EXECUTED - P-9024830 - Repair leak in hallway.PDF
PDF 170 KB Posted
- Contract number
- 26-416CMS-BOPM4-P-90248
- Issued by
- Illinois
About this file
This is an executed Purchase Order (P-9024830) issued by the State of Illinois Department of Veterans Affairs (DVA) to T & J Plumbing, Inc., a vendor located at 5251 West Belmont Avenue, Chicago, IL 60641. The order was created on May 28, 2026, and executed on May 29, 2026, with final approval by Christopher Wieneke, Chief Fiscal Officer. The work is to be performed at the Illinois Veterans Home in Chicago located at 4250 North Oak Park Avenue, Chicago, IL 60634.
The contract covers repair services for a hallway leak and specifies two line items: basic hourly labor at $205.00 per hour for 64 hours ($13,120.00 total) for work performed Monday through Friday between 5 pm and 8 am and on Saturdays during the first year, and materials at cost for the repair at $2,970.00. The total contract value is $16,090.00 with no tax or freight charges. The release period runs from May 26, 2026, through June 30, 2026, with a one calendar day delivery requirement and a reference to Master Contract 9100002141. Materials are provided at cost for the life of the contract.
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Text version
26-416CMS-BOPM4-P-90248:30
Vendor Number: V00001255 T & J Plumbing, Inc.
5251 West Belmont Avenue Chicago, IL 60641 null null
Purchase Order
DVA - Veterans Affairs
26-416CMS-BOPM4-P-
90248:30
Contract/PO #: BID
Release Order Number
Master Contract? Y
S H I P
T O
Attn: StoreKeeper 4250 North Oak Park Avenue Chicago, IL 60634
US
Email: IDVA.IVHC.AccountsPayable@illinois.gov
(773) 794-3763
VENDOR INSTRUCTIONS:
PURCHASE ORDER REQUIREMENTS - STATE OF ILLINOIS AGENCIES
Prior to commencement of billable work, delivery of supplies or rendering of any service on a Purchase Order:
--Initial Purchase Order/Contract - All parties, including the State and vendor, must fully execute the contract in its entirety.
--Release from an existing Purchase Order/Contract - The vendor must receive a Purchase Order signed by the State Agency and attached in BidBuy. Note, for any additional requirements see specific State Agency instruction.
PURCHASE ORDERS REQUIREMENTS - OTHER PURCHASING ENTITIES
--Please see specific requirements provided by the purchasing entity.
B I L L
T O
Attn: StoreKeeper 4250 North Oak Park Avenue Chicago, IL 60634
US
Email: IDVA.IVHC.AccountsPayable@illinois.gov
(773) 794-3763
Solicitation (Bid) No.: N/A
Shipping Method:
Shipping Terms:
Release Begin Date: 05/26/2026 Release End Date: 06/30/2026
V E N D O R
Freight Terms:
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 1
Master Con/Ref #: 9100002141
Item # 1 Class-Item 914-68
Region 1: Basic hourly labor rate Mon-Fri 5 pm-8 am and Saturdays for the first year.
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
64.00 HR$ 205.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 13,120.00
Item # 2 Class-Item 914-68
Region 1: Materials at cost for repair for life of contract.
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
1.00 EA$ 2,970.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 2,970.00
TOTAL: $ 16,090.00
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 Christopher Wieneke_
Title: _Director by Chief Fiscal Officer ____________
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__________________________
May 29, 2026
P-9024830 - Repair leak in hallway.PDF Final Audit Report 2026-05-29
Created: 2026-05-28
By: Robin Webster (robin.webster2@illinois.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAov0mR7jjKBwYN_Lq2T4bjx1yyICZ1bKV
"P-9024830 - Repair leak in hallway.PDF" History Document created by Robin Webster (robin.webster2@illinois.gov) 2026-05-28 - 9:21:53 PM GMT- IP address: 136.226.12.48
Document emailed to Christopher Wieneke (christopher.wieneke@illinois.gov) for signature
2026-05-28 - 9:22:40 PM GMT
Email viewed by Christopher Wieneke (christopher.wieneke@illinois.gov) 2026-05-29 - 3:50:09 PM GMT- IP address: 136.226.12.74
Document e-signed by Christopher Wieneke (christopher.wieneke@illinois.gov) Signature Date: 2026-05-29 - 6:50:17 PM GMT - Time Source: server- IP address: 136.226.20.187 - Signature Appearance Selected:
IMAGE
Agreement completed.
2026-05-29 - 6:50:17 PM GMT
| 2026-05-29T18:50:19+0000 | |
| Certified by Adobe Acrobat Sign |
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