Executed Bid Buy PO 26TAY0087.pdf
PDF 58 KB Posted
- Contract number
- 24-426DOC-CENTO-P-61340
- Issued by
- Illinois
About this file
This document is a Purchase Order (Contract/PO #: P-61340) issued by the Illinois Department of Corrections (DOC), specifically for the Taylorville Correctional Center, to KAP Holdings, LLC DBA PartScription, a vendor located in Oak Park, Illinois. The purchase order is part of a state procurement process for the corrections department.
The purchase order is for 8 units of #8 Gray Thumb Press Disher - 4 oz., with a unit price of $4.48 each, totaling $35.84. The delivery terms specify a 30-calendar day delivery after receipt of order (A.R.O.), and the purchase order does not indicate a master contract. There are no additional discounts, taxes, or freight charges applied to this order. The document includes signature lines for vendor and state agency representatives, with the warden of the Taylorville Correctional Center, Joshua McDannald, identified as the official signatory for the state agency.
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Text version
24-426DOC-CENTO-P-61340:22
Vendor Number: V00003497 KAP Holdings, LLC DBA PartScription
137 North Oak Park Ave, Suite 214 Oak Park, IL 60301 kprice@partscription.com null
DOC - Corrections
24-426DOC-CENTO-P-
61340:22
Contract/PO #: P-61340
Release Order Number
Master Contract? N
S H I P
T O
Taylorville Correctional Center Warehouse 1144 Illinois Route 29 Taylorville, IL 62568
US
Email: DOC.TAY.Procurement@illinois.gov
(217) 824-4004
VENDOR INSTRUCTIONS:
PURCHASE ORDER REQUIREMENTS - STATE OF ILLINOIS AGENCIES
Prior to commencement of billable work, delivery of supplies or rendering of any service on a Purchase Order:
--Initial Purchase Order/Contract - All parties, including the State and vendor, must fully execute the contract in its entirety.
--Release from an existing Purchase Order/Contract - The vendor must receive a Purchase Order signed by the State Agency and attached in BidBuy. Note, for any additional requirements see specific State Agency instruction.
PURCHASE ORDERS REQUIREMENTS - OTHER PURCHASING ENTITIES
B I L L
T O
Taylorville Correctional Center Warehouse 1144 Illinois Route 29 Taylorville, IL 62568
US
Email: DOC.TAY.Procurement@illinois.gov
(217) 824-4004
Solicitation (Bid) No.: N/A
Shipping Method:
Shipping Terms:
V E N D O R
Freight Terms:
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 30
#8 Gray Thumb Press Disher - 4 oz.
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
8.00 EA$ 4.48 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 35.84
$ 35.84
$ 0.00
$ 0.00
APPROVED
By:
Phone#:
Kendra Cox
(217) 824-4004
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:
Warden
Joshua McDannald
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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