25-416CMS-BOSS4-P84946 -27 - vendor signed.pdf

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Attached to
Release Small Purchase IL|25-416CMS-BOSS4-P-84946
Contract number
25-416CMS-BOSS4-P-84946
Issued by
Illinois

About this file

This is a Purchase Order Release issued by the State of Illinois, Secretary of State (SOS), for ILSOS Vehicle Services - 311 located in Springfield, Illinois. The vendor is Second Chance Cardiac Solutions, Inc., based in Yorkville, Illinois, with Vendor Number V00014185. The purchase order is a release from an existing master contract (Master Contract Reference #9100002061) dated June 3, 2026, with Contract/PO #26VS034018.

The purchase order is for one unit of Replacement Pads, AED (Adult) for Line Item 1, classified as Class-Item 465-14. The unit price is $88.00 per each, with a 21.00 percent discount applied, resulting in a total discount amount of $18.48. The total cost for this line item is $69.52, with no tax or freight charges assessed. The release order period is from June 3, 2026, through June 30, 2026, with a delivery requirement of 30 calendar days after receipt of order (A.R.O.). The purchase order was approved by Dave Littrell, Buyer, on behalf of the State of Illinois, and was executed by Elizabeth J. Heriaud, President of Second Chance Cardiac Solutions, Inc., on June 5, 2026.

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Text version

25-416CMS-BOSS4-P-84946:27

Vendor Number: V00014185 Second Chance Cardiac Solutions

PO Box 152 Yorkville, IL 60560 Bryan@SCCSolutions.net

(630) 802-5214

Purchase Order

SOS - Secretary of State P.O. Date: 6/3/2026

25-416CMS-BOSS4-P-

84946:27

Contract/PO #: 26VS034018

Release Order Number

Master Contract? Y

S H I P

T O

ILSOS Vehicle Services - 311 501 South 2nd Street Room 311 Howlett Building Springfield, IL 62756

US

Email: noemail@ilsos.gov

(000) 000-0000

VENDOR INSTRUCTIONS:

PURCHASE ORDER REQUIREMENTS - STATE OF ILLINOIS AGENCIES

Prior to commencement of billable work, delivery of supplies or rendering of any service on a Purchase Order:

--Initial Purchase Order/Contract - All parties, including the State and vendor, must fully execute the contract in its entirety.

--Release from an existing Purchase Order/Contract - The vendor must receive a Purchase Order signed by the State Agency and attached in BidBuy. Note, for any additional requirements see specific State Agency instruction.

PURCHASE ORDERS REQUIREMENTS - OTHER PURCHASING ENTITIES

--Please see specific requirements provided by the purchasing entity.

B I L L

T O

ILSOS Vehicle Services - 311 501 South 2nd Street Room 311 Howlett Building Springfield, IL 62756

US

Email: noemail@ilsos.gov

(000) 000-0000

Solicitation (Bid) No.: N/A

Shipping Method:

Shipping Terms:

Release Begin Date: 06/03/2026 Release End Date: 06/30/2026

V E N D O R

Freight Terms:

Payment Terms:

Delivery Calendar Day(s) A.R.O.: 30

Master Con/Ref #: 9100002061

Item # 1 Class-Item 465-14

REPLACEMENT PADS, AED, ADULT FOR LINE ITEM 1

Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost

1.00 EA$ 88.00 21.00 % -$ 18.48 $ 0.00 $ 0.00 $ 69.52

TOTAL: $ 69.52

TAX: $ 0.00

FREIGHT: $ 0.00

25-416CMS-BOSS4-P-84946:27

APPROVED

By:

Phone#:

Dave Littrell

(217) 782-3091

BUYER

The undersigned agree to the Terms and Conditions as acknowledged by the Vendor and maintained in the State of Illinois' e-procurement system. This agreement consists of all terms as maintained in the state's e-procurement system inclusive of attached documents. The Vendor affirms that the Certifications and Financial Disclosures and Conflicts of Interest are true and accurate as of the date of the Vendor's execution of this Agreement. State documents will prevail in the event of a conflict between State and Vendor documents and information. The undersigned agree to the Terms and Conditions of this agreement:

OFFICIAL SIGNATURES:

Vendor Name: _______________________________

Vendor Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Phone #: ___________________________________

Email:______________________________________

Date: ______________________________________

State of Illinois Agency or Other Purchasing Entity Procuring State Agency or Entity: __________

Official Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Designee Signature: ________________________

Printed Name: ______________________________

Title: _____________________________________

Date: ______________________________________

Legal Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Date: ______________________________________

Fiscal Signature: _________________________________

Printed Name: ______________________________

Title: _____________________________________

Date: ______________________________________

FOR STATE OF ILLINOIS USE ONLY:

Acq. Type: ________________Source Sel. Method: _______________ Using Agency Funding Source:__________________________________ Detailed Expenditure Object Code:_____________________________ Approp. Acct Code: ___________________________________________ Award Code: __________________________________________________ Original Proc. Method:________________________________________ Subcontractors Disclosed:_____________________________________ Subcontractors Utilized:______________________________________ Publication Date:____________________ Financing Needed:_______ IPG Cert/Disclosure Yes_________ No__________________________

Second Chance Cardiac Solutions, Inc.

Elizabeth J. Heriaud

President liz@sccsolutions.net

630-888-0504

06/05/2026

File details come from the government source that posted it. Updated .