27DIX0404 Executed PO.pdf

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Attached to
Release Competitive Sealed Bidding IL|23-416CMS-BOPM4-P-47274
Contract number
23-416CMS-BOPM4-P-47274
Issued by
Illinois

About this file

Purchase Order Summary

This is a Release Order Purchase Order issued by the State of Illinois Department of Corrections (DOC) to Triton Testing and Design, a vendor located in Freeport, Illinois. The order is a release from an existing master contract (Master Contract Reference #9100001525) between the State of Illinois and Triton Testing and Design for services at Dixon Correctional Center in Dixon, Illinois. The purchase order is identified as 23-416CMS-BOPM4-P-47274:131 with Contract/PO #P-47274.

The purchase order encompasses two line items for Region 2 services with a combined total value of $37,369.00. Item 1 provides basic hourly labor at $145.00 per hour for 48 hours of work Monday through Friday from 8 am to 5 pm during the fourth year of the contract, totaling $6,960.00. Item 2 covers materials at cost for repair across all four years of the master contract at a fixed price of $30,409.00. The release order is effective from October 21, 2026, through March 2, 2027, with delivery required within one calendar day as requested. No taxes or freight charges apply to this order. The purchase order was approved by buyer Karla Petersen and digitally signed by Latoya Hughes on November 2, 2026.

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Text version

23-416CMS-BOPM4-P-47274:131

Vendor Number: V00003144 Triton Testing and Design

145 S Stephenson St Freeport, IL 61032 scl@tritontestbalance.com

(866) 874-8662

Purchase Order

DOC - Corrections

23-416CMS-BOPM4-P-

47274:131

Contract/PO #: P-47274

Release Order Number

Master Contract? Y

S H I P

T O

Dixon Correctional Center Accounts Payable 2600 N. Brinton Ave Dixon, IL 61021

US

Email: DOC.DIXAccountsPay@illinois.gov

(815) 288-5561

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

Dixon Correctional Center Accounts Payable 2600 N. Brinton Ave Dixon, IL 61021

US

Email: DOC.DIXAccountsPay@illinois.gov

(815) 288-5561

Solicitation (Bid) No.: N/A

Shipping Method:

Shipping Terms:

Release Begin Date: 10/21/2026 Release End Date: 03/02/2027

V E N D O R

Freight Terms:

Payment Terms:

Delivery Calendar Day(s) A.R.O.: 1

Master Con/Ref #: 9100001525

Item # 1 Class-Item 910-36

Region 2: Basic hourly labor rate Mon-Fri 8 am-5 pm for the fourth year.

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

48.00 HR$ 145.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 6,960.00

Item # 2 Class-Item 910-36

Region 2: Materials at cost for repair for all 4 years.

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

1.00 EA$ 30,409.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 30,409.00

TOTAL: $ 37,369.00

TAX: $ 0.00

FREIGHT: $ 0.00

APPROVED

By:

Phone#:

Karla Petersen

(815) 288-5561

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__________________________

2026-11-02T08:56:08-0600
Latoya Hughes by James Deen

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