Executed - BB PO P-38852140-Fire extinguishers annual inspection.pdf
PDF 143 KB Posted
- Contract number
- 22-416CMS-BOPM4-P-38852
- Issued by
- Illinois
About this file
This is a Purchase Order issued by the State of Illinois Department of Veterans Affairs (DVA) to Reliable Fire Equipment Co, a vendor located in Alsip, Illinois. The PO is designated as Release Order Number 22-416CMS-BOPM4-P-38852:140 and is issued against Master Contract 9100001409. The order is directed to the DVA facility located at 4250 North Oak Park Avenue in Chicago, Illinois, with billing and shipping instructions directed to the same address. The document was approved by Robin Webster (Buyer) on April 17, 2026, and officially signed by Terry Prince (Director) via Joy Heldebrandt (Fiscal Supervisor) on behalf of the State of Illinois.
The purchase order covers fire extinguisher maintenance services for Region 1, Year Three of the contract period, valid through April 30, 2026. Item 1 consists of annual inspections for 2 fire extinguishers at $8.79 each, totaling $17.58. Item 2 covers six-year tear-down services for dry chemical extinguishers (Class A, B, C) for 71 units at $76.56 per unit, totaling $5,435.76. The combined order total is $5,453.34 with no applicable taxes, freight charges, or discounts. The delivery requirement is one calendar day after receipt of order (A.R.O.: 1). All terms and conditions are governed by the State of Illinois e-procurement system.
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| File | Type | Posted |
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| standard-terms-and-conditions2~42.pdf |
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Text version
22-416CMS-BOPM4-P-38852:140
Vendor Number: V00006167
RELIABLE FIRE EQUIPMENT CO
12845 S CICERO AVE
Alsip, IL 60803 agarciaruiz@reliablefire.com
(708) 653-9227
Purchase Order
DVA - Veterans Affairs
22-416CMS-BOPM4-P-
38852:140
Contract/PO #:
Release Order Number
Master Contract? Y
S H I P
T O
Attn: StoreKeeper 4250 North Oak Park Avenue Chicago, IL 60634
US
Email: IDVA.IVHC.AccountsPayable@illinois.gov
(773) 794-3763
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
Attn: StoreKeeper 4250 North Oak Park Avenue Chicago, IL 60634
US
Email: IDVA.IVHC.AccountsPayable@illinois.gov
(773) 794-3763
Solicitation (Bid) No.: N/A
Shipping Method:
Shipping Terms:
Release Begin Date: Release End Date:
V E N D O R
Freight Terms:
Payment Terms:
Delivery Calendar Day(s) A.R.O.: 1
Master Con/Ref #: 9100001409
Item # 1
Class-Item 936-34
Region 1: Annual inspection; price per extinguisher - Year Three until 04/30/26
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
2.00 EA$ 8.79 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 17.58
Item # 2
Class-Item 936-34
Region 1: Six year tear down for dry chemical (Class A, B, C) - Year Three until 04/30/26
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
71.00 EA$ 76.56 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 5,435.76
TOTAL: $ 5,453.34
TAX: $ 0.00
FREIGHT: $ 0.00
APPROVED
By:
Phone#:
Robin Webster
(773) 824-3875
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: __Terry Prince by Joy Heldebrandt_
Title: __Director by Fiscal Supervisor____________
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__________________________
Terry Prince by Joy Heldebrandt (Apr 17, 2026 13:04:58 CDT) Terry Prince by Joy Heldebrandt
Apr 17, 2026
BB PO P-38852140-Fire extinguishers annual inspection.PDF Final Audit Report 2026-04-17
Created: 2026-04-17
By: Robin Webster (robin.webster2@illinois.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAvBICyz6wEqkUTulhPUL3TCD4kj1cxbPk
"BB PO P-38852140-Fire extinguishers annual inspection.PDF" History
Document created by Robin Webster (robin.webster2@illinois.gov) 2026-04-17 - 5:24:03 PM GMT- IP address: 136.226.12.182
Document emailed to Joy Heldebrandt (joy.r.heldebrandt@illinois.gov) for signature
2026-04-17 - 5:24:58 PM GMT
Email viewed by Joy Heldebrandt (joy.r.heldebrandt@illinois.gov) 2026-04-17 - 6:04:37 PM GMT- IP address: 136.226.12.201
Signer Joy Heldebrandt (joy.r.heldebrandt@illinois.gov) entered name at signing as Terry Prince by Joy Heldebrandt 2026-04-17 - 6:04:56 PM GMT- IP address: 136.226.12.201
Document e-signed by Terry Prince by Joy Heldebrandt (joy.r.heldebrandt@illinois.gov) Signature Date: 2026-04-17 - 6:04:58 PM GMT - Time Source: server- IP address: 136.226.12.201
Agreement completed.
2026-04-17 - 6:04:58 PM GMT
| 2026-04-17T18:05:00+0000 | |
| Certified by Adobe Acrobat Sign |
File details come from the government source that posted it. Updated .