26PEO0049 water softener salt.pdf

444 KB Posted

Attached to
Release Small Purchase IL|25-416CMS-BOSS4-P-84602
Contract number
25-416CMS-BOSS4-P-84602
Issued by
Illinois

About this file

Written by GovTribe AI ·

This document is a Purchase Request form from the Illinois Department of Corrections (IDOC), specifically for the Peoria Adult Transition Center. The purchase request is dated 10/28/2025 and identifies Midwest Salt as the primary vendor for the procurement.

The purchase involves 49 bags of water softener salt, with Midwest Salt offering a unit price of $17.40000 per bag, resulting in a total price of $852.60000. The justification notes that the purchase includes delivery and is a Mandatory Quantity (MOQ) for the vendor who is on contract. The document indicates this is a purchase under $2,000 and is being processed through the facility's business office. The request was initiated by Joseph Tyson and approved by Amanda McGarr and Melinda Ellis from the department.

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Distribution: Business Office Printed on Recycled Paper DOC 0143 (Rev. 3/2021)

ILLINOIS DEPARTMENT OF CORRECTIONS

Purchase Request

Facility / Division OFD / Req. # Object Code Date

Item Requested Vendor #1 Vendor #2 Vendor #3 D. O.

Code Description of Item(s) Qty. Unit

Size Unit Price Total Price Unit Price Total Price Unit Price Total Price

NOTE: This form is for purchases under $2,000.

Freight

Total

Justification:

Item Requested Vendor #4 Vendor #5 Vendor #6 D. O.

Code Description of Item(s) Qty. Unit

Size Unit Price Total Price Unit Price Total Price Unit Price Total Price

NOTE: This form is for purchases under $2,000.

Freight

Total

Justification:

Distribution: Business Office Printed on Recycled Paper DOC 0143 (Rev. 3/2021)

Vendor #1 Vendor #2 Vendor #3 Name:

Vendor #:

Address:

Phone #:

Email Address:

Contact Person:

Comments:

Awarded Written Verbal Awarded Written Verbal Awarded Written Verbal

Vendor #4 Vendor #5 Vendor #6 Name:

Vendor #:

Address:

Phone #:

Email Address:

Contact Person:

Comments:

Awarded Written Verbal Awarded Written Verbal Awarded Written Verbal

Awarded Vendor’s FEIN#: If not low bidder, state justification in “comments.”

Ordering Procedure (check one): Mail OFD FAX OFD Contract Order #

Requester will phone in: Other:

Name of Contact

Deliver to:

Facility/Division

Department

Attention (Print Name)

Address

City State Zip Code

Requested by:

Print Name Extension Approved by:

Department Head’s Signature Date

Business Administrator’s Signature Date

Chief Administrator’s Signature Date

Check Function Code 01 Satellite #1 04 Security 07 Warehouse/Dietary 02 Satellite #2 05 Programs 08 Clothing 03 Medical 06 Maintenance 09 Administration

Item Requested
Freight
Item Requested
Freight
Check Function Code
01 Satellite #1
04 Security
07 Warehouse/Dietary
02 Satellite #2
05 Programs
08 Clothing
03 Medical
06 Maintenance
09 Administration
Facility Division: Peoria Adult Transition Center/IDOC
OFD Req: 26PEO0049
Object Code: 1300
Date: 10/28/2025
D O CodeRow1:
Description of ItemsRow1: water softener salt
QtyRow1: 49
Unit SizeRow1:
Unit PriceRow1_2:
Total PriceRow1_2: 0
Unit PriceRow1_3:
Total PriceRow1_3: 0
D O CodeRow2:
Description of ItemsRow2:
QtyRow2:
Unit SizeRow2:
Total PriceRow2: 0
Unit PriceRow2_2:
Total PriceRow2_2: 0
Unit PriceRow2_3:
Total PriceRow2_3: 0
D O CodeRow3:
Description of ItemsRow3:
QtyRow3:
Unit SizeRow3:
Total PriceRow3: 0
Unit PriceRow3_2:
Total PriceRow3_2: 0
Unit PriceRow3_3:
Total PriceRow3_3: 0
D O CodeRow4:
Description of ItemsRow4:
QtyRow4:
Unit SizeRow4:
Total PriceRow4: 0
Unit PriceRow4_2:
Total PriceRow4_2: 0
Unit PriceRow4_3:
Total PriceRow4_3: 0
D O CodeRow5:
Description of ItemsRow5:
QtyRow5:
Unit SizeRow5:
Total PriceRow5: 0
Unit PriceRow5_2:
Total PriceRow5_2: 0
Unit PriceRow5_3:
Total PriceRow5_3: 0
D O CodeRow6:
Description of ItemsRow6:
QtyRow6:
Unit SizeRow6:
Total PriceRow6: 0
Unit PriceRow6_2:
Total PriceRow6_2: 0
Unit PriceRow6_3:
Total PriceRow6_3: 0
D O CodeRow7:
Description of ItemsRow7:
QtyRow7:
Unit SizeRow7:
Unit PriceRow7:
Total PriceRow7: 0
Unit PriceRow7_2:
Total PriceRow7_2: 0
Unit PriceRow7_3:
Total PriceRow7_3: 0
D O CodeRow8:
Description of ItemsRow8:
QtyRow8:
Unit SizeRow8:
Unit PriceRow8:
Total PriceRow8: 0
Unit PriceRow8_2:
Total PriceRow8_2: 0
Unit PriceRow8_3:
Total PriceRow8_3: 0
D O CodeRow9:
Description of ItemsRow9:
QtyRow9:
Unit SizeRow9:
Unit PriceRow9:
Total PriceRow9: 0
Unit PriceRow9_2:
Total PriceRow9_2: 0
Unit PriceRow9_3:
Total PriceRow9_3: 0
D O CodeRow10:
Description of ItemsRow10:
QtyRow10:
Unit SizeRow10:
Unit PriceRow10:
Total PriceRow10: 0
Unit PriceRow10_2:
Total PriceRow10_2: 0
Unit PriceRow10_3:
Total PriceRow10_3: 0
Justification 1: water softener salt for facility, 49 bags includes delivery and is MOQ for vendor who is on contract
D O CodeRow1_2:
Description of ItemsRow1_2:
QtyRow1_2:
Unit SizeRow1_2:
Unit PriceRow1_4:
Total PriceRow1_4: 0
Unit PriceRow1_5:
Total PriceRow1_5: 0
Unit PriceRow1_6:
Total PriceRow1_6: 0
D O CodeRow2_2:
Description of ItemsRow2_2:
QtyRow2_2:
Unit SizeRow2_2:
Unit PriceRow2_4:
Total PriceRow2_4: 0
Unit PriceRow2_5:
Total PriceRow2_5: 0
Unit PriceRow2_6:
Total PriceRow2_6: 0
D O CodeRow3_2:
Description of ItemsRow3_2:
QtyRow3_2:
Unit SizeRow3_2:
Unit PriceRow3_4:
Total PriceRow3_4: 0
Unit PriceRow3_5:
Total PriceRow3_5: 0
Unit PriceRow3_6:
Total PriceRow3_6: 0
D O CodeRow4_2:
Description of ItemsRow4_2:
QtyRow4_2:
Unit SizeRow4_2:
Unit PriceRow4_4:
Total PriceRow4_4: 0
Unit PriceRow4_5:
Total PriceRow4_5: 0
Unit PriceRow4_6:
Total PriceRow4_6: 0
D O CodeRow5_2:
Description of ItemsRow5_2:
QtyRow5_2:
Unit SizeRow5_2:
Unit PriceRow5_4:
Total PriceRow5_4: 0
Unit PriceRow5_5:
Total PriceRow5_5: 0
Unit PriceRow5_6:
Total PriceRow5_6: 0
D O CodeRow6_2:
Description of ItemsRow6_2:
QtyRow6_2:
Unit SizeRow6_2:
Unit PriceRow6_4:
Total PriceRow6_4: 0
Unit PriceRow6_5:
Total PriceRow6_5: 0
Unit PriceRow6_6:
Total PriceRow6_6: 0
D O CodeRow7_2:
Description of ItemsRow7_2:
QtyRow7_2:
Unit SizeRow7_2:
Unit PriceRow7_4:
Total PriceRow7_4: 0
Unit PriceRow7_5:
Total PriceRow7_5: 0
Unit PriceRow7_6:
Total PriceRow7_6: 0
D O CodeRow8_2:
Description of ItemsRow8_2:
QtyRow8_2:
Unit SizeRow8_2:
Unit PriceRow8_4:
Total PriceRow8_4: 0
Unit PriceRow8_5:
Total PriceRow8_5: 0
Unit PriceRow8_6:
Total PriceRow8_6: 0
D O CodeRow9_2:
Description of ItemsRow9_2:
QtyRow9_2:
Unit SizeRow9_2:
Unit PriceRow9_4:
Total PriceRow9_4: 0
Unit PriceRow9_5:
Total PriceRow9_5: 0
Unit PriceRow9_6:
Total PriceRow9_6: 0
D O CodeRow10_2:
Description of ItemsRow10_2:
QtyRow10_2:
Unit SizeRow10_2:
Unit PriceRow10_4:
Total PriceRow10_4: 0
Unit PriceRow10_5:
Total PriceRow10_5: 0
Unit PriceRow10_6:
Total PriceRow10_6: 0
1: Midwest Salt
2:
1_2:
2_2:
1_3:
2_3:
1_4:
2_4:
3:
1_5:
2_5:
3_2:
1_6:
2_6:
3_3:
undefined:
undefined_2:
undefined_3:
1_7:
2_7:
1_8:
2_8:
1_9:
2_9:
Awarded: Off
Written: Off
Verbal: Off
Awarded_2: Off
Written_2: Off
Verbal_2: Off
Awarded_3: Off
Written_3: Off
Verbal_3: Off
1_13:
2_13:
1_14:
2_14:
1_15:
2_15:
1_16:
2_16:
3_4:
1_17:
2_17:
3_5:
1_18:
2_18:
3_6:
undefined_4:
undefined_5:
undefined_6:
1_19:
2_19:
1_20:
2_20:
1_21:
2_21:
Awarded_4: Off
Written_4: Off
Verbal_4: Off
Awarded_5: Off
Written_5: Off
Verbal_5: Off
Awarded_6: Off
Written_6: Off
Verbal_6: Off
Awarded Vendors FEIN:
Mail OFD: Off
FAX OFD: Off
Contract Order: Off
undefined_7:
Name of Contact:
Other: Off
undefined_8:
FacilityDivision: Peoria Adult Transition Center
Print Name: Joesph Tyson
Extension: 253
Department: IDOC
Attention Print Name: Amanda McGarr
Date_2:
Address: 607 Main St
City: Peoria
State: IL
Zip Code: 61602
2025-10-28T11:14:47-0500
Amanda McGarr
Date_3: 10/28/2025
04 Security: Off
05 Programs: Off
06 Maintenance: Off
2025-10-28T11:22:43-0500
Melinda Ellis
Date_4: 10/28/2025
01 Satellite 1: Off
02 Satellite 2: Off
03 Medical: Off
07 WarehouseDietary: Off
08 Clothing: Off
09 Administration: Off
Justification 1_2:
Unit PriceRow2:
Unit PriceRow3:
Unit PriceRow4:
Unit PriceRow5:
Unit PriceRow6:
Total PriceRow1: 852.6
Unit PriceRow1: 17.40
Freight 3:
Freight 2:
Freight 1:
Freight 4:
Freight 5:
Freight 6:
Total Price V1: 852.6
Total Price V2: 0
Total Price V3: 0
Total Price V4: 0
Total Price V5: 0
Total Price V6: 0
Check Box1: Off

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