6. Sole Source Memo Illumina Equipment Springfield SS 68500005N.pdf

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Illumina MiSeq i100 Equipment and Maintenance Sole Source
Solicitation number
26-482DPH-OFCDI-B-49133
Issued by
St. Clair County, Illinois

About this file

This document is a sales quotation from Illumina, Inc. to the Illinois Department of Public Health Laboratory-Springfield Lab for the purchase of scientific equipment. The quotation, dated June 24, 2025, with an expiration date of December 12, 2025, covers a MiSeq i100 Plus System and a corresponding Silver Support Plan. The system is a benchtop next-generation sequencer that integrates sequencing, primary analysis, and secondary analysis, including an embedded touchscreen monitor, on-instrument computer, control software, and hardware accelerated Dragen Bio-IT secondary analysis pipelines with a 12-month warranty.

The total investment for the equipment is $110,704.32, which includes the MiSeq i100 Plus System at a discounted price of $87,920.00 (20% off the list price of $109,900.00) and a MiSeq i100 Plus Silver Support Plan at $12,160.00 (5% off the list price of $12,800.00). Additional costs include $3,077.20 for freight and a $7,547.12 surcharge based on 2025 tariffs. The quotation includes specific terms such as DAP (Delivered At Place) shipping, Net 90 Days payment terms, and is contingent upon Illumina's Global Trade Compliance and Regulatory Affairs review. A unique aspect of this quotation is that the discounts are tied to the customer's possession of a specific equipment serial number (Nextseq2000 S/N VH01600).

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Illumina, Inc.

5200 Illumina Way San Diego, CA 92122 tel 858-202-4500 fax 858-202-4545 www.illumina.com

Sole Source Certification

June 26, 2025

Illinois Department of Public Health Laboratory-Springfield Lab 825 N Rutledge St Springfield, Illinois, USA 62702-4956

To Whom It May Concern, Subject to the below, as of the date of this letter, I hereby certify to the best of my knowledge that Illumina is the sole manufacturer and source of the following Illumina products in the United States as listed on Illumina Quotation #4716776.

Illumina has authorized Verogen, Inc. to sell certain Illumina products to entities primarily engaged in forensics. Illumina has not authorized Verogen or any other third party intermediary to provide Illumina products for this particular transaction (Quotation #4716776) and is thereby the only supplier of Illumina products for this transaction with Illinois Department Of Public Health Laboratory – Springfield Laboratory. In a limited number of transactions, Illumina may, upon specific request, sell the above-referenced products through third parties acting as intermediaries of the end user.

We appreciate your business and look forward to working with you.

Sincerely, Thomas Boyd Head of Americas Region Illumina, Inc

Docusign Envelope ID: C9BB85DA-4555-4BAB-A585-88D524460BD3

Quotation Number: 4716776

Quotation Date: Jun 24 2025

Expiration Date: Dec 12 2025

Illumina, Inc . 5200 Illumina Way San Diego www.illumina.com

Illumina Representative:

Illumina, Inc 5200 Illumina Way

San Diego CA 92122-4616

USA

Hereinafter referred to as “Illumina”

CUSTOMER INFORMATION

Company Name Illinois Department Of Public Health Laboratory - Springfield Lab 825 N Rutledge St Springfield, Illinois, USA 62702-4956

Account Number 4000025129 Contact Andrea Stadsholt

217 524 6243 andrea.stadsholt@illinois.gov

Billing Entity Illinois Department Of Public Health Laboratory - Springfield Lab Ship To Illinois Department Of Public Health Laboratory - Springfield Lab

825 N Rutledge St Springfield , Illinois , USA

Ultimate Consignee Illinois Department Of Public Health Laboratory - Springfield Lab

USA

HOW TO ORDER

Purchase this quotation on MyIllumina (https://my.illumina.com/order-management/quotes/4716776)

Simply find the quote in your list or enter the quote number in the quote field and add to cart

Unable to complete this transaction? Provide your purchase order and a copy of the quotation to Customer Care at customercare@illumina.com

Toll Free: +1.800.809.ILMN (4566)

Need to register? Create an account at my.illumina.com/welcome

Jared Shelerud

(608) 293-4943 jshelerud@illumina.com

Docusign Envelope ID: C9BB85DA-4555-4BAB-A585-88D524460BD3 mailto:customercare@illumina.com https://my.illumina.com/welcome

Expiration Date: Dec 12 2025

Illumina, Inc . 5200 Illumina Way San Diego www.illumina.com

PRODUCT AND PRICING

Catalog Number

Item Description

List Price

(USD)

Discount

Discounted

Price

Units

Term (Year s)

Subtotal

20115695

MiSeq i100 Plus System The MiSeq i100 Plus System is a benchtop next generation sequencer that integrates sequencing, primary analysis and secondary analysis. The system includes embedded touchscreen monitor and on-instrument computer, control software, hardware accelerated Dragen Bio-IT secondary analysis pipelines and 12 months warranty (including parts and labor). The system can be installed by the customer, or an optional "Installed-by-llumina" package can be purchased by the customer.

Installation costs are not included in the instrument purchase price.

109,900.00 21,980.00 (20.00%)

87,920.00

1 0.00 87,920.00

20132547

MiSeq i100 Plus Silver Support Plan Includes full coverage for parts, labor, and travel; Reagent replacement upon HW failures;

1 PM; Remote Technical Support 18x5; 2 business day on-site response target*;

control SW and HW updates;

on- site applications support;

discounts on advanced training;

remote monitoring available.

This is the most popular full-service plan balancing performance, productivity, and cost to deliver confidence and peace of mind.

Contract Term: 12.00 months Billing Frequency: In-Full Advance Invoicing

12,800.00 640.00 (5.00%)

12,160.00

1 1.00 12,160.00

Subtotal 100,080.00

Freight 3,077.20

Surcharge 7,547.12

Final Investment (USD) 110,704.32

Surcharge based on applicable 2025 tariffs.

Expiration Date: Dec 12 2025

Illumina, Inc . 5200 Illumina Way San Diego

Tax is an estimate and is subject to change upon invoicing based upon the appropriate tax regulations.

Inco Terms: DAP: Delivered At Place Payment Terms: Net 90 Days

POST PRICING MESSAGE

All discounts offered on this Quotation are due to the Customer’s possession of Serial Number(s): Nextseq2000 S/N VH01600 “Equipment”.

CONDITIONS OF SALE:

•A maximum of one (1) promotional discount shall be applied for each Equipment.

•The discounted pricing contained in this Quotation shall not be provided for future purchases and orders of the products listed in this Quotation and cannot be used as the basis for requesting future discounting.

•Customer represents and warrants that as of the date Customer places an order in connection with this Quotation (i) Customer holds title to the Equipment and (ii) the Equipment has not been modified except as may have been expressly authorized by Illumina.

Expiration Date: Dec 12 2025

Illumina, Inc . 5200 Illumina Way

SHIP SCHEDULE POLICY

In cases where this Quotation does not include a pre-defined ship schedule, the following ship hold terms shall apply:

All orders requiring more than one delivery should have a defined ship schedule indicating quantity, product catalog numbers and shipment dates. Delay in providing a Ship Schedule may result in additional processing time.

First ship date must be no later than three months from order placement date.

The entire order must be shipped complete within 6 months of order placement, unless outlined by contract provisions.

Amendments to the Ship Schedule should be requested at least 14 days prior to the scheduled shipment date. Note that country specific terms will take governance.

Illumina may be able to accommodate requests for ship schedule modifications due to unforeseen circumstances to support our customers. Confirmation will be subject to approval and may impact lead time for delivery.

Any exceptions to the Ship Schedule terms must be agreed to in writing by Illumina.

If Customer cannot take shipment in accordance with these terms, Illumina reserves the right to cancel the order in its entirety or impose a fee for cancellation or shipment deferral.

Illumina reserves the right to amend the lead time necessary to initiate the first shipment (which may be longer than the lead time quoted at the time of order placement).

Illumina does not supply plastics such as microplates or pipette tips for use in the listed assays and these are not included in the consumables pricing provided; however, as a result of the highly multiplexed nature of all assays, plastics alone contribute minimally to the final cost.

Expiration Date: Dec 12 2025

Illumina, Inc . 5200 Illumina Way

Terms & Conditions

The offer contained in this document is automatically revoked by Illumina if not executed by Customer and a purchase order received by Illumina before 5:00 pm (based on the location of the Illumina quoting entity) on the expiration date shown on page 1 of this Quotation. This Quotation and acceptance of the purchase order are also contingent upon successful completion of reviews by Illumina’s Global Trade Compliance and Regulatory Affairs including, but not limited to, reviews of applicable medical device requirements, import and export controls, and economic sanctions laws and regulations. Illumina reserves the right to revoke the offer contained in this quotation or to cancel the order based on such reviews.

By this Quotation, Illumina conditionally offers to Customer the Illumina products and/or services described above subject to successful resolution of the mandatory screening process conducted by Illumina’s Global Trade

Compliance and Regulatory Affairs teams. The Customer agrees to not export/re-export/transfer (including in-country transfer) any Illumina products and/or services to or grant access (including, without limitation, cloud access or access to software, technology, or know-how), to any of the following:

Entities or nationals of sanctioned countries or regions pursuant to applicable global export control regulations, export licensing of commodities or services intended for these countries is presumed denied.

Re-export to these countries is prohibited; Customer may not proceed with any proposed transaction if it knows or has reason to know it would be contrary to applicable U.S. laws or regulations or the laws or regulations of other applicable countries or jurisdictions.

Entities listed on any government denied party/person list across the globe.

Any entities Customer knows or has reason to know are involved in designing, developing, manufacturing, or producing nuclear technology or nuclear, biological, or chemical weapons of mass destruction.

Please note that cloud access and/or download of software, technology, and/or know-how from these countries or regions is considered an export under U.S. export and applicable economic sanctions laws and regulations and is therefore prohibited.

Customer agrees to provide to Illumina a purchase order for all of the items listed in this Quotation prior to its expiration date with final details regarding the Customer company name, billing entity, ship-to, and ultimate consignee addresses, including specific contacts, building numbers, and e-mail information as these cannot be changed once the order is entered into Illumina’s ERP system. The purchase order must reference this Quotation and match the purchase amount stated.

Illumina's terms and conditions listed below or otherwise included with the product or service, as applicable to the specific product or service quoted (“Terms and Conditions”), is the sole and exclusive agreement between

Customer and Illumina with respect to the particular product or service.

Expiration Date: Dec 12 2025

Illumina, Inc . 5200 Illumina Way

For the avoidance of doubt, any terms and conditions applicable to “Test Specific Products” that have a specific intended use in such products’ documentation, as set forth in such terms and conditions, are applicable only to in vitro diagnostic products.

Additionally, notwithstanding the Illumina entity that is listed on the cover page of this Quotation, the parties understand and agree that in the event an Illumina affiliate provides products or services to Customer, such

Illumina affiliate is the relevant quoting and contracting entity for such products or services under this

Quotation and the relevant Terms and Conditions.

By submitting an order, Customer accepts and agrees that the Terms and Conditions referenced in this Quotation is the sole and exclusive agreement between Customer and Illumina with respect to the products and/or services as described above and accepts all other terms of this quotation. NOTWITHSTANDING THE FOREGOING, IF ILLUMINA AND CUSTOMER HAVE ENTERED INTO A VALID AND ENFORCEABLE SIGNED AGREEMENT GOVERNING THE ILLUMINA PRODUCTS AND/OR SERVICES DESCRIBED ABOVE, THE ORDER OF PRECEDENCE BETWEEN THE AGREEMENT AND THE TERMS AND CONDITIONS SHALL BE AS FOLLOWS: IN THE EVENT OF A CONFLICT BETWEEN THE TERMS OF THE AGREEMENT AND THE TERMS AND CONDITIONS, OR IF THE AGREEMENT INCLUDES ADDITIONAL TERMS NOT ADDRESSED IN THE TERMS AND CONDITIONS, THE

AGREEMENT SHALL GOVERN WITH RESPECT TO SUCH TERMS.

https://www.illumina.com/company/legal/terms-and-conditions.html https://www.illumina.com/company/legal/terms-and-conditions.html

2025-07-21T06:48:28-0700
Digitally verifiable PDF exported from www.docusign.com

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