Executed Contract BMM.pdf

STATE OF ILLINOIS

BASIC ORDERING AGREEMENT (BOA)> $50,000

The terms and conditions of this BOA, including those terms and conditions set forth in the additional documents referenced below, and any continuation sheets, constitute- the entire agreement between the parties with respect to the subject matter of this BOA. State documents will prevail in the event of a conflict between State and Vendor documents.

CONTRACT INFORMATION

Contract H: 26458LOT-LOTTE-8-52396 Action: New Acquisition Type: Service Payment Cycle: 12 month service Terms ~ind Conditions: BOA Terms and Conditions

Term:

Begin Date:

5/28/2026

End Date:

05/27/2027 ln signing the BOA, the Contractor affinns th8t the Standard Illinois Certifications and Financial Disclosures and Conflicts of Interest (if applicable) attached hereto are true and accurntc as of the date of the Contr.actor1s execution of the BOA.

ORDERING INFORMATION

Description

Item {munufocturor, model, Sf'ri<1I numbN, !eriture, etc.)

:l ITMM Lottef\T5ervIces I27vlontn --- Contract 1ilclffffiifgTrirefrfalT6ntf61

System (rcsn estmg~ 1CS I estingclOLI

-eon,plimrcc;·tCS4mtmg-RE]Jv, .;, 'b'

--t:Jigitafi:lrawtrrg-Syst--c1rrfesting;-a•11..;

·------ -· -···· ·-iL-ottery;·Eentraf·Gaff1ing System-·-···

(-fG S)-"Fe-sli n g,-and--Eerti-Hca H et , -Se.t:vke¥.

Stnte of !lhno1s Chief Procurement Office- Genern! ~Qrv1ces

BOA over $50,000 v.2.=u

Qty Unit 1 $95,000

CONTACT INFORMATION

Vendor Name: BMM North America Inc, Address: 815 Pilot Road Su]te G lfls Vegas, NV 89119 Contact: Jean Corriveau Phone fl: 702.407.2420 Email: jcorriveau@bmm.corn Fax ti: 702.407.2421

State Agency Name: Illinois Lottery Address: 404 North 5th Street Contact: Ryan Schone Phone#: 217.557.0242 Email: ryan.schone2@iHinois.gov FaxtJ: C,,~! 1_'11::·:

Bill To: Ship To:

Name: Illinois Lottery Address: 404 North 5th Street

Springfield, IL 62702

Name: !Hlnois lottery Address: 404 North Sth S:reet Springfii,ld, IL 62702

BOA uses llllnois Procurement Gatew<1y Certifications and Dis.closures?

0 YES (IPG Certifications and Disclosures indudine 1PG Active Registered Vendor Disclosure (formerly named FORMS GI) Cl No

One Time Char&.~ ·-- Periodic Charge

Extension Unit Extension ..

Page Total:$ 9$,000

BOA Tolnl (if multiple p;;igcs): $ 95,000

STATE USE ONLY Reference Number: 26-4581.0T-LOTT(Source Selection ll-52396 Method: Small Purchase Is Financing Needed? No Using Agfl"'l11Pi,m/ingo2G Sounse: Type: State

ADDITIONAL INFORMATION/ REFERENCES/ ATTACHMENTS

a"agrt?e to these terms and _conditio1_1s.

Signature:

Printed Name: Travi'.> Foley

Title: EVP /Director

Date:

State of Illinois

Sienature agency representative: ~ _

Printed Name:~~~~~-----<

·1,tle: c:g::()

State of !lllnols Chief Procurement Office General Sr.rvicrs BOA over $'.i0,000 V.23.3

Approp. Account Code: r1r' , 1>) ,-;,nti:'r t('"' Detailed Ex.pendilure Object Code: Ci1,:.'; het L'.:, IPO Reference Number: i, ,,,. re :o v:tt:· tc·,,· Award Code: C;kk h·1, •;u•1· t(,,;.,l

Original Procurement Method: SrnaH Purchase IPB Publication Date: 'i-1 l i.;.,;;c '.O i:-r,1\"•( d d/.'.l· Subcontractors Utilized? No Subcontractors Disclosed? No

State Agency: Illinois Lottery

Signature agency representative:

Printed Name: Harold Mays

Title: Director

Date:

State of Illinois

Signature agency representative:

Printed Name: Cornell Wilson !II

Title: General Counsel, !!!inois lottery

Date:

May 20, 2026

May 20, 2026

STATE i!..UNOIS

STANDARD TERMS ,£\ND CONDITIONS

1. PAYMENT TERMS AND CONDITIONS:

1.1. Late Payment: Payments, including late payment charges, will be paid in accordance with the State Prompt Payment Act and rules when applicable. 30 ILCS540; 74111. Adm. Code 900. This shall be Vendor's sole remedy for late payments by the State. Payment terms contained on Vendor's invoices sha!! have no force and effect.

1.2. Minority Contractor lnltiative: Anv Vendor awarded a contract under Section 20~10, 20-151 20-25 or 20- 30 of the Illinois Procurement Code (30 ILCS 500) of $1,000 or more is required to pay a fee of $15. The Comptroller shall deduct the fee from the first check issued to the Vendor under the contract and deposit the foe in the Comptroller's Administrative Fund. 15 !LCS 405/23.9.

1.3. Expenses: The State will not pay for supplies provided or services rendered, including related expenses, incurred prior to the execution of this contract by the Parties even if the effective date of the contract is prior to execution.

1.4. Prevailing Vt!age: As a condition of receiving payment Vendor must (i) be in compliance with the contract,

(ii) pay its employees prevailing wages when required by !aw, {Hi) pay lts suppliers and subcontractors according to the terms of their respective contracts, and (iv) provide lien waivers to the State upon request. Exampies of prevailing wage categories include public works, prlnting, janitorial, wlndovv washing, building and grounds services, site technician services, natural resource servkes, security guard and food services. The prevailing wages are revised by the Department of Labor and are available on the Department's official website, which sha!! be deemed proper notification of any rate changes under this subsection. Vendor is responsible for contacting the Illinois Department of Labor to ensure understanding of prevailing 1.cvage requirements at 217-782-6206 or (https://!abor,i!linois.aov{J.

1.5. Federal Funding: This contract may be partially or totally funded with Federal funds. If federal funds are expected to be used, then the percentage of the good/service paid using Federal funds and the tota!

Federal funds expected to be used will be provided in the mvard notice.

1.6. Invoicing: By submitting an invoice, Vendor certifies that the supplies or services provided meet all requirements of the contract, and the amount billed and expenses incurred are as allowed in the contract.

Invoices for supplies purchased, services performed and expenses incurred through June 30 of any year must be submitted to the State no later than July 31 of that year; otherwise Vendor may have to seek payment through the l!linois Court of Claims. 30 !LCS 105/25. A!! invoices are subject to statutory offset.

30 ILCS 210.

1.6.1. Vendor shall not bi!! for any taxes unless accompanied by proof that the State is subject to the tax. lf necessary, Vendor may request the appllcab!e Agency/University state tax exemption numbe1 and federal tax exemption information.

1.6.2, Vendor shall invoice at the completion of the contract unless invoicing is tied in the contract to mi!estones1 deliverables, or other invoicing requirements agreed to in the contract.

2. ASSIGNMENT: This contract may not be assigned, transferred in whole or in part by Vendor without the prior written consent of the State.

State of tlllnois Cnief Procurement Office Geraeral Servic,:,s BOA over $50,000 V.23,3

3.

4.

STATE OF ILUNOIS

STANDARD TERrv1S AND CONDITIONS

SUBCONTRACTING: For purposes of this sectlon 1 subcontractors are those with contracts with an annual value exceeding $100,000 and who are specifically hired to perform all or part of the work covered by the contract.

Vendor must receive prior written approval before use of any subcontractors in the performance of this contract Vendor shall describe, in an attachment if not already provided, the names and addresses of al! authorized subcontractors to be utilized by Vendor in the performance of this contract, together with a description of the work to be performed by the subcontractor and the anticipated amount of money that each subcontractor is expected to receive pursuant to this contract. If required, Vendor shall provide a copy of any subcontracts within fifteen (15} days after execution of this contract. All subcontracts must include the same c-ertiflcations that Vendor must make as a condition of this contract. Vendor shall include !n each subcontract the Standard ll!inois Certification form available from the State. If at any time during the term of the Contract, Vendor adds or changes any subcontractors, then Vendor must promptly notify, by VJ!'itten amendment to the Contract, the State Purchasing Officer or the Chief Procurement Offlcer of the names and addresses, the expected amount of money that each new or replaced subcontractor will receive pursuant to the Contract, and the general type of v,1ork to be performed. 30 ILCS 500/20-120.

AUDIT/RETENTION OF RECORDS: Vendor and its subcontractors shall maintain books and records relating to the periormance of the contract or subcontract and necessary to support amounts charged to the State pursuant the contract or subcontract, Books and records, including information stored ln databases or other computer systems, shall be maintained by the Vendor for a period of three (3) years from the later of the date of final payment under the contract or completion of the contract, and by the subcontractor for a period of three (3) yaars from the later of final payment under the term or completion of the subcontrcct. Jf Federal funds are used to pay contract costs, the Vendor and its .subcontractors rnust retain their respective records for five (5} year::,;, Books ancl records required to be maintained under this section shall be aval!abie for review or audit by representatives of: the procuring Agency) the Auditor General, the Executive Inspector Genera!, the Chief Procurement Officer, State of Illinois internal auditors or other governmental entities with monitoring authority, upon reasonable notice and during nonnal business hours. Vendor and its subcontractors shall cooperate fully with any such audit and with any investigation conducted bv any of these entities. Failure to maintain books and records required by this section shall establish a presumption in favor of the State for the recovery of any funds paid by the State under this contract or any subcontract for which adequate books and records are not available to support the purported disbur,;;Pment The Vendor or subcontractors shall not impose a charge for audit or ex.:1mlncltiun of the Vendor's or subcontractor's books and records. 30 ILCS 500/20-65.

5. Tl ME IS OF THE ESSENCE: Time is of the essence with respect to Vendor's performance of this contract. Vendor shall continue to peiiorrn its obligations v1hile any disoute conc21Tdng the contract is being resolved unless otherwise directed by the State.

6. NO WAIVER OF RIGHTS: Except as specifically waived in writing, failure by a Party to exercise or enforce a right does not waive that Party's right to exercise or enforc-2 that or other rights in the future.

7. FORCE MAJEURE: Failure by either Party to perform its duties and obligations will be excused by unforeseeable circumstances beyond its reasonable contrul and not due to its negligence, including acts of nature, ads of terrorism, riots, labor disputes, fire, flood, explosion, and governmental prohibition, The non-declaring Party may cancel the contract without penalty if performance does not resume within thirty (30) days of the declc;rction.

8. CONflD!:NT!AL INFORMATION: Each Partv, including its agents 2nd subcontractors, to this contract may have or gain access to confidential data or information owned or maintained by the other Party in the course of carrying out its responsibilities under this contract. Vendor shall presume aU information received from the State or to State of lllir10!;; Ch12i Prvcwr;::m,:,nt Offit"~ Genera] S<2rvi.::2;;

BOA over ~60,000 V.23.3

STATE OF ILUNO!S

STA1\IDARD TERMS CONDITIONS

which lt gains access pursuant to this contract is confidential. Vendor information, unless clearly marked as confidential and exempt from disclosure under the Illinois Freedom of Information Act, shall be considered public.

No confidential data collected, maintained, or used in the course of performance of the contract shall be disseminated except as authorized by !aw and with the written consent of the disclosing Party, either during the period of the contract or thereafter. The receiving Party must return any and a!! data collected, maintained, created or used ln the course of the pertormance of the contract1 in whatever form it is maintained, promptly at the end of the contract, or earlier at the request of the disclosing Party, or notify the disclosing Paity in writing of its destruction. The foregoing obligations shall not apply to confidential data or information !avJfu!iy in the receiving Party's possession prior to its acquisition from the disclosing Party; received in good faith from a third Party not subject to any confidentiality obligation to the disclosing Party; now is or later becomes publicly known through no breach of confidentiality obligation by the receiving Party; or is independently deveioped by the receiving Party without the use or benefit of the disclosing Pa1iy's confidential lnforrnation.

9. USE AND OW!'JERSHiP: AH work performed or supplies created by Vendor under this contract, \Vhether written documents or data, goods or deliverables of any ki11d, shall be deen1ed work for hire under copyright !aw and at!

intellectual property ;nd other !aws, and the State of l!!inols is granted sole and exclusive 01..vnership to all such worki unless otherwise agreed in writing, Vendor hereby assigns to the State all right, tlt!e, and interest in and to such work including any related intellectual property rights, and/or waives any and a!l claims that Vendor may have to such work lnc!uding any so-called ''moral rlghts" in connection with the work. Vendor acknowledges the State may use the work product for any purpose. Confidential data or information contained in such work shall be subject to confidentiality provisions of this contract.

10. !NDEMNIFiCAT!ON AND UABlUTY: The Vendor shall indemnify and hold harmless the State of !l!inois, its agencies, officers, ernpioyees, agents and volunteers from any and ail costs, demands, expenses, losses, claims, damages, liabilities, sett!erne-nts and judgrnents, including in-house and contracted attorneys' fees and expenses, arising out of: {a) any breach or violation by Vendor of any of its certifications, representations, warranties, covenants or agreements; (b) any actual or alleged death or injury to any person, damage to any real or personal property, or any other damage or loss claimed to result in whole or in part from Vendor's negligent performance;

(c) any act, activity or omission of Vendor or any of its emp!oyees; representatives, subcontractors or agents; or (d} any actual or alleged claim that the services or goods provided under this contract lnfrlnge1 misappropilate, or otherv.;ise violate any intellectual property (patent, copyright, trade secret, or trademark) nghts of a third party.

!n accordance with Article Vill, Section 1(a),(b) of the Constitution of the State of lt!inois and 1973 1mnols Attorr1ey General Opinion 78, the State may not indemnify private parties absent express statutoty authority permitting the indemnification. Neither Party shall be liable for incidental, special, consequential 1 or punitive damages.

11. INSURANCE: Vendor shall, at all times during the term and any renewats maintain and provide a Certificate of Insurance naming the State as additionally insured for all required bonds and insurance. Certificates may not be modified or canceled until at least thirty {30) days' nm:ke has been provided to the State. Vendor shall provide:

(a) Genera! Commercial Liability occurrence form in amount of $1,000,000 per occurrence (Combined Single Limlt Bodily Injury and Property Damage) and $2,000,000 Annual Aggregate; (bl /l.uto Liability, including 1-iired Auto and Non-owned Auto, (Combined Sing!e Umit Bodily !njurv and Property Damage} in amount of $1,000,000 per occurrence; and (c) Worker's Compensation Insurance in amount required by law. insurance shall not limit Vendor's obligation to indemnify, defend, or settle any claims.

12. iNDEPEl\!DENT CONTRACTOR: Vendor shall act as an independent contractor and not an agent or employee of, or joint venture with the State. All payments by the State shall be made on that basis.

s:a;;e of !liinoL~ Chie-f Pro:c.Jrement Olfr::2 General Services BOA over $50,000 s

13.

14.

15.

16.

STATE OF ILUNUI:>

STANDARD TER11.11S D CONDITIONS

SOLICITATION AND EMPLOYMENT: Vendor shall not employ any person employed by the State during the term of this contract to perform any work under this contract. Vendor sha!i give notice immediately to the Agency's director if Vendor solicits or intends to solicit State employees to perform any work under this contract

COMPLIANCE WITH THE LAW: The Vendor, its employees, agents, and subcontractors shall comply with all applicable federal, state, and local !aws, rules, ordinances, regulations, orders, federal circulars and al! license and permit requiremtmts in the performance of this contract. Vendor shall be in compllance with applicabie tax requirements and shall be current in payment of such taxes. Vendor shall obtain at its own expense, a!! licenses and permissions necessary for the performance of this contract.

BACKGROUND CHECK: Whenever the State deems it reasonably necessary for security reasons, the State may conduct, at its expense, criminal and driver history background checks of Vendor1s and subcontractors officers, employees or agents. Vendor or subcontractor shall reassign immediately any such individual who, in the opinion of the State, does not pass the background check.

APPLICABLE LAW:

16.1. PREVAILING Ltl.W: This contract shall be construed in accordance ·with and is subject to the laws and rules of the State of !!Hnois,

16.2. EQUAL OPPORTUN!TY: The Department of Human Rights' Equal Opportunity requirements are incorporated by reference. 44 lLL. ADM. CODE 750.

16.3. COURT OF CL£;1f;/JS; ARBITRATION; SOVEREiGi\! iMMUM!TV: Any claim againsr the State arising out of this contract must be flied exc!usive!y with the lllinois Court of Claims. 705 !LCS 505/1. The State shall not enter into binding arbitration to resolve any dispute arising out of this contract. The State of !!Unols does not waive sovereign irnmunity by entering into this contract

16.4. OFFICIAL TEXT: The official text of the statutes cited herein is incorporated by reference. An unofficial version can be viewed at {wwwJlqa.aov/leaislation/ifcs/i/cs.asµ),

17. ANTI-TRUST ASSIGNMENT: if Vendor does not pursue any claim or cause of action it has arising under federal or state antltrust iaws reiating to the subject matter of the contract, then upon request of the !l!ino;s Attorney General, Vendor shall assign to the State rights, title and interest in and to the claim o( cause of action.

18. CONTRACTUAL AUTHORITY: The /.1.gencv that signs for the State of !Hinols shall be the on!v State entity responsible for performance and payment under the contract When the Chief Procurement Officer or authorized designee signs in addition to an Agency, they do so as approving officer and shall have no liability to Vendor. When the Chief Procurement Officer or authorized designee, or State Purchaslng Officer signs a master contract on behalf of State agencies, only the Agency that places an order with the Vendor shall have any liability to Vendor for that order.

19. EXPATRIATED ENT!TiES: Except in limited circumstances, no business or member of a unitary business group, as defined in the !ll1nols Income Tax Act, shall submit a bid for or enter into a contract with a State agency if that business or any mernber of the unitary business group !s an expatriated entity, Swte of Illinois Chief Pro::ure:ment Ofiice Gerernl SrJrvkes.

BOA over $50,000 V,233

STATE OF lLUNOIS

STANDARD TERMS AND CONDITIONS

20. NOTICES: Notices and other communications provided for herein shall be given in writing via electronic mail whenever possible. lf transmission via electronic mail is not possible, then notices and other communications shall be given in writing via registered or certified mail ,uith return receipt requestedr via receipted hand delivery, via courier (UPS, Federal Express or other similar and reliable carrier), or via facsimile showing the date and time of successful receipt. Notices shall be sent to the individuals who signed this contract using the contact information following the signatures. Each such notice shall be deemed to have been provided at the time it is actually received. By giving notice, either Party may change its contact information.

21. MODIFICATIONS AND SURVIVAL: Amendments, modifications and waivers must be in writing and signed by authorized representatives of the Parties. Any provision of this contract officially declared void, unenforceable1 or against public policy, shall be ignored and the remaining provisions shall be interpreted, as far as possible, to give effect to the Parties' intent. A!I provisions that by their nature would be expected to survive, shall survive termlnation. !n the event of a conflict between the State's and the Vendor's terms, conditions and attachments, the State's terms, conditions and attachments shall prevail.

22.

23.

24.

25.

PERFORMANCE RECORD/ SUSPENSION: Upon request of the State, Vendor shall meet to discuss performance or provide contract performance updates to help ensure proper performance of the contract. The State may conslder Vendor's performance under this contract and compliance with Jaw and ru!e to deterrrdne whether to continue the contract, suspend Vendor from doing future business with the State for a specified period of time, or whether Vendor can be considered responsible on specific future contract opportunities.

FREEDOM OF lNFORMATiON ACT: This contract and 2!l related public records maintaired by, provided to or required to be provided to the State are subject to the Illinois Freedom of Information Act (FOIA) (50 ILCS 140) notwithstanding any provision to the contrary that may be found in this contract.

SCHEDULE Of WORK: Any work performed on State premises shall be done during the hours designated by the State and performed in a manner that does not interfere with the State and its personnel.

WARRANTIES FOR SUPPLIES AND SERVICES:

25.L Vendor warrants that the suppties furnished under this contract will: {a) conform to the standards, specifications, drawing, samples or descriptions furnished by the State Of furnished by the Vendor and agreed to by the State, including but not limited to al! specifications attached as exhibits hereto; (b} be merchantable~ of good quality and workmanship, and free from defects for a period of twelve months or longer if so specified in writing! and fit and sufficlent for the intended use; (c) comply with all federal and state laws, regulations and ordinances pertaining to the manufacturing., packing, labeling, sale and delivery of the supplies; (d) be of good title and be free and clear of a!! !tens and encumbrances and; {e) not infringe any patent, copyright or other intellectual property rights of any third party. Vendor agrees to reimburse the State for any losses, costs, damages or expenses, including without limitations, reasonable attorney's fees and expenses, arising from failure of the supp!ies to meet such v:arranties.

25.2. Vendor shall insure that a!l manufacturers' warranties are transferred to the State and shall provide a copy of the warranty, These warranties shall be in addition to all other warranties, express, implied or statutory, and shall survive the State's payment, acceptance~ inspection or failure to inspect the supplies.

St.ate of l!lh:,is Chief Pr0:c.1rerr,'1nt Office Gem~ral S2tv:co:s.

BOA over SS0,000 V,23.3

STATE OF llUNOIS

STANDARD TERMS AND CONDITIONS

25.3. Vendor warrants that all services will be performed to meet the requirements of the contract in an efficient and effective manner by trained and competent personnel. Vendor shall monitor performances of each individual and shall reassign immediately any individual who is not performing in accordance with the contract, who is disruptive or not respectful of others in the workplace/ or who in any way violates the contract or State policies.

25. REPORTING, STATUS AND MONITORING SPECIFICATIONS: Vendor shall immediately notify the State of any event that may have a material impact on Vendor's ability to perform the contract.

27. EMPLOYMENT TAX CREDIT: Vendors who hire qualified veterans and certain ex-offenders may be eligible for tax credits. 35 ILCS 5/216, 5/217. Please contact the Illinois Department of Revenue (telephone#: 217-524-4772) for information about tax credits.

28. TERMINATiON FOR CAUSE: The State may terminate this co11tract, in whole or in pan:, immediately upon notice to the Vendor if: (a) the State determines that the actions or inactions of the Vendor, its agents, employees or subcontractors have caused, or reasonably could cause, jeopardy to health, safety, or property, or (b) the Vendor has notified the State that it is unable or unwilling to perform the contract.

28.1. If Vendor fails to perform to the State's satisfaction any material requirement of this contract, is. ln violation of a material provision of this contract, or the State determines that the Vendor lacks the financial resources to periorm the contract, the State shall provide written notice to the Vendor i:o cure the problem identified within the period of time specified in the State's written notice. If not cured by that date the State may either: (ai iirimediate!y terminate the contract without additional written notice or {b} enforce the terms and conditions of the contract.

28.2. For termination due to any of the causes contained in this Section, the State retains its rights to seek any available legal or equitable remedies ancl damages.

29. TERMINATION FOR CONVENIENCE: The State may, for its convenience and with thirty [30) days prior written notice to Vendor, terminate this contruct in whole or in part and without payment of any penalty or incurring any further obligation to the Vendor.

29.1. The Vendor shall be entitled to compensation upon submission of invoices and proof of claim for supplies zmd services provided in compliance with this contract up to and including the date of termination.

30. .4.VA!LABlUTV OF APPROPR!AT!Of\l; This contract is contingent upon and subject to the availability of funds. The State at its sole option, may terminate or suspend this contract, in whole or in pait, without penalty or further payment being required, if (1) the l!linois General Assembly or the federal funding source falls to make an appropriation sufficient to pay such obligation, or if funds needed are insufficient for any reason [30 ILCS 500/20- 60}, (2} the Governor decreases the Department's funding by reserving some or z!I of the Department's appropriatlon{s) pur.stiant to power delegated to U1e Governor by the !Hlnois General A:::.sembiy, -or- (3) the

Department determines, in its sole discretion or as directed by the Office of the Governor, that a reduction is necessary or advisable based upon actual or projected budgetary considerations. Contractor will be notified in writing of the failure of appropriation or of a reduction or decrease.

StJte of Jllino!s Chlef Procuremer,t Office General Services

BOA over $50,0CO V,23.3 g

I certify that:

STATE OF llUNOlS

TAXPAYER IDENTIFICATION NUMBER

The number shown on this form is my correct taxpayer identification number (or lam waiting for a number to be issued to me), and

I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Seivice (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

I arn a U.S. person (including a U.S. resident alien).

o If you are an individual, enter your name and SSN as it appears on your Social Security Card.

a If you are a sole proprietor1 enter the owner's name on the name line followed by the name of the business and the owner's SSN or EIN.

o lf you are a single~member LLC that is disregarded as an entity separate from its cwner, enter the owner's name on the name line and the D/B/A on the business name line and enter the owner's SSN or E!N.

o If the LLC ls a corporation or partnership, enter the entity's business name and E!N and for corporations, attach IRS acceptance letter (CP261 or CP277).

o For all other entlties1 enter the name of the entity as used to apply for the entity's E!N and the E!N.

Name: BMM North Amerlca1 Inc

Business Name: BMM North America, !nc.

Taxpayer ldentification Number:

Social Security Number: N/A or

Employer Identification Number: 88-05107S7

Legal Status (check one):

D Individual

D So!e Proprietor

D Partnership

D Legal Sen.dces Corporation

0 Tax-exempt n Corporation providing or biiHng medical and/or health care services l);i Corporation NOT providing or billing medical and/or health care services

0 Governmental n Nonresident alien

D Estate or trust n Pharmacy {Non-Corp.)

0 ?harmacy/Funera! Home/Cemetery (Corp.)

D limited UabHity Company

(seleci:: applicabie tax classification)

0 C = corporation rD~1\~

Signature of Authorized Representative~: ___ '---_~-'--I-I,_~,,_--'>,---------

Date: 05/12/2026

Stcite of lllinois Chief Procurernent Office General Servi:es T:,xpayer Identification Nwnber