O.B. Point:___________________________________ Shipping Point:_________________________________________ (The University prefers prices quoted F.O.B. destination.)

4. Shipping Date: (Time required after receipt of order):_______________________________________________________________________

5. Payment Terms: _____________________________________________________________________________________________________

(Terms of less than 30 calendar days may be disregarded in making award.)

THE UNDERSIGNED OFFERS THE PRICES, DELIVERY, TERMS, AND AFFIRMS ACCURACY OF INFORMATION FURNISHED BY THE BIDDER.

___________________________________________________________________________________________________________________

(Firm Name – please type or print)

___________________________________________________________________X_________________________________________________

(Name and Title of Responsible Officer Authorized to Sign—please type or print) (Signed-written signature of responsible officer)

____________________________________________________________________Email:____________________________________________

(Telephone number) (Date signed)


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INVITATION FOR BIDS

THIS IS NOT AN ORDER-USE

FORM TO SUBMIT BID

GENERAL TERMS AND CONDITIONS The following General Terms and Conditions will apply UNLESS OTHERWISE SPECIFIED IN THE BID DOCUMENTS.

1. This transaction is subject to the Procurement Rules of the Chief Procurement Officer for Public Institutions of Higher Education adopted pursuant to the Illinois Procurement Code [30 ILCS 500].

2. T axes: The University is exempt (unless otherwise stated) from payment of state and local Retailers' Occupation Tax, state and local Service Occupation Tax, state Use Tax, and state Service Use Tax, as required by Illinois law. The University's tax exemption identification number issued by the Illinois Department of Revenue

is E9989-9779-06.

3. Certificates of exemption will be provided upon written request.

4. Unless otherwise provided in bid documents, the price of each bid must be kept firm for at least 120 days after the bid opening date. A bidder may specify that the price will remain firm for a longer period than required by the bid documents or this clause. If the bidder has not specified an expiration date for the price, the price

will continue to remain firm until the bidder gives notice of intent to terminate the price. After such notice the University will have 10 days to accept the bid at the

original bid price. Firm bids for periods of less than 120 days may be considered non-responsive.

5. Bid responses may be either delivered by hand or sent through U.S. Mail or other courier services available to the address shown on page one. In either event,

bidders remain responsible for insuring that bids are actually received at the time, date, place, and office required. The University assumes no responsibility for any bid not so received, regardless of whether the delay is caused by the U.S. Postal Service, the University Postal Delivery System, or some other act or circumstance.

No bids received after the time specified in the bid documents will be considered. All bids received after the specified time will be returned unopened.

6. The University reserves the right to reject any or all bids or any part thereof, to waive informalities, and to accept the bid deemed most favorable to the University.

6. Unit and total price for each line item must be clearly shown. In the event of a discrepancy, the unit price shall govern unless otherwise expressly stated in the bid

documents.

7. Packing, deposits, and other costs, including transportation costs will not be allowed in billing unless specifically stated in your bid response.

8. Unless otherwise indicated by the University, shipments are to be fully insured and made by the most expeditious method, consistent with the customs of the trade, terms of the bid proposal, weight and value of the merchandise, and current tariff regulations.

9. Time is of the essence; therefore accurate delivery schedules may be considered in making an award.

10. The bidder certifies that his or her business entity has not committed bribery or attempted bribery of an officer or employee of the State of Illinois [30 ILCS 500/50-

10].

11. CERTIFICATIONS: The bidder certifies that it, or any affiliate: has not been barred from contracting as a result of a conviction for bid-rigging or bid rotating under

720 ILCS 5/33E or a similar law of another state; is not participating or shall participate in an international boycott in violation of the provisions of the U.S. Export Administration Act of 1979 or the regulations of the U.S. Department of Commerce promulgated under that Act (this certification applies only to purchase orders

which exceed $10,000); is not barred under 30 ILCS 500/50-5(a) from contracting as a result of a conviction for or admission of bribery or attempted bribery of an

officer or employee of the State of Illinois or any other state; is not barred pursuant to 30 ILCS 500/50-10 from conducting business with the State of Illinois as a result of being convicted of a felony. The contractor certifies that, if the contractor or any affiliate is an individual, he/she is not in default for a period of six months

or more and in the amount of $600 or more on the repayment of any educational loan guaranteed by the State Scholarship Commission or made by an Illinois

institution of higher education or any other loan made from public funds for the purpose of financing higher education. The contractor certifies that it, or any affiliate, is not barred from being awarded a contract under 30 ILCS 500. Section 50-11 prohibits a person from entering into a contract with a State agency if it

knows or should know that it, or any affiliate, is delinquent in the payment of any debt to the State as defined by the Debt Collection Board. Section 50-12 prohibits

a person from entering into a contract with a State agency if it, or any affiliate, has failed to collect and remit Illinois Use Tax on all sales of tangible personal property into the State of Illinois in accordance with the provisions of the Illinois Use Tax Act. The contractor further acknowledges that the contracting State

agency may declare the contract void if this certification is false or if the contractor, or any affiliate, is determined to be delinquent in the payment of any debt to the

State during the term of the contract. The contractor certifies in accordance with Public Act 94-0264 that no foreign-made equipment, materials, or supplies furnished to the State under the contract have been produced in whole or in part by the labor of any child under the age of 12. The contractor acknowledges that the

University shall declare the contract void if any of the above certifications is false.

PRICES for commodities and/or services furnished on this bid shall not exceed those charged to your most favored customer for like commodities and/or services

under similar circumstances.

12. THE ILLINOIS DRUG FREE WORKPLACE ACT (30 ILCS 580) requires, in part, that contractors with 25 or more employees take steps to ensure a drug free

workplace by informing employees of the dangers of drug abuse, of the availability of any treatment or assistance programs, of prohibited activities and of sanctions

that will be imposed for violation; and that individuals with contracts not engage in the manufacture, distribution, dispensation, possession, or use of a controlled substance in the performance of the contract. These requirements apply to contracts of $5,000 or more. Bidder certifies that it is in compliance with the Act.

13. Any and all changes in bid specifications will be made in the form of a written addendum issued by the Purchasing Division. Verbal changes or clarifications will not be binding on the University.

14. Department of Human Rights Prequalification Number: No person shall be eligible to be awarded a contract subject to the competitive bidding requirements of the

Illinois Procurement Code [30 ILCS 500] unless such person prior to bids opening has filed with the Department of Human Rights a properly completed and sworn

Employer Report Form (Form PC-1) that is currently valid.


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If you organization holds an Illinois Department of Human Rights (IDHR) Bidder Eligibility Number issued by the Department or its predecessor agency, the

Illinois Fair Employment Practices Commission (FEPC), prior to July 1, 1998, your number expires on August 31, 1999. Upon expiration, you will no longer be

eligible to be awarded public contracts unless you re-register with the Department. You are affected by this notice if your IDHR number is 89999-00-0 or lower. If

your number is 90000-00-0 or higher, this notice does not effect you as your number is valid for five years from the date of eligibility.

Your existing IDHR Number will remain valid until August 31, 1999, or until a new number is assigned to you by the Department, whichever comes first. Once

assigned, the new number will be valid for a five year period. Re-registration can be accomplished by filing an Employer Report Form with IDHR. A form can be

obtained in one of the following ways:

1. Telephone the IDHR Public contracts Unit at 312-814-2431 between Monday and Friday, 8:30 AM - 5:00 PM, Central Time.

2. Download the form from the internet at www.state.il.us/dhr or www.stat.il.us/cms . 3. Visit the Department’s Public Contracts Unit at the following address:

State of Illinois Department of Human Rights

Public Contracts Division, Suite 10-100

100 West Randolph Chicago, Illinois 60601

15. AVAILABILITY OF DOCUMENTS: All State Universities in Illinois publish their competitive Bid/RFP and other procurement notices, as well as award

information at: http://www.procure.stateuniv.state.il.us

Suppliers intending to respond to any posted requirement are encouraged to visit that site to insure that they have received a complete and current set of documents. Some notices may provide a downloadable copy of the pertinent procurement documents, as well as any amendments to those documents. Additionally, some

notices may permit a supplier to submit a response to a posted requirement in an electronic format. Any supplier receiving a copy of procurement documents from a

bid referral service and/or other third party is solely responsible for insuring that they have received all necessary procurement documentation, including amendments. Interested suppliers should note that the State Universities in Illinois do not charge (unless otherwise stated in the Bid/RFP documents) any fees to

obtain a copy of or respond to documents posted for competitive solicitation. The issuing University is not responsible for insuring that all or any procurement documentation is received by a supplier that is not appropriately registered with the issuing University.

16. Procurement of Domestic Products

Please check the statement below that applies to the articles you are offering in this bid/proposal. For the purposes of this question "manufacturer in the United

States" means in the case of assembled articles that final assembly occurred in the United States.

□ We certify that all offered articles were/will be manufactured in the United States.

We understand that, if we are awarded a contract based on a preference for US manufactured goods under the Procurement of Domestic Products

Act (PA 93-0954), this certification will become part of the contract, and, if we knowingly supply non-US manufactured goods, we will be subject

to penalties that include debarment for 5 years, voiding of the contract, and civil damages.

□ We are unable to certify that all offered articles were/will be manufactured in the United States.

17. Illinois Information Technology Accessibility Act

As required by Illinois Public Act 095-0307, all information technology, including electronic information, software, systems, and equipment, developed or provided

under this contract must comply with the applicable requirements of the Illinois Information technology Accessibility Act Standards as posted at http://www.dhs.state.il.us/iitaa.

18. State Board of Elections Certification Required by Public Act 95-971

STATE OF ILLINOIS REQUIREMENT FOR ALL BIDDERS

Please Read Carefully Before Responding.

All bidders are required to register with the State Board of Elections registration. Failure to do so will result in the bidder

being deemed non-responsive. You are not required to submit proof of registration. Refer to the State Board of Elections

website at www.election.il.gov.

http://www.state.il.us/dhr

http://www.stat.il.us/cms

http://www.procure.stateuniv.state.il.us/

http://www.dhs.state.il.us/iitaa

http://www.election.il.gov/


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TABLE OF CONTENTS

BID SECTION PAGE

I. SCOPE………………………………………………………………………………………..………….. 5

2. GENERAL………………………………………………………………………………..………………. 5

3. SPECIFICATIONS………………………………………………………………………………………….6

4. PRICING PROPOSAL ……………………………………………………………………………………...8

5. PRICING PROPOSAL FORMS……………………………………………………………………………....9

6. RENEWAL OPTIONS……………………………………………………………………………………….14

7. CAMPUS OPTIONS…………………………………………………………………………………………15

APPENDICES

EXHIBIT I E-PROCUREMENT

EXHIBIT II DISCLOSURES AND CONFLICTS OF INTEREST

EXHIBIT III CONFLICT OF INTEREST DISCLOSURES (SUBCONTRACTORS)

MAILING LABEL


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I. SCOPE

1.1 The University of Illinois at Chicago College of Dentistry (University), located at 801 S. Paulina

Street, Chicago, IL 60617 requests sealed bids for Dental Supplies required for use in twenty (20) clinics at

the 801 S. Paulina Street location for a three (3)-year period, with options to renew for two (2) additional

years.

II. GENERAL

2.1 Specifications shown of the manufacturer provided by Henry Schein, and are used to indicate a

minimum level of quality, performance and applicability of the items required. Any commodity (or

service) equal to or better than the quality, performance and applicability specified will be considered.

2.2 The use of a brand name or equal specification is not intended to limit or restrict competition. “Or

equal” submissions will not be rejected because of minor differences in design, construction or features that

do not affect the suitability of the product for its intended use. The burden of proof that the product is

equal is on the vendor.

2.3 The contract will be awarded to the lowest responsible and responsive bidder based on low total

extended bid delivered price whose bid meets the requirements and specifications set forth in the Invitation

for Sealed Bid. All items, unless otherwise stated, will be assumed to meet all specifications and

requirements as set forth in the Invitation for Sealed Bid. Ambiguous bids which are uncertain as to terms,

delivery, quantity, or compliance with specifications may be rejected or declared non-responsive. The

University shall be the sole determinant of the relevant and appropriate cost factors used in evaluating any

Base, Options and /or Alternate bids.

2.4 Bidders must bid all lines for consideration or may be deemed non responsive.

2.5 The bidder is required to provide the information as requested in the bid. The bidder must complete

the pricing proposal section as specified by providing the unit price and extended price for each item, the

standard packaging for the product and the manufacturer. The University reserves the right to reject any or

all bids or any part thereof that fails to provide the bid information as requested.

2.6 The quantities indicated are estimates only, and do not represent a guarantee of actual use. The

University reserves the right to buy more or less of each item or a group of items at the prices quoted.

2.7 Quote prices f.o.b. delivered to: Dental Clinics 801 S. Paulina Street, Chicago, IL 60612.

2.8 The University reserves the right to cancel any contract issued as a result of a bid award upon 30-

days written notification to the vendor.

2.9 Any and all changes in bid specifications will be made in the form of a written addendum issued by

the Purchasing Division. Verbal changes or clarifications will not be binding on the University.

2.10 The University will pay no penalties if actual purchases are less than the estimated quantities

indicated in the bid request.

2.11 Prices must be held firm for the entire (3) three-year contract period specified in this bid.

2.12 Bidders are required to indicate the product being bid by product number and manufacturer.

Packaging must also be indicated.


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2.13 NOTE: The successful bidder must reimburse the University if it becomes necessary to purchase

any products that are included in this agreement from another manufacturer due to the successful vendor’s

inability to supply. A credit allowance amounting to the difference between the price paid and the contract

price must be issued to the University upon submission of evidence that such action was necessary.

Additional transportation costs or other associated costs that are incurred also must be reimbursed to the

University.

2.14 For any equipment product, warranty will be one year for all parts and labor.

2.15 In accordance with Public Act 90-752, the Vendor’s Disclosure of Financial Interests form

(see Appendix I) must be completed and returned with the bid proposal in order for your bid to

receive consideration. Failure to complete and attach the form will result in your bid being

disqualified.

2.16 Board of Elections (BOE) Registration

All proposers are required to register with the State Board of Elections. Failure to do so will result in the

proposer being deemed non-responsive. Proposers are not required to submit proof of registration.

Refer to the State Board of Elections website at www.election.il.gov.

2.17 Protest Review Office: Vendors may submit a written protest to the Protest Review

Office following the requirements of the Higher Education Standard Procurement Rules 44ILL. Admin

Code 4.5550. For protests related to specifications, the Protest Review Office must physically receive the

Protest Review Office must physically receive the protest no later 14 days after the solicitation or relate

addendum was posted to the Bulletin. For protests related to rejection of individual proposals or awards, the

protest must be received by close of business no later than 14 days after the protesting party knows or

should have known of the facts giving rise to the protest. The Protest Review Office’s information is as

follows:

Chief Procurement Office Phone: 217-558-3724

Attn: Protest Review Office Facsimile: 217-558-2164

Suite 513 Stratton Office Building

401 South Spring Street Illinois Relay: 800-526-0844

Springfield, IL 62706

If the protest is submitted via e-mail, it must be sent to both of the following e-mail addresses:

[email protected] [email protected]

III. SPECIFICATIONS

3.1 The successful bidder shall not charge additional delivery charges, fuel surcharges, or handling

charges. Bidders are to furnish new dental supplies with manufactures warranties for all clinics in the

College of Dentistry as listed below:

Prices are to be quoted f.o.b delivered to:

Dental Clinics

801 S. Paulina Street, Chicago, IL 60612

Department Name

Faculty Dental Practice (MC/621) room 129

Periodontics (MC/859 ) room 331

OMDS Clinic (MC/838) room 569B

Hospital Dentistry

mailto:[email protected]

mailto:[email protected]


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Pediatric Dentistry Residency Clinic (MC/850) room 254

Health Connect Clinic (PEDO) (MC/850) room 254

Pediatric Dentistry UG Clinic (MC/850) room 231

Restorative-Prosthodontics (MC/555) room 361

Endodontics (MC/642) room 304G

Orthodontics (MC/841) room 131

Oral and Maxillofacial Surgery (MC/835) room 119

Implant & Innovation Center (MC/555) room 330

Radiology (MC/838) room 125A

Sterilization (MC/621) room 205

Da Vinci Clinic (MC/ 621) room 211/219

Monet Clinic (MC/621) room 221/229

Rembrandt Clinic/Urgent Care (MC/621) room 321/329

Pre-Patient Care Program (MC/621) room 301

CRDTS & NERBS/Dental Clinics (MC/621) room CRDTS 301

KITS ADDRESS WILL BE SUPPLIED LATER

Hospital General Dentistry Room 110

UG Oral Surgery

(MC/621) room 311B

3.2 The successful bidder must assign sales representative/customer service representative to make

monthly visits to clinic sites to monitor service issues.

3.3 The successful bidder must provide quarterly summary utilization reports for each department, to

include item number, item description, manufacturer number, and manufacturer name, quantity shipped and

unit cost. Succeeding quarterly reports shall include both quarterly totals and cumulative totals for that

fiscal year period. Also, provide a semi-annual utilization report that combines the totals of all departments

and gives a grand total for all the same categories as above report.

3.4 The successful bidder must provide the longest out-date (a maximum time frame before vaccines

and pharmaceuticals reach an expiration date) on all supplies.

3.5 The successful bidder shall be required to maintain adequate stock to service this contract.

3.6 For standard shipping, the successful bidder must be able to ship order f.o.b destination within 48

hours after receipt and confirmation of order.


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3.7 The successful bidder must deliver rush orders to all clinic sites within 24 hours of the telephone or

fax order.

3.8 The successful bidder must be able to fill back orders within 5 working days.

3.9 The University will have the ability to return product within 21 business days of receipt of order.

3.10 Bidders must provide list prices with sealed bid. An updated list price must be provided upon

request.

3.11 The successful bidder is to invoice when orders are shipped. A purchase order number will be

issued for each department account. A separate invoice identified with their purchase order number is to be

issued for each of the dental clinics department containing only the charges for that account. Invoice

description should include: Catalog number, item description, order quantity, bid price, total and

identification information.

3.12 Bidders must provide three (3 ) references that they currently provide dental supplies. References

are to be attached on a separate sheet and include the facility name, address, phone number and contact

person that is currently administering their contract.

3.13 The successful bidder will be required to participate in UIC E-Procurement Program, see Exhibit I.

IV PROPOSAL PRICING

4.1 For each item enter the unit price, packaging, and extension of the specified item. If you are

bidding on an alternate, provide manufacturer, model, unit price and extension and manufacturer’s

brochure and or catalog. You must also provide a detailed listing of any differences in the features

(including dimensions of the alternate.) Quantities listed are only estimates of one (1) year usage.

4.2 The year value for the core list of dentistry supplies as listed in Section V- 5.1 that includes non-

pharmaceutical general dentistry supplies and pharmaceutical supplies is estimated at $950,000.00, and the

yearly value of dental supplies not identified in Section 5.1 Pricing Proposal is estimated at $300,000.00.


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Section V Dental Supplies Pricing Proposal Forms

Follow this page


Section V PRICING PROPOSAL FORMS FOR DENTAL SUPPLIES

Quote on estimated quantities for a 12 months period.

Note: Complete *Alternate Manufacturer, *Alternate Product No. and *Packaging, if bidding on alternate product.

*List Price=Manufacturer's catalog price

**Unit Price=Discounted price of each unit offered to the University.

***Extended Price=Quantity multiplied by Unit price.

5.1 Pricing Proposal

5.1.1 Non-Pharmaceutical General Dental Supply Items

No

Part#'s

Henry Schein Description Quantity

*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate

Packaging * List Price ** Unit Price *** Extended Price

1 7776167 3M Crowns SS Prim Molar Set 96/Bx 2

2 1079426 811 Grossman Type RC Cement 100gm/Bt Ea 21

3 1557084 Acclean Floss Waxed 12yd 72/Bx 168

4 1862074 Accu Film II Double Sided Blk/ Red .0008 Pk 157

5 8910011 ACCU-CHEK Aviva Plus 50/Bt 26

6 8910431 Accu-Chek Aviva Strips 50/Bt 32

7 1230332 Adhesive VPS 15ml/Bt 214

8 1234364 Adhesive VPS 60ml/Bt 31

9 3259672 Advantage DeepClean Toothbrush 35 Soft 12/Bx 556

10 3339652 Alike Acrylic Introductory Package Ea 13

11 1087855 Aloe Green Latex PF Glove Large 100/Bx 366

12 1088553 Aloe Green Latex PF Glove Medium 100/Bx 548

13 1087850 Aloe Green Latex PF Glove Small 100/Bx 777

14 1087848 Aloe Green Latex PF Glove X-Small 100/Bx 405

15 5950013 Ascent OL5 LED Curing Light Ea 4


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


16 1029023 Aspirator Tip Surgical Green 1/4"D 25/Pk 184

17 3120636 Assure Plus Sterile Pouch 11x16 100/Bx 19

18 1630679 Benda Brush Big Box Regular Blue 576/Bx 19

19 1357269 Bib-Eze Disposable Bib Holders 250/Pk 281

20 9226243 Boxing Wax 12"X11/2" Thin Red 1Lb/Bx 269

21 1234189 Boxing Wax Strips Red 35 Bx 42

22 6405006 Cavicide 5-Gal1on Pack 2.5 Gallon 2Bt/Ca 46

23 6400012 Cavicide Gal/Bt 49

24 6402261 Cavicide Spray 24oz/Bt 402

25 1671302 Cavitron Select SPS Scaler Ea 1

26 6402805 CaviWipes Towelettes Disinfect Large 160/Cn 437

27 6350037 Cetylcide II Concentrate Kit 32 oz Ea 14

28 6350600 Cetylite Power Cleaner 32oz Ea 50

29 1099229 C-Fold Towel Tork Universal 2400/Ca 526

30 1009863 Chair Cover 27.5x24 225/Bx 89

31 1004673 Chair Sleeve 27.5x24 225/Rl 109

32 1003346 Chair Sleeve 29x80 125/Rl 84

33 9336255 Chair Sleeve 32x32 200/Rl 724

34 3336151 Coe Comfort P/L Professional 6oz/Ea 12

35 3184100 CoeCal Dental Stone Buff 25Lb/Bx 80

36 1158543 Condenser DE UP 1-2 TT Ea 60

37 1011838 Cover Film 4x6 Blue 1200/Bx 264


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


38 1118537 Criterion Glove PF Nitrile LF Large 100/Bx 848

39 1118536 Criterion Glove PF Nitrile LF Medium 100/Bx 2102

40 1118535 Criterion Glove PF Nitrile LF Small 100/Bx 1461

41 1118533 Criterion Glove PF Nitrile LF X-Small 100/Bx 200

42 1026730 Criterion PC Glove PF Latex Large 100/Bx 1831

43 1025421 Criterion PC Glove PF Latex Medium 100/Bx 5198

44 1025419 Criterion PC Glove PF Latex Small 100/Bx 4590

45 1025422 Criterion PC Glove PF Latex X-Large 90/Bx 252

46 1025418 Criterion PC Glove PF Latex X-Small 100/Bx 925

47 1025338 Criterion PF Vinyl Glove LF Clear Medium 100/Bx 391

48 1026721 Criterion PF Vinyl Glove LF Clear Small 100/Bx 301

49 1004361 Cups Plastic 5oz Blue 1000/Ca 50

50 9001878 Dappen Dishes Disposable Assorted 1000/Ca 48

51 1231384 Demi Plus LED Curing Light System Ea 2

52 1000108 Denatured Alcohol Gal/Bt 76

53 5473274 Dental Dam 6x6 Medium Green 360/Bx 33

54 6986513 Developer & Fixer Set 2/Ca 24

55 3115626 Disposable Mounting Plates W/Inserts 100/Pk 32

56 1044863 Disposable Prophy Angle LF Short Soft 1000/Bx 10

57 1029568 Dispos-A-Brush Standard Bristle 144/Bx 274

58 3671036 Double Model Storage Box White 5.75x2.75x3. 100/Pk 44

59 6436566 Drape Half 60"x44" Sterile 54/Ca 19


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


60 1009276 Dri-Gard Towel 2Ply+Poly Aqua 13x19 500/Ca 207

61 1125306 DX-58 Vinyl Packet Size 2 1 Film 150/Bx 205

62 2229788 Dycal Standard Package Dentin Shade Ea 44

63 1043809 Earloop Mask Blue 50/Bx 3637

64 1048072 Earloop Mask Ultrasoft Blue 50/Bx 245

65 1893967 Eezeemount Grey Board Mounts 10BW #2 100/Bx 37

66 1896717 Eezeemount Grey Board Mounts 2H #2 100/Bx 68

67 1894368 Eezeemount Grey Board Mounts 4H #2 1x4 100/Bx 40

68 1125056 Endo Cool Spray 10oz/Cn Ea 211

69 1619742 Endoring Foam Inserts 24Blue24Yel 48/Pk 45

70 2220081 Esthet-X HD Complete Kit Compules Ea 2

71 3849012 Etch-Rite Etching Gel 1.2mL 24/Pk 25

72 1008608 Exodontia Sponge Filled N/S 2"x2" 5000/Ca 129

73 1233503 Extrude 24Cartrdge Refill 50mL Extra 24/Bx 57

74 1230743 Extrude 24Cartrdge Refill 50mL Medium 24/Bx 16

75 1231614 Extrude 24Cartrdge Refill 50mL Wash 24/Bx 6

76 1047321 Eye Shield Proced Mask Hi Bar Teal 25/Bx 612

77 1890755 EZ-View Pocket Mounts Mask Blk 6V 8H 4BW #2 100/Bx 37

78 3844800 Flecta Disposable Mirror 200/Bx 96

79 1001391 Formo Cresol Buckley Type 1oz/Bt Ea 25

80 3335624 Fuji IX GP Fast Capsule Refill A2 50/Bx 6

81 3330128 Fuji Lining LC Paste Refill Package Ea 14


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


82 3332123 FujiCem Automix Refill No Tips 2/Pk 28

83 3333242 FujiCem Automix Refill With Tips 2/Pk 106

84 3337167 GC Reline Standard P/L Kit Pk 10

85 9247375 General Purpose Cleaner Non-Amm Gal/Bt 78

86 1003836 General Purpose Cleaner Non-Ammonia Gal/Bt 92

87 8765287 Glove N Care Hand Cream Pump 8.5oz 8.5oz/Ea 72

88 6650090 Gluma Desensitizer Single Dose 0.075mL 40/Pk 22

89 8899945 HO Bands #1 Dead Soft .001 100/Pk 48

90 9000766 HP Mixing Tips Large Green 6.5mm 48/Bg 129

91 1234695 Impression Compound Sticks Green 1/4Lb 15/Bx 130

92 9004563 Impression Trays #1 Lg/U Perforated 12/Pk 454

93 9004565 Impression Trays #3 Med/U Perforated 12/Pk 360

94 9004566 Impression Trays #4 Med/L Perforated 12/Pk 327

95 1119234 Insight Film IP-22 #2 Polysoft 130/Bx 830

96 9004207 Instant Cold Compress 5x5.5 50/Ca 40

97 2224922 Integrity Mixing Tips 76Gm 20/Pk 149

98 2226781 Integrity Refill Pk A1 Ea 32

99 2229568 Integrity Refill Pk A2 Ea 61

100 2228736 Integrity Refill Pk A3.5 Ea 39

101 9004587 Intraoral Tips Yellow 100/Pk 35

102 9451802 IntraX Auto Film Processor 3 Parts Ea 1

103 2221135 IRM Complete Package Ivory Ea 74


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


104 1025480 Irrigating Needles Side Vent 27Ga 100/Bg 99

105 1016214 Isolation Gown Blue 50/Ca 30

106 9799558 Isolation Gown Knit Cuff Blue Regular 50/Ca 1799

107 9794514 Isolation Gown Knit Cuff Yello Regular 50/Ca 74

108 1024799 Isopropyl Alcohol 70% Gal/Bt 127

109 1203684 Jacket X-Safe Sky Blue Medium 10/Pk 69

110 1205947 Jacket X-Safe Sky Blue Small 10/Pk 148

111 2225589 Jeltrate Fast Set 1Lb Each 659

112 2223864 Jeltrate Plus DF Fast Set 1Lb/Ea 277

113 2222723 Jeltrate Plus DF Reg Set 1Lb/Ea 196

114 2224890 Jeltrate Regular Set 1Lb Each 122

115 1250064 Jet Set-4 Liquid 4oz. Ea 130

116 1250057 Jet Set-4 Powder 2oz.(45gm) A2 Ea 50

117 3788618 Ketac-Fil Plus Aplicap Intro Kit Ea 3

118 3786052 Ketac-Fil Plus Refill A2 50/Bx 54

119 6433214 Kimcare Foaming Gen Purp Soap 1000ml 6/Ca 18

120 1014805 Kimguard Sterilization Wrap 24x24 240/Ca 49

121 1008448 Kleenex C-Fold Towels #150 2400/Ca 72

122 6430165 Kleenex Premiere Roll Towels 24/Ca 33

123 1201347 Lab Coat X-Safe Ceil Blue Large 10/Pk 125

124 1207987 Lab Coat X-Safe Ceil Blue Medium 10/Pk 249

125 1200035 Lab Coat X-Safe Ceil Blue Small 10/Pk 221


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


126 1204921 Lab Coat X-Safe Ceil Blue X-Large 10/Pk 47

127 1205058 Lab Coat X-Safe Sky Blue Large 10/Pk 200

128 1200065 Lab Coat X-Safe Sky Blue Medium 10/Pk 409

129 1201702 Lab Coat X-Safe Sky Blue Small 10/Pk 176

130 1205261 Lab Coat X-Safe Sky Blue X-Large 10/Pk 110

131 8888165 Lab Putty Base Only 5000ML 44

132 8887570 Lab Putty Hard Activator Only 40mL 6/Pk 57

133 8888271 Lab Putty Hard Activator Only 40mL Ea 74

134 8910003 Lancet Accuchk Safe T Pro 23g Sterile 200/Bx 18

135 3218850 Listerine Cool Mint Gallon 2/Ca 48

136 1639121 Lollicaine Unidose Topical Gel Cherry 120/pk 250

137 1633324 Lollicaine Unidose Topical Gel Pina Colada 120/pk 51

138 1013803 Maxima Gutta Percha CC 20/Vl #20 6Vls/Bx 343

139 5571961 Microstone Golden 140GM 80/Bx 257

140 1006640 Mirror Disposable Dental 72/Bx 134

141 1230447 Mixing Tips Large Teal 48/Bx 95

142 1941135 Monoject 412 Syringe Curved Tip 12cc 50/Bx 60

143 1949248 Monoject Sharps Container Red 8 Quart EA 213

144 5577011 Mounting Stone Blue Env 100GM 100/Bx 27

145 5570743 Mounting Stone White 100GM 100/Bx 150

146 5570100 Mounting Stone White Fast Set 25Lb/Bx 46

147 6434641 Multifold Tradition Towel 3000/Ca 31


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


148 9000790 Multi-Use Dispenser Ea 65

149 5477628 Non-Latex Dental Dam 5x5 Medium Green 15/Bx 65

150 1024454 Non-Latex Rubber Dam 6x6 Econ Pk 75/Bx 19

151 1125009 Nytrile Grape PF Glove Medium 100/Bx 180

152 1125008 Nytrile Grape PF Glove Small 100/Bx 344

153 1125014 Nytrile Orange PF Glove Medium 100/Bx 175

154 1125013 Nytrile Orange PF Glove Small 100/Bx 380

155 1230155 Optibond Solo Plus Kit Unidose Ea 11

156 1233029 Optibond Solo Plus Refill Unidose 100/Pk 98

157 1072934 Opti-Cide-3 Spray 24oz 66

158 2220763 Orthodontic Resin P/l Clear 605Gm/Pk 16

159 2222432 Orthodontic Resin Powder Clear 1Lb/Bt 12

160 1071628 P5 Newtron W/Tips Kit Ea 1

161 8883604 ParaPost XP Post Steel P-744-5B 25/Pk 7

162 3338102 Pattern Resin LS P/L 1:1 Ea 21

163 1640070 Permite Caps Slow Set 2 Spill 500/Jr 21

164 1071079 Personal Inhaler Plus Small Variety #1 24/Pk 13

165 1001147 Plier 115 Reynolds German SS Ea 37

166 1679615 Portrait Biostable Post 8/Set 117

167 1670573 Portrait IPN 33 Posterior 8/Set 62

168 1675969 Portrait IPN Anatoline Posteri 8/Set 112

169 1675612 Portrait IPN Anteriors 6/Set 281


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


170 2425094 Pressure Indicator Paste Unit Dose 24/Pk 78

171 1073380 Pro-Ties Bundling System Red 6/Pk 62

172 7123571 Proxabrush Handle Double Ended 12/Pk 189

173 7120093 Proxabrush Refills Moderate 2/Pk 18/Bx 178

174 7120065 Proxabrush Refills Wide 2/Pk 18/Bx 148

175 3125825 Purevac 5ltr/Bt 15

176 6289277 QUATTROcare Spray 500mL/Bt 32

177 3780908 RC Prep Microdose Refill 0.2cc 100/Bx 53

178 2228057 Regisil 2X Cartridge 50mL 4/Pk 21

179 2223128 Regisil PB Cartridge Refill 50mL 4/Pk 123

180 2222647 Regisil Rigid Refill Package 50ml 4/Bx 229

181 1721160 RioFoto Photo Mirror Adult Buccal Ea 24

182 1016183 Safe-Tips EZ Refill 150/Pk 43

183 1005622 Scalpels Disposable Sterile #11 10/Bx 516

184 1006752 Scalpels Disposable Sterile #20 10/Bx 182

185 5536118 Scavenger Adult Hood Kit w/Linrs EA 5

186 1701013 Scavenger Pedo Hood Kit w/Linrs Ea 40

187 1124862 Self Seal Sterilization Pouch 10.5x17 100/Bx 305

188 1124865 Self Seal Sterilization Pouch 13x20 100/Bx 30

189 1124857 Self Seal Sterilization Pouch 3.5x5.25 200/Bx 154




No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate





195 2288210 Septocaine Cart 4% w/EPI 1:100M 50/Bx 103

196 5575629 Silky-Rock 120/70Gm Violet 120/Bx 35

197 2503746 Simplastic Tray Cover 12x17 Clear 2000/Bx 73

198 5575128 Snap-Stone Pink Env 140GM 80/Bx 30

199 7543508 Sponge Non Woven 2x2 N/S 5000/Ca 16

200 1048194 Sponge Premium Non-Sterile 4"x4" 8Ply 200/Pk 90

201 3125022 Sporox II Disinfect Solution Gallon Ga 41

202 3250274 Stages Kids Flosser 144/Bx 33

203 7311665 Steam Cleaner 110V Ea 1

204 1530577 Sterile Water For Irrigation 1000ml Str 1000ml 679

205 1536483 Sterile Water For Irrigation 250ml Str 250ml/Bt 268

206 6430135 Sterling PF Nitrile Glove Small 200/Bx 80

207 1238675 Sticky Wax Sticks Bulk Pkg 120Bx 34

208 3257238 Super Floss Sample Pack 100x10 1000/Ca 32

209 3259812 Super Floss Sample Pack Mint 10/Bag 100bg/Bx 11

210 1028981 Sure Tip Clear 250/Pk 215

211 9537101 Surgeon Blades SS Sterile #15C 100/Bx 30

212 9240941 Sweepzone AG310 w/Digital Tmr Tmr/Drn Ea 1

213 1009860 Syringe Cover Air Water 2.5x10 500/Bx 134


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


214 1027791 Syringe Utility Curved 12cc 50/Bx 43

215 2508372 TAC Adhesive Spray 3.5oz Ea 156

216 1004263 Tartar & Stain Remover 1Gal Gal/Bt 53

217 1238468 TempBond NE Unidose 50/Pk 91

218 1003253 Tidi Tooth Cups Waxed 5oz 500/Bx 42

219 1111862 T-Mat G Film TMG-15 6x12 50/Bx 155

220 1074971 Tongue Cleaner Assorted Colors 3x24/Bx 29

221 2222161 TPH3 Compule Refill Body Shade A1 20/Bx 38

222 1014675 Tray Cover 11"x17.25" Blue 1000/Bx 39

223 1002550 Tray Cover 11"x17.25" White 1000/Bx 138

224 1000934 Tray Cover 8.5"x12.25" White 1000/Bx 71

225 1024955 Tray Material Light Cure 2mm Blue 50/Bx 36

226 1027977 Tray Material Light Cure 2mm Pink 50/Bx 54

227 2508587 Tray-Aways #1 Upper Large Perforated 12/Bg 129

228 2509801 Tray-Aways #3 Upper Medium Perforated 12/Bg 320

229 2500111 Tray-Aways #4 Lower Medium Perforated 12/Bg 281

230 1670513 Triad Trutray Custom Tray Mat Clear 100/Pk 4

231 1671896 Truwax Baseplate Wax X-Hard 5Lb 51

232 1164983 uic iddp1 #5461 kit 70

233 1178734 uic iddp1 #6014 kit 40

234 1110396 Ultraspeed Film DF-49 #4 Paper Double 25/Bx 38

235 1118995 Ultraspeed Film DF-53 #0 Poly Double 100/Bx 80


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


236 1117888 Ultraspeed Film DF-57 #2 Poly Double Pk 130/Bx 103

237 7779642 Unitek Crowns SS 2nd Prim Mol UR3 900223 5/Bx 37

238 1006234 Vacuum Forming Machine 110V Ea 5

239 7370019 Vanish 5% NaF Varnish w/TCP Cherry 100/Pk 5

240 7707084 Varicure Bench Top Ea 1

241 7776083 Vitrebond Plus Double Ea 26

242 5479430 Wax Utility Strips Round Red 80Bx 191

243 5471929 Wedjets Dental Dam Cord Orange Large Ea 93

244 5472328 Wedjets Dental Dam Cord Yellow Small Ea 91

245 2107648 Wig-L-Bug Model MSD Ea 2

246 4120485 Wirosil Duplicating Silicone Single Pak Ea 14

247 1124713 Wizard Wedge Oral Birchwood Assorted 500/Bx 38

248 6435260 Wypall Wipes Regular 1/4 Fold 1080/Ca 26

249 1111601 X-Omat Duplicatin Film 15x30cm 50/Pk 60

5.1.2 Pharmaceutical Items

1 1045811

Acclean Prophy Paste Medium Raspberry, tangerine,

strawberry, chocolate or vanilla 200/Bx 15

2 1893552 Bent Needle Tips 20 Gauge Black 100/Bg 42

3 7770257 Cavit Tubes 7 Gm 10/Pk 56

4 8562130 Cook-Waite Marcaine 0.5% w/EPI 1:200 50/Bx 50

5 3121059 DuraShield 5% Fluoride Varnish Unidose 200/Bx 11

6 1001391 Formo Cresol Buckley Type 1oz/Bt Ea 25

7 9083470 Gelfoam Dental Pak Size 4 3/4X3/4" 6x2/Pk 67


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


8 9083300 Gelfoam Sponges Sz12-7mm 1545 12/Bx 2

9 3780324 Hemodent Liquid 10cc Bt 27



12 4651205 Lidocaine Cartride 2% 1:100 w/Epi 50/Bx 539

13 4650015 Lidocaine Cartride 2% 1:50 w/Epi 50/Bx 12

14 8563562 Lidocaine HCl 2% & Epinephrine 1:50000 50/Bx 15

15 4674005 Mepivacaine HCL 2% w/Levo 1:200 50/Bx 6

16 4673005 Mepivacaine HCL 3% Plain 50/Bx 29

17 1949460 Monoject Needles 25Ga Long Plastic Hub 100/Bx 20

18 1940506 Monoject Needles 27Ga Long Plastic Hub 100/Bx 16

19 1943229 Monoject Needles 30Ga Short Metal Hub 100/Bx 25

20 1945141 Monoject Needles 30Ga Short Plastic Hub 100/Bx 34

21 1941753 Monoject Needles 30Ga X-Short Plastic Hub 100/Bx 28

22 9878204 Needle Disposable 30gx1/2" 100/Bx 4

23 9911756 Needle Sheath Prop 500/Bx 48

24 5551604 Nupro Prophy Paste Medium Mint 200/Bx 2

25 7370004 Peridex 64oz/Bt 26

26 5069175 Periogard Oral Rinse Pt/Bt 152


No

Part#'s


*Alternate

Manufacturer

*Alternate

Product

No.

*Alternate


27 9911785 Protector Needle Sheath Prop 2-1/2x3-1/4" 100/Bx 70

28 1004737 Sod Chloride Inj 0.9% Non-DEHP Plas Bag 500ml/Bg 58

29 1531434 Sodium Chloride 0.9% Irrig 1000mL/Bt EA 226

30 1537411 Sodium Chloride 0.9% Irrig 250mL/Bt BT 108

31 5078002 Sodium Chloride Sol 0.9% Non-DEHP 250ml/Bg 185

32 1002808 Sodium Chloride Sol Non-DEHP 0.9% Inj 1000Ml 5

33 1537162 Sodium Chloride Solution 0.9% 500ml/Bg 312

34 1530577 Sterile Water For Irrigation 1000ml Str 1000ml 679

35 1536483 Sterile Water For Irrigation 250ml Str 250ml/Bt 268

36 6545598 Suture Surg Gut Chrom Bge FS2 3-0 27" 36/Bx 65

37 6544434 Suture Surg Gut Chrom Bge FS2 4-0 27" 36/Bx 21

38 6544964 Suture Surg Gut Chrom Bge P3 4-0 18" 12/Bx 32

39 6548680 Suture Surg Gut Chrom Bge P3 5-0 18" 12/Bx 14

40 1006120 Suture Surg Gut Plain Bge C9 3-0 18" 12/Bx 64

41 3377765 Syringes w/Needle LL 3cc 20gx1" 100/Bx 3

Total General and Pharmaceutical Items Extended Price for one year (All Items): $___________________________

Grand Total Extended Price for the Contract Term (3 Years): $____________________________

5.2 Separately from the Totals and Grand Total above, please quote a percent discount from your catalog

or manufacturer list price for all supplies and equipment not identified in the above pricing proposal.

The yearly value of dental supplies not identified in Section 5.1 Pricing Proposal is estimated at $300,000.

Discount for Miscellaneous Dental Supplies from catalog or manufacturer price list_________%

Firm's Name:__________________________________________________________________


10

VI Renewal Options

6.1 The University desires an option to renew the Contract that may result from this Bid. Should Contractor

make a renewal option offer, the University reserves the right to renew the Contract for the periods indicated below

at the Proposal prices and stated conditions, contingent upon continuing need and availability of funds. Please

indicate option offer(s) in the following table.

6.2 Conditions Under Which Options May be Renewed:

The University reserves the sole right to renew this agreement for any or all of the option periods specified based

on continuing need and favorable market conditions, when in the best interest if the University. The University

also reserves the right to exercise any of the renewal options early or to exercise more than one option at a time.

6.3 Producer Price Index Adjustments:

No price adjustments will be approved that are greater than the 12 month change in the producer Price Index (PPI),

based on the 12 months prior to the date of the any price adjustment request, except in special and documented

instances. The PPI will be tracked in order to show a fair and equitable adjustment, if it is so warranted, based on

hard data and purchase history. PPI data can be accessed through the Bureau of Labor Statistic’s web page located

at: http://www.bls.gov/ppi/data.htm.

Do you offer a

renewal option?

If renewal option is

offered, will prices remain

firm for the option period?

If not firm for the option periods,

will you agree to adjust price based

on the Producer Price Index (PPI) as

referenced in Section 6.3 above.

2 Year Renewal yes no yes no

yes no

Indicate the maximum percent

increase or decrease.

+ _______%

or

– _______%

6.4 Failure to Provide Pricing for Option Periods:

If you fail to provide pricing information for the requested option periods specified, any contract awarded to your

firm will be limited to the initial term and cannot include any renewal options.

VII Campus Option To Purchase

7.1 Are you willing to allow the University of Illinois at Urbana-Champaign (UIUC) and/or the University

of Illinois at Springfield (UIS) to purchase the offered items at the same prices, terms and conditions offered in this

Bid to the University of Illinois at Chicago (UIC)?

__________ YES __________ NO

7.2 If yes, and your bid is accepted, UIC will distribute a copy of this Bid to the Directors of Purchasing at

UIUC and UIS for their consideration to purchase the items offered in this Bid based on availability of funds and/or

decision to exercise such option to purchase.

http://www.bls.gov/ppi/data.htm


11

Exhibit I

E-PROCUREMENT

1. ACCESS TO PRODUCTS/ MANUFACTURERS

As part of this solicitation, the requested dental supplies must be available for purchase through a web

hosted catalog or within the University of Illinois’ iBuy application, the e-procurement vehicle provided by

SciQuest. Bidders should provide the names and web sites for other Universities where they have

incorporated a web hosted catalog or SciQuest enabled catalog.

2. NEW ITEMS

In addition to the items currently available from the Bidder, Participating Universities expect to have access

to new items from either currently represented manufacturers or new sources of items that are added to the

Bidder's array of product offerings. The awarded Bidder must submit a quarterly report, notifying the

Contract Administrator of new dental supply items that have become available. The same pricing discounts

which apply to similar category items included in the agreement shall apply to the new items. The Contract

Administrator must approve any new products prior to being included on the award. The Contract

Administrator may request additional justification data in order to complete a price analysis and confirm

category and other discounts as agreed to in the signed contract. Once the data has been received, to the

satisfaction of the Contract Administrator, the Contract Administrator will have 30 days to approve or reject

the new items. All new products must be approved prior to adding them to iBuy or other e-procurement

system. Updates will only be reviewed quarterly, and will require justification and pricing information

(MSRP pricing, applicable category, etc…) for the new item proposed. More frequent requests to add new

items, may be rejected.

3. VENDOR E-PROCUREMENT REQUIREMENTS

The requirements identified in this section apply to the University of Illinois System. If other Participating

Universities activate e-procurement or if IPHEC enables a consortia procurement system, these requirements

will apply as well. It is a mandatory requirement of the University of Illinois that awarded suppliers use a 3rd

party e-Procurement application provided by SciQuest, to process orders. Failure in the ability to provide a

SciQuest enabled catalog may result in finding of your bid to be non-responsive.

The iBuy system provides electronic access to awarded supplier’s catalogs and offerings, including the

contracted price, via electronic catalog. Bidder must indicate its ability and willingness to work with

SciQuest, in enabling access to the Bidders electronic catalog. We require access to a Bidder’s current

listing of products and services in one of two ways. An overview of these approaches is provided below.

It is anticipated that there will be no cost to the University for the awarded Bidder’s enablement of a catalog,

whether hosted or punch-out. If there will be any costs for providing an electronic catalog, any and all such

costs must be clearly and explicitly delineated in the Bidder’s Price Proposal – Section V.

The University of Illinois will not accept charges based upon a per-transaction cost and bids that require such

will be considered non-responsive to this requirement.


12

4. METHODS OF INCORPORATING AN ELECTRONIC CATALOG INTO iBUY

iBuy integrates procurement functions with the University of Illinois’ financial system for requisitioning,

purchase order, receiving and invoicing processes. Order processing is provided through a single portal to

end-users for placing orders. Regardless of the catalog method proposed, the University reserves the right to

review and approve, in writing, all pricing changes prior to incorporation into your catalog.

The Participating Universities require the awarded Bidders to maintain their electronic catalogs keeping the

products and pricing current and correct, and in accordance with the terms and conditions of the contract

awarded under this solicitation. Further, the University has the right to lock our items available for purchase

by end users. Price adjustments will only be allowed as outlined in Section VI, 6.3- Producer Price Index

Adjustments. New items will only be accepted as described in Section 2 above. Promotional pricing should

be automatically provided through your proposed catalog.

Awarded Bidder’s catalog should be able to be accessed and ordered off of from multiple types of internet

browsers. Furthermore, the awarded Bidder will be required to obtain and maintain all software licenses

necessary for the software necessary to provide an electronic catalog.

4.1 There are two primary methods of incorporating an electronic catalog in iBuy:

A. HOSTED CATALOG

SciQuest (the contracted 3rd

party provider of the iBuy system) receives catalog information from

the awarded Bidder and “hosts” the content and provides access to the University through the iBuy

application.

Proposing the catalog approach shall include but not be limited to:

Keeping the product and service schedule current and correct.

To offer only those products and services that are included under the scope of an executed

contract awarded under this solicitation.

The Participating University may designate specific products that can be displayed for review

and/or purchase by end users and, in such instances, the awarded Bidder must work with SciQuest

to limit access only to selected content within your product catalog.

Coordinate with the 3rd

party to ensure that any special prices or restrictions on the range of

products manufactured or distributed by the awarded Bidder, can be reflected in the view given to

a specific end user.

The awarded Bidder will be required to give a brief description of the reason for any changes to your

catalog by making an internal note in the iBuy system when posting a change.

B. PUNCH-OUT CATALOG

The awarded Bidder’s catalog is available to the user through a link which will “punch out” to the

awarded Bidder’s web site through iBuy with the ability to pull back all ordering information. The

awarded Bidder shall keep the products and services current and correct and in accordance with the

terms and conditions of the contract awarded under this solicitation.


13

The Bidder must communicate to the University’s Contract Administrator, when any updates occur,

and must follow the protocol established to communicate these updates by the Contract

Administrator. It will ultimately be the responsibility of the awarded Bidder to communicate

information to SciQuest that is consistent with the terms and conditions of a contract awarded under

this solicitation.

Additionally, if there are any specific technical or interface requirements that must be met by the

University to enable this approach to awarded Bidder catalog access, such requirements must be

submitted with bid.

Bidders should provide information related to any other SciQuest enabled catalogs they are currently

providing or other 3rd

party software systems that they have experience interfacing with.

5. ORDERING REQUIREMENTS

The proposed catalog should provide end-users with product name, number, description, photograph (if

available) and other relevant information. Your catalog should allow end-users the ability to shop for

various contracted items and load them into a cart. Your catalog should also allow end-users the ability

to search for items using the fields required above. Upon submission of the order for placement, the

items from the cart will be propagated into a shopping cart in iBuy for the University to create a purchase

order. A completed purchase order will be provided electronically via CXML to the awarded Bidder.

The proposed catalog should provide an order confirmation to the end-user so they know that the order

was received and is being processed. Line items on an order must be numbered sequentially starting with

the number one (1).

6. E-INVOICING REQUIREMENTS

At the University of Illinois, e-invoicing is a method of invoicing where a vendor’s invoicing system

interfaces with the University’s iBuy system to request payment for items ordered on a purchase order

submitted through iBuy. The proposed catalog must be able to send e-invoices to the University utilizing

CXML protocols. Prior to go-live of e-invoicing the proposed catalog must be tested and accepted for

interfacing into the iBuy system by the University and SciQuest (at their sole discretion). In order for e-

invoicing to be successful, the proposed catalog must:

Provide the line item from the purchase order that corresponds with the item purchased

Not include any zero (0) dollar value items for partial shipments

Have an error log which is managed by the awarded Bidder for any e-invoices not received by the

University

Although the University will encourage end-users to utilize the iBuy system for placing orders, there may

be reasons that a paper-based purchase order may be created under the awarded contract. In the event a

purchase order is mailed, e-mailed or faxed to the awarded Bidder, and not received through the

electronic catalog, the University cannot process an e-invoice. An invoice for a paper-based purchase

order must be submitted manually for payment to the address listed on the purchase order.


14

7. PAYMENT ACCEPTANCE REQUIREMENTS

The University will determine the method of payment for orders placed through the electronic catalog.

Currently some Participating Universities do not allow use of a credit card (procurement p-card or p-

card) for purchase through electronic catalogs. The Participating University will work with the awarded

Bidder to determine whether a(n) ACH, Single Use Account, check or wire transfer payment is the best

payment method for an awarded contract. If University Payables and the awarded Bidder are unable to

agree on a payment method, the University will make the final determination for the method of payment.

8. ADDITIONAL CATALOG FUNCTIONALITY

The University requires the following additional functionality from your proposed electronic catalog.

8.1 Level II Search Functionality (Punch-Out Catalogs Only)

Level II search functionality allows end-user the ability to search from the iBuy home page for items

matching their search requirements. This search functionality is different than having the ability to

search in a punch-out catalog. Level II search functionality actually provides a data interface between a

punch-out catalog and iBuy to transfer product descriptions to the iBuy system for this search

functionality.

8.2 E-Quotes (Punch-Out Catalogs Only)

E-Quote functionality eases the ordering process for end-users of the iBuy system. When working with

an awarded Bidder’s sales representative, an end-user can request specific items for their e-quote. Once

an e-quote is created, the punch-out catalog allows the end-user to enter the e-quote number to propagate

all line items from the quote into the end-user’s order. E-quotes can also be utilized to capture large

order/bulk purchase pricing. When e-invoicing is enabled, it requires the Bidder’s quote system to

communicate with your punch-out catalog to pull the e-quote information.

9. ADDITIONAL CATALOG ENHANCEMENTS

Bidder’s proposed catalogs may also include additional functionality and enhancements to make the

ordering process more similar to a consumer retail web page. The following sub-sections consist of

descriptions of additional enhancements that the University has found beneficial. These enhancements

are listed in order of importance.

9.1 Order Status

Beyond the mandatory requirement of an order confirmation, end-users may also find additional

information related to their order status beneficial. This information can be provided through e-

mails to the end-user or through a status page created as part of your punch-out catalog. Order

status updates can include items such as: order acceptance, order ready for shipment and order

shipment.

9.2 In-Stock Status (Punch-Out Catalogs Only)

In order to aid end-users in determining which product(s) to purchase, an indication of whether or

not an item is in-stock would be beneficial. This indicator would allow end-users to know that an

item will ship in the time established in this solicitation as well as whether or not they should order

another item that is not on backorder.


15

9.3 Shipment Tracking and Updates

In addition to order status updates shipping tracking and updates are also beneficial to the

University’s end-users. Shipment tracking information and updates could be sent via e-mail or

through a status page created as part of your punch-out catalog. Shipment tracking information and

updates should consist of the name of the carrier and any tracking information related to the

shipment (if available).

9.4 Establish Standard Shopping Lists (Punch-Out Catalogs Only)

Some end-users create routine orders on a monthly basis. These users have found it useful to have

the ability to establish standard shopping lists. These shopping lists allow the user to add items to it

that they order on a routine basis. When it is time to complete an order, they can go to their

shopping list and add the quantity of each item they need without having to search for the items in

the punch-out catalog. After selecting the quantities and conducting any additional shopping they

are able to add all of their items to their cart and their subsequent requisition.

9.5 Featured Items (Punch-Out Catalogs Only)

As described in Section 2 above, the Contract Administrator may approve the designation of

featured items. If an item is featured, the items will be allowed to be on the first landing page of

the awarded Bidder’s punch-out catalog. This will assist end-users in purchasing items which are

routinely purchased. Furthermore, search results for the featured item should be elevated in search

results for the category the featured item is in.

By signing this form, the Bidder signifies agreement and compliance with the e-procurement requirements

identified in this document.

Company Name:______________________________________________________________

Address:____________________________________________________________________

Telepone:___________________________________________________________________

Signature:___________________________________________________________________

Print Name:_________________________________________________________________

Email:______________________________________________________________________

Date:_______________________________________________________________________

EXHIBIT II


16

FINANCIAL DISCLOSURES AND CONFLICTS OF INTEREST

Financial Disclosures and Conflicts of Interest forms (“forms”) must be accurately completed and submitted by the vendor, any

parent entity(ies) and any subcontractors. There are nine steps to this form and each must be completed as instructed in the step

heading, unless otherwise provided. A bid, offer, or proposal that does not include this form shall be considered not responsive.

The University will consider this form when evaluating the bid, offer, or proposal or awarding the contract.

The requirement of disclosure of financial interests and conflicts of interest is a continuing obligation. If circumstances change

and the previously submitted form is no longer accurate, disclosing entities must provide an updated form.

Separate forms are required for the vendor, any parent entity(ies) and any subcontractors.

This disclosure is submitted for (check one):

Vendor

Vendor’s Parent Entity(ies) (100% ownership)

Subcontractor(s) >$50,000

Subcontractor’s Parent Entity(ies) > $50,000

Project Name and Reference #:

Vendor Name:

Doing Business As (DBA):

Parent Entity:

Subcontractor:

Instrument of Ownership or Beneficial Interest (check one):

Sole Proprietorship

Corporate Stock (C-Corporation, S-Corporation, Professional Corporation, Service Corporation)

Limited Liability Company Membership Agreement (Series LLC, Low-Profit Limited Liability Partnership)

Partnership Agreement (General Partnership, Limited Partnership, Limited Liability Partnership, Limited Liability Limited

Partnership)

Not-for-Profit

Trust Agreement (Beneficiary)

Other

If you selected Other, please describe: .

17

Financial Disclosures and Conflicts of Interest

V.13.1

STEP 1

SUPPORTING DOCUMENTATION SUBMITTAL

(All vendors complete regardless of annual bid, offer, or contract value)

(Subcontractors with subcontract annual value of more than $50,000 must complete)

You must select one of the six options below and select the documentation you are submitting. You must provide the documentation

the applicable section requires with this form.

Option 1 – Publicly Traded Entities

1.A. Complete Step 2, Option A for each qualifying individual or entity holding any ownership or distributive income

share in excess of 5% or an amount greater than 60% ($106,447.20) of the annual salary of the Governor.

OR

1.B. Attach a copy of the Federal 10-K, and I will skip to Step 3.

Option 2 – Privately Held Entities with more than 200 Shareholders



OR

2.B. Complete Step 2, Option A each qualifying individual or entity holding any ownership share in excess of 5% and

will attach the information Federal 10-K reporting companies are required to report under 17 CFR 229.401.

Option 3 – All other Privately Held Entities, not including Sole Proprietorships



Option 4 – Foreign Entities



OR

4.B. Attach a copy of the Securities Exchange Commission Form 20-F or 40-F, and I will skip to Step 3.

Option 5 – Not-for-Profit Entities

Complete Step 2, Option B.

Option 6 – Sole Proprietorships

Skip to Step 3.

STEP 2

DISCLOSURE OF FINANCIAL INTEREST OR BOARD OF DIRECTORS

(All vendors, except sole proprietorships, must complete regardless of annual bid, offer, or contract value)


Complete either Option A (for all entities other than not-for-profits) or Option B (for not-for-profits). Additional rows may be

inserted into the tables or an attachment may be provided if needed.


18

OPTION A – Ownership Share and Distributive Income

Ownership Share – If you selected Option 1.A., 2.A., 2.B., 3.A. or 4A. in Step 1, provide the name and address of each individual and

entity and their percentage of ownership if said percentage exceeds 5%, or the dollar value of their ownership if said dollar value

exceeds $106,447.20.

Check here if including an attachment with requested information in a format substantially similar to the format below.

TABLE - X

Name Address % of Ownership $ Value of Ownership

Distributive Income – If you selected Option 1.A., 2.A., 3.A., or 4A. in Step 1, provide the name and address of each individual and

their percentage of the disclosing vendor’s total distributive income if said percentage exceeds 5% of the total distributive income of

the disclosing entity, or the dollar value of their distributive income if said dollar value exceeds $106,447.20.

Check here if including an attachment with requested information in a format substantially similar to the format below.

TABLE - Y

Name Address % of Distributive Income $ Value of Distributive Income

Please certify that the following statements are true.

I have disclosed all individuals or entities that hold an ownership interest of greater than 5% or greater than $106,447.20.

Yes No

I have disclosed all individuals or entities that were entitled to receive distributive income in an amount greater than

$106,447.20 or greater than 5% of the total distributive income of the disclosing entity. Yes No

OPTION B – Disclosure of Board of Directors (Not-for-Profits)

If you selected Option 5 in Step 1, list members of your board of directors. Please include an attachment if necessary.

Name Address

STEP 3

DISCLOSURE OF LOBBYIST OR AGENT

(Complete only if bid, offer, or contract has an annual value over $25,000)


Yes No. Is your company represented by or do you employ a lobbyist or other agent required to register under the Lobbyist

Registration Act (lobbyist must be registered pursuant to the Act with the Secretary of State) or other agent who is not identified

through Step 2, Option A above and who has communicated, is communicating, or may communicate with any University officer or

employee concerning the bid or offer? If yes, please identify each lobbyist and agent, including the name and address below.


19

Name Address Relationship to Disclosing Entity

Describe all costs/fees/compensation/reimbursements related to the assistance provided by each representative lobbyist or other agent

to obtain a State/University contract:

STEP 4

PROHIBITED CONFLICTS OF INTEREST

(All vendors must complete regardless of annual bid, offer, or contract value)


Step 4 must be completed for each person disclosed in Step 2, Option A and for sole proprietors identified in Step 1, Option 6 above.

Please provide the name of the person for which responses are provided:

1. Do you hold or are you the spouse or minor child of any person who holds an elective office in the

State of Illinois or hold a seat in the General Assembly?

Yes No

2. Have you, your spouse, or minor child been appointed to or employed in any offices or agencies of

State government and receive compensation for such employment in excess of 60% ($106,447.20) of

the salary of the Governor?

Yes No

3. Are you or are you the spouse or minor child of an officer or employee of the Capital Development

Board or the Illinois Toll Highway Authority?

Yes No

4. Have you, your spouse, or an immediate family member who lives in your residence currently or

who lived in your residence within the last 12 months been appointed as a member of a board,

commission, authority, or task force authorized or created by State law or by executive order of the

Governor?

Yes No

5. If you answered yes to any question in 1-4 above, please answer the following: Do you, your spouse,

or minor child receive from the vendor more than 7.5% of the vendor’s total distributable income or

an amount of distributable income in excess of the salary of the Governor ($177,412.00)?

Yes No

6. If you answered yes to any question in 1-4 above, please answer the following: Is there a combined

interest of self with spouse or minor child more than 15% ($354,824.00) in the aggregate of the

vendor’s distributable income or an amount of distributable income in excess of two times the salary

of the Governor?

Yes No


20

STEP 5

POTENTIAL CONFLICTS OF INTEREST RELATING TO PERSONAL RELATIONSHIPS



Step 5 must be completed for each person disclosed in Step 2, Option A and for sole proprietors identified in Step 1, Option 6 above.

Please provide the name of the person for which responses are provided:

1. Do you currently have, or in the previous 3 years have you had State employment, including

contractual employment of services?

Yes No

2. Has your spouse, father, mother, son, or daughter, had State employment, including contractual

employment for services, in the previous 2 years?

Yes No

3. Do you hold currently or have you held in the previous 3 years elective office of the State of Illinois,

the government of the United States, or any unit of local government authorized by the Constitution

of the State of Illinois or the statutes of the State of Illinois?

Yes No

4. Do you have a relationship to anyone (spouse, father, mother, son, or daughter) holding elective

office currently or in the previous 2 years?

Yes No

5. Do you hold or have you held in the previous 3 years any appointive government office of the State

of Illinois, the United States of America, or any unit of local government authorized by the

Constitution of the State of Illinois or the statutes of the State of Illinois, which office entitles the

holder to compensation in excess of expenses incurred in the discharge of that?

Yes No

6. Do you have a relationship to anyone (spouse, father, mother, son, or daughter) holding appointive

office currently or in the previous 2 years?

Yes No

7. Do you currently have or in the previous 3 years had employment as or by any registered lobbyist of

the State government?

Yes No

8. Do you currently have or in the previous 2 years had a relationship to anyone (spouse, father, mother,

son, or daughter) that is or was a registered lobbyist?

Yes No

9. Do you currently have or in the previous 3 years had compensated employment by any registered

election or re-election committee registered with the Secretary of State or any county clerk in the

State of Illinois, or any political action committee registered with either the Secretary of State or the

Federal Board of Elections?

Yes No

10. Do you currently have or in the previous 2 years had a relationship to anyone (spouse, father, mother,

son, or daughter) who is or was a compensated employee of any registered election or reelection

committee registered with the Secretary of State or any county clerk in the State of Illinois, or any

political action committee registered with either the Secretary of State or the Federal Board of

Elections?

Yes No


21

STEP 6

EXPLANATION OF AFFIRMATIVE RESPONSES



If you answered “Yes” in Step 4 or Step 5, please provide on an additional page a detailed explanation that includes, but is not limited

to the name, salary, State agency or university, and position title of each individual.

STEP 7

POTENTIAL CONFLICTS OF INTEREST

RELATING TO DEBARMENT & LEGAL PROCEEDINGS



This step must be completed for each person disclosed through Step 2, Option A and Step 3, and for each entity and sole proprietor

disclosed in Step 1.

Please provide the name of the person or entity for which responses are provided:

1. Within the previous ten years, have you had debarment from contracting with any governmental

entity?

Yes No

2. Within the previous ten years, have you had any professional licensure discipline? Yes No

3. Within the previous ten years, have you had any bankruptcies? Yes No

4. Within the previous ten years, have you had any adverse civil judgments and administrative findings? Yes No

5. Within the previous ten years, have you had any criminal felony convictions? Yes No

If you answered “Yes”, please provide a detailed explanation that includes, but is not limited to the name, State agency or university,

and position title of each individual and descriptive information regarding the nature of the debarment and/or legal proceeding.

STEP 8

DISCLOSURE OF CURRENT AND PENDING CONTRACTS



If you selected Option 1, 2, 3, 4 or 6 in Step 1, do you have any contracts, pending contracts, bids, proposals, or other ongoing

procurement relationships with State of Illinois agencies or universities? Yes No

If “Yes”, please specify below. Attach an additional page in the same format as provided below, if desired.

Agency/University Project Title Status Value Contract Reference/P.O./

Bulletin #

Please explain the procurement relationship:


22

STEP 9

SIGN THE DISCLOSURE



This disclosure is signed and made under penalty of perjury by an authorized officer or employee on behalf of the bidder or offeror

pursuant to Sections 50-13 and 50-35 of the Illinois Procurement Code. This disclosure information is submitted on behalf of:

Name of Disclosing Entity:

Signature: Date:

Printed Name:

Title:

Phone Number:

Email Address:


23

Exhibit III

CERTIFICATIONS AND CONFLICTS All subcontracts issued by Contractor under this Contract must include the Standard Qualifications, Certifications, Representations, and Disclosures Attachment. If this is a multi-year contract, including the initial term and all optional renewals, Contractor shall reconfirm compliance with the following certifications by July 1 of each year that this contract remains in effect. All subcontractors shall reconfirm compliance with the Standard Qualifications, Certifications, Representations, and Disclosure Attachment. Contractor certifies it is under no legal prohibition on contracting with the State of Illinois, has no known conflicts of interest and further specifically certifies that: 1. Contractor, its employees and subcontractors will comply with applicable provisions of the U.S. Civil Rights Act, Section 504 of the Federal

Rehabilitation Act, the Americans with Disabilities Act (42 U.S.C. § 12101 et seq.) and applicable rules in performance under this Contract. 2. This applies to individuals, sole proprietorships, partnerships and LLCs, but is not otherwise applicable . Contractor is not in

default on an educational loan (5 ILCS 385/3). 3. This does not apply to contracts with the state universities. Contractor (if an individual, sole proprietor, or partner) has informed the director of the

Agency in writing if he/she was formerly employed by that agency and has received an early retirement incentive prior to 1993 under Section 14-108.3 or 16-133.3 of the Illinois Pension Code, 40 ILCS 5/14-108.3 and 40 ILCS 5/16-133.3, and acknowledges that contracts made without the appropriate filing with the Auditor General are not payable from the “contractual services” or other appropriation line items. Contractor has not received an early retirement incentive on or after 2002 under Section 14-108.3 or 16-133.3 of the Illinois Pension Code, 40 ILCS 5/14-108.3 and 40 ILCS 5/16-133.3, and acknowledges that contracts in violation of Section 15a of the State Finance Act are not payable from the “contractual services” or other appropriation line items (30 ILCS 105/15a).

4. Contractor is an existing legal entity, and as applicable: has obtained an assumed name certificate from the appropriate authority, is registered

to conduct business in Illinois, and is in good standing with the Illinois Secretary of State (30 ILCS 500/1.15.80). 5. This applies to service contracts and is otherwise not applicable. Contractor certifies (i) that it will offer to assume the collective bargaining

obligations of the prior employer, including any existing collective bargaining agreement with the bargaining representative of any existing collective bargaining unit or units performing substantially similar work to the services covered by the contract subject to its bid or offer, and (ii) that it shall offer employment to all employees currently employed in any existing bargaining unit performing substantially similar work that will be performed under this contract (30 ILCS 500/25-80). This certification does not apply to heating and air-conditioning, plumbing and electrical service contracts.

6. Contractor has not been convicted of bribing or attempting to bribe an officer or employee of the State of Illinois or any other State, nor has Contractor

made an admission of guilt of such conduct that is a matter of record (30 ILCS 500/50-5). 7. If Contractor has been convicted of a felony, at least five years have passed after the date of completion of the sentence for such felony, unless no

person held responsible by a prosecutor’s office for the facts upon which the conviction was based continues to have any involvement with the business (30 ILCS 500/50-10).

8. If Contractor, or any officer, director, partner, or other managerial agent of Contractor, has been convicted of a felony under the Sarbanes-Oxley Act

of 2002, or a Class 3 or Class 2 felony under the Illinois Securities Law of 1953, at least five years have passed since the date of the conviction. Contractor further certifies that it is not barred from being awarded a contract and acknowledges that the State shall declare the Contract void if this certification is false (30 ILCS 500/50-10.5).

9. Contractor and its affiliates are not delinquent in the payment of any debt to the State (or if delinquent has entered into a deferred payment plan

to pay the debt), and Contractor and its affiliates acknowledge the State may declare the Contract void if this certification is false (30 ILCS 500/50-11) or if Contractor or an affiliate later becomes delinquent and has not entered into a deferred payment plan to pay off the debt (30 ILCS 500/50-60).

10. Contractor and all affiliates shall collect and remit Illinois Use Tax on all sales of tangible personal property into the State of Illinois in

accordance with provisions of the Illinois Use Tax Act (30 ILCS 500/50-12) and acknowledges that failure to comply can result in the Contract being declared void.

11. Contractor certifies that it has not committed a willful or knowing violation of the Environmental Protection Act (relating to Civil Penalties under

the Environmental Protection Act) within the last five years, and is therefore not barred from being awarded a contract. If the State later


24

determines that this certification was falsely made by the Contractor, the Contractor acknowledges that the State may declare the Contract void (30 ILCS 500/50-14).

12. Contractor has not paid any money or valuable thing to induce any person to refrain from bidding on a State contract, nor has Contractor accepted

any money or other valuable thing, or acted upon the promise of same, for not bidding on a State contract (30 ILCS 500/50-25). 13. Contractor is not in violation of the “Revolving Door” section of the Illinois Procurement Code (30 ILCS 500/50-30). 14. Contractor will report to the Illinois Attorney General and the Chief Procurement Officer any suspected collusion or other anti-competitive

practice among any bidders, offerors, contractors, proposers or employees of the State (30 ILCS 500/50-40, 50-45, 50-50). 15. In accordance with the Steel Products Procurement Act, steel products used or supplied in the performance of a contract for public works shall

be manufactured or produced in the United States, unless the executive head of the procuring agency grants an exception (30 ILCS 565). 16. If Contractor employs 25 or more employees and this Contract is worth more than $5,000, Contractor certifies that it will provide a drug free

workplace in accordance with the requirements of the Illinois Drug-Free Workplace Act (30ILCS 580). 17. If Contractor is an individual and this Contract is worth more than $5,000, Contractor shall not engage in the unlawful manufacture, distribution,

dispensation, possession or use of a controlled substance during the performance of the Contract. (30 ILCS 580). 18. Neither Contractor nor any substantially owned affiliate is participating or shall participate in an international boycott in violation of the U.S.

Export Administration Act of 1979 or the applicable regulations of the U.S. Department of Commerce. This certification applies to contracts that exceed $10,000 (30 ILCS 582).

19. Contractor has not been convicted of the offense of bid rigging or bid rotating or any similar offense of any state or of the United States (720

ILCS 5/33 E-3, E-4). 20. Contractor certifies that it will comply with all applicable provisions of the Equal Opportunity Employment Clause at 44 Ill. Adm. Code 750, Appx.

A, which forms a part of this Contract by reference. (775 ILCS 5/2-105). 21. Contractor does not pay dues to, or reimburse or subsidize payments by its employees for any dues or fees to any “discriminatory club” (775

ILCS 25/2). 22. Contractor complies with the State Prohibition of Goods from Forced Labor Act, and certifies that no foreign-made equipment, materials, or

supplies furnished to the State under the Contract have been or will be produced in whole or in part by forced labor, or indentured labor under penal sanction (30 ILCS 583).

23. Contractor certifies that no foreign-made equipment, materials, or supplies furnished to the State under the Contract have been produced in

whole or in part by the labor or any child under the age of 12 (30 ILCS 584). 24. Contractor certifies that it has not committed a willful or knowing violation of the Lead Poisoning Prevention Act (410 ILCS 45) and

acknowledges that it is prohibited from doing business with the State until the violation is mitigated. (30 ILCS 500/50-14.5). 25. This does not apply to contracts with the state universities. Contractor warrants and certifies that it and, to the best of its knowledge, its

subcontractors have and will comply with Executive Order No. 1 (2007). The Order generally prohibits Contractors and subcontractors from hiring the then-serving Governor’s family members to lobby procurement activities of the State, or any other unit of government in Illinois including local governments if that procurement may result in a contract valued at over $25,000. The prohibition also applies to hiring for that same purpose any former State employee who had procurement authority at any time during the one-year period preceding the procurement lobbying activity.

26. This applies to information technology contracts and is otherwise not applicable. Contractor acknowledges that all information

technology, including electronic information, software, systems and equipment, developed or provided under this Contract must be accessible to individuals with disabilities to the greatest extent possible, in accordance with the Illinois Information Technology Accessibility Act Standards published at www.dhs.state.il.us/iitaa (30 ILCS 587).

27. Contractor has disclosed if required, on forms provided by the State, and agrees it is under a continuing obligation to disclose to the State,

financial or other interests (public or private, direct or indirect) that may be a potential conflict of interest or that would prohibit Contractor from having or continuing the Contract. This includes, but is not limited to conflicts under the “Infrastructure Task Force Fee Prohibition” section of the State Finance Act (30 ILCS 105/8.40), Article 50 of the Illinois Procurement Code (30 ILCS 500/50), or those which may conflict in any manner with the Contractor’s

http://www.dhs.state.il.us/iitaa%20(30


25

obligation under this Contract. Contractor shall not employ any person with a conflict to perform under this Contract. If any elected or appointed State officer or employee, or the spouse or minor child of same has any ownership or financial interest in the Contractor or the Contract, Contractor certifies it has disclosed that information to the State if required, on forms provided by the State, and any waiver of the conflict has been issued in accordance with applicable law and rule. A waiver is required if:

a) the person intending to contract with the State, his/her spouse or child: (i) holds an elective office in Illinois; (ii) holds a seat in

the Illinois General Assembly; (iii) is an officer or employee of the Capital Development Board or the Illinois Toll Highway Authority; or holds an appointed position or is employed in any of the offices or agencies of the State government and who receives compensation for such employment in excess of 60% of the salary of the Governor (currently $106,447.20). (The conflict of interest threshold of 60% of the Governor's salary set forth in Section 50-13 does not apply to elective office holders, legislators, and officers or employees of the Capital Development Board or the Illinois Toll Highway Authority.);

b) the contract is with a firm, partnership, association or corporation in which a person referenced in a) above receives more than 7.5% of

the total distributable income or an amount in excess of the salary of the Governor (currently $177,412.00).

c) the contract is with a firm, partnership, association or corporation in which a person referenced in b) above, together with their spouse or minor child, receives more than 15% in the aggregate of the total distributable income or an amount in excess of 2 times the salary of the Governor (currently $354,824.00) from the firm, partnership, association or corporation.

28. Contractor (as “business entity” under 30 ILCS 500/50-37), certifies that it will not make a prohibited political contribution. 29. In accordance with 30 ILCS 500/20-160, Contractor certifies that either:

Contractor is not required to register as a business entity with the State Board of Elections.

Or

Contractor has registered as a business entity with the State Board of Elections and acknowledges a continuing duty to update the registration as required by the Act. A copy of the official certificate of registration as issued by the State Board of Elections is attached.

30. Contractor will include these terms in any subcontract and acknowledges that the State may declare this Contract void without penalty or obligation to pay additional compensation if any certifications are false or if this Contract has been made in violation of the Procurement Code or any other law.

31. Disclosure of Business in Iran: You must respond to the following request for information. Failure to respond will disqualify your firm from consideration in this solicitation.

Within the 24 months before submission of the renewal offer the Contractor, or any of its corporate parents or subsidiaries, has had business operations that involved contracts with or provision of supplies or services to

(a) the Government of Iran;

(b) companies in which the Government of Iran has any direct or indirect equity share;

(c) consortiums or projects commissioned by the Government of Iran; or

(d) companies involved in consortiums or projects commissioned by the Government of Iran;

AND

(1) more than 10% of the company's revenues produced in, or assets located in, Iran involve oil-related activities or mineral-extraction activities; less than 75% of the company's revenues produced in, or assets located in, Iran involve contracts with or provision of oil-related or mineral-extraction products or services to the Government of Iran or a project or consortium created exclusively by that government; and the company has failed to take substantial action; OR

(2) the company has, on or after August 5, 1996, made an investment of $20 million or more, or any combination of investments of at least $10 million each that in the aggregate equals or exceeds $20 million in any 12-month period, that directly or significantly contributes to the enhancement of Iran's ability to develop petroleum resources of Iran.


26

NO, the above information does NOT apply to our firm.

YES, the above information DOES apply to our firm. We understand that the participating University is required to notify the State Comptroller of this disclosure.

32. Illinois Department of Human Rights (IDHR) Public Contracts Number: If Contractor has employed fifteen (15) or more full-time employees at any time during the term of this contract, then Contractor must have a current Public Contract Number or have proof of having submitted a completed application. If IPHEC cannot confirm compliance, it will not be able to consider the renewal offer. Please complete the appropriate sections below.

Name of Company (and D/B/A):

IDHR Public Contracts Number:

Date of Expiration:

____ (check if applicable) The number is not required as the company has employed 14 or less full-time employees during the 365-day period immediately preceding the renewal period.

33. The Contractor acknowledges that this Contract may be voided if any of the certifications made herein by the Contractor are false.

34. In the event of a conflict between these contract certifications and a purchase order these contract certifications shall control.

35. This applies only if procuring University receives Medicare or Medicaid funding. Contractor certifies that neither it nor any of its employees or subcontractors who may provide services pursuant to this Contract is currently subject of an investigation or proceeding to exclude it as a provider under Medicare or Medicaid or under any other federal or state health care program or under any third party insurance program, nor is it currently excluded or debarred from submitting claims to Medicare or Medicaid or to any other federal or state health care program or to any third party insurer. Contractor represents and warrants it has checked the U.S. General Service Administrat ion’s (GSA) Excluded Party Listing System (EPLS), which lists parties excluded from federal procurement and non-procurement programs. The EPLS website includes GSA/EPLS, the U.S. Department of Health and Human Services (HHS) Office of Inspector General’s (OIG) List of Excluded Individuals/Entities (LEIE), and the Department of Treasury’s (Treasury) Specially Designated Nationals (SDN) list. Contractor also represents and warrants it has checked the Illinois Department of Public Aid (IDPA) OIG Provider Sanctions list of individuals and entities excluded from state procurement with respect to Contractor’s employees and agents. See the following websites: http://epls.arnet.gov and http://www.state.il.us/agency/oig/search.asp. University will terminate Contract without penalty to University if Contractor becomes excluded during life of this Contract.

36. The Contractor (and any Subcontractors) is required under 30 ILCS 500/20-65 to maintain, for a period of three (3) years after the later of the date of completion of this Contract or the date of final payment under the Contract, all books and records relating to the performance of the Contract and necessary to support amounts charged to the University under the Contract. The Contract and all books and records related to the Contract shall be available for review and audit by the University and the Illinois Auditor General. If this Contract is funded from contract/grant funds provided by the U.S. Government, the Contract, books, and records shall be available for review and audit by the Comptroller General of the U.S. and/or the Inspector General of the federal sponsoring agency. The Contractor agrees to cooperate fully with any audit and to provide full access to all relevant materials. Failure to maintain the required books and records shall establish a presumption in favor of the University for the recovery of any funds paid by the University under this Contract for which adequate books and records are not available.

By signing this form, the Contractor signifies agreement and compliance with the certifications and conditions identified in this document. I certify that the above information is accurate and complete:

Company name:

Address: _______________________________________________________________________

Telephone number: _______________________________________________________________________

Signature: _______________________________________________________________________

Printed name: _______________________________________________________________________

Date: _______________________________________________________________________


27

When submitting your response, please use the mailing label below. This will direct your response to the correct address and alert Purchasing staff to provide special handling.

Please check if you

are submitting a no bid.

Bid/RFP # IJW008

University of Illinois at Chicago Purchasing Division, M/C 560 809 S. Marshfield Ave., Room 310 Chicago, IL 60612-7203 Title: Dental Supplies for the College of Dentistry

Documents

INVITATION FOR BIDS - procure.stateuniv.state.il.us FOR BIDS ... Bid responses may be either delivered by hand or sent through U.S. Mail or other courier services available …