Filterbuy Incorporated PO 26PS014003.pdf

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Attached to
Open Market Small Purchase IL|26-350SOS-PHYSE-P-84154
Contract number
26-350SOS-PHYSE-P-84154
Issued by
Illinois

About this file

This document is a Purchase Order (PO) issued by the Illinois Secretary of State (SOS) Physical Services to Filterbuy Incorporated, a vendor located in Talladega, Alabama. The PO (number 26-350SOS-PHYSE-P-84154) is associated with Contract/Ob #26PS014003 and is valid from July 24, 2025, to December 31, 2025, with the shipping destination set as the ILSOS Physical Services Winchester Warehouse in Springfield, Illinois.

The purchase order covers nine line items of air filters, primarily pleated and bag filters in various sizes (such as 14x14x2, 24x24x12, 12x12x1, and others), with quantities ranging from 12 to 168 units per item type. The total contract value is $6,101.04, with no additional taxes or freight charges. The filters are classified under Class-Item 031-44, and the purchasing terms indicate freight is prepaid and no specific payment terms are noted. The order will be processed using the "Best Way" shipping method, with zero calendar days for delivery after receipt of order (A.R.O.).

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Text version

26-350SOS-PHYSE-P-84154

Vendor Number: V00036745 Filterbuy Incorporated

101 Pope St.

Talladega, AL 35160 bids@filterbuy.com

(855) 345-8289

Purchase Order

SOS - Secretary of State P.O. Date: 7/24/2025

26-350SOS-PHYSE-P-

84154

Purchase Order Number

Master Contract? N

Contract/Ob #: 26PS014003

S H I P

T O

ILSOS Physical Services - Winchester Warehouse 3701 Winchester Road Springfield, IL 62707

US

Email: noemail@ilsos.gov

(000) 000-0000

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

ILSOS Physical Services - Fiscal Operations 501 South 2nd Street Room 039 Howlett Building Springfield, IL 62756

US

Email: noemail@ilsos.gov

(000) 000-0000

Solicitation (Bid) No.: N/A

Shipping Method: Best Way

Shipping Terms:

Contract Begin Date: 07/24/2025 Contract End Date: 12/31/2025

V E N D O R

Freight Terms: Freight Prepaid

Payment Terms: NA

Delivery Calendar Day(s) A.R.O.: 0

Item # 1 Class-Item 031-44

14X14X2 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

12.00 EA$ 3.91 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 46.92

Item # 2 Class-Item 031-44

24X24X12 BAG FILTERS M13 6 POCKETS

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

120.00 EA$ 28.25 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 3,390.00

Item # 3 Class-Item 031-44

12X12X1 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

36.00 EA$ 3.53 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 127.08

Item # 4 Class-Item 031-44

7X48 1/2X1 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

24.00 EA$ 12.12 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 290.88

Item # 5 Class-Item 031-44

9X20 7/8X1 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

36.00 EA$ 6.50 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 234.00

Item # 6 Class-Item 031-44

24X24X2 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

168.00 EA$ 4.82 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 809.76

Item # 7 Class-Item 031-44

12X24X2 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

60.00 EA$ 3.93 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 235.80

Item # 8 Class-Item 031-44

12X24X12 BAG FILTERS M13 4 POCKETS

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

30.00 EA$ 23.88 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 716.40

Item # 9 Class-Item 031-44

20X20X2 PLEATED M8

Quantity UOMUnit Price Discount % Total Discount

Tax Rate Tax Amount

Freight Total Cost

60.00 EA$ 4.17 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 250.20

TOTAL: $ 6,101.04

TAX: $ 0.00

FREIGHT: $ 0.00

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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