Creative Concrete and Design PO 26PS014010.pdf
PDF 36 KB Posted
- Contract number
- 26-350SOS-PHYSE-P-85065
- Issued by
- Illinois
About this file
This document is a Purchase Order issued by the Illinois Secretary of State (SOS) Physical Services, located in Springfield, IL, for Creative Concrete & Design, a vendor based in Oakwood, IL. The purchase order is identified by the number 26-350SOS-PHYSE-P-85065, with a contract/obligation number of 26PS014010, and is not part of a master contract.
The purchase order is for 686 units of softener salt for water softeners, packaged in 50-pound bags, at a unit price of $8.20 per bag. The total cost of the order is $5,846.29, which includes $221.09 in freight charges. The contract period is from August 14, 2025, to September 30, 2025, with zero calendar days allowed for delivery after receipt of order. The shipping destination is the ILSOS Physical Services - Winchester Warehouse in Springfield, IL, and the billing will be processed through ILSOS Physical Services - Fiscal Operations.
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Text version
26-350SOS-PHYSE-P-85065
Vendor Number: V00000567 Creative Concrete & Design
20480 N 940 E Rd Oakwood, IL 61858 null null
SOS - Secretary of State
26-350SOS-PHYSE-P-
85065
Purchase Order Number
Master Contract? N
Contract/Ob #: 26PS014010
S H I P
T O
ILSOS Physical Services - Winchester Warehouse 3701 Winchester Road Springfield, IL 62707
VENDOR INSTRUCTIONS:
PURCHASE ORDER REQUIREMENTS - STATE OF ILLINOIS AGENCIES
Prior to commencement of billable work, delivery of supplies or rendering of any service on a Purchase Order:
--Initial Purchase Order/Contract - All parties, including the State and vendor, must fully execute the contract in its entirety.
--Release from an existing Purchase Order/Contract - The vendor must receive a Purchase Order signed by the State Agency and attached in BidBuy. Note, for any additional requirements see specific State Agency instruction.
PURCHASE ORDERS REQUIREMENTS - OTHER PURCHASING ENTITIES
B I L L
T O
ILSOS Physical Services - Fiscal Operations 501 South 2nd Street Room 039 Howlett Building Springfield, IL 62756
Solicitation (Bid) No.: N/A
Shipping Method:
Shipping Terms:
Contract Begin Date: 08/14/2025 Contract End Date: 09/30/2025
V E N D O R
Freight Terms:
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 0
Softener salt for water softeners, 50lb bags
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
686.00 EA$ 8.20 0.00 % $ 0.00 $ 0.00 $ 221.09 $ 5,846.29
$ 5,846.29
$ 0.00
$ 221.09
APPROVED
By:
Phone#:
Katie Speck
(217) 782-8892
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__________________________
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