P-51166.49 FY26 Docusign CLM executed_Redacted.pdf
PDF 121 KB Posted
- Contract number
- 23-448DOIT-ADMIN-P-51166
- Issued by
- Illinois
About this file
This is a Purchase Order issued by the State of Illinois Department on Aging (AGE) to CDW Government LLC, a vendor based in Vernon Hills, Illinois. The purchase order is designated as Release Order Number 23-448DOIT-ADMIN-P-51166:49 and is a release from Master Contract CMT4036108. The order is to be shipped and billed to the APO/CFO/Division AA at One Natural Resources Way, Suite 100, Springfield, Illinois 62702-1271, with the primary contact being Allison J. Miller at (217) 785-4476.
The purchase order covers Docusign Contract Lifecycle Management Tools and related software licenses for the period of December 1, 2025, through November 30, 2026. The order comprises various Docusign products, including 1 DSU Campus Pass Team, 5 CLM Full User Subscription licenses, 1 CLM UAT Sandbox license, additional 5 TB storage, 40 Standard User subscriptions, 1 Monitor license, 16,500 Esign ENT Pro F Gov Env licenses, 1 ENT Premium Support license, and 6 CLM Boost Services. The unit price is $224,489.15 with an 8.00 percent discount of $17,959.13, resulting in a total cost of $206,530.02. Item 2 represents a $17,959.13 line item to correct rounding errors per service quotes, bringing the total purchase order value to $224,489.15. The delivery is required within one calendar day as requested, with freight prepaid and no applicable taxes or additional charges. The purchase order was approved on November 13, 2025, by the vendor representative Mike Musser (ATAE) and on November 14, 2025, by the State of Illinois official Mary Killough (Director).
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Text version
23-448DOIT-ADMIN-P-51166:49
Vendor Number: V00001190
CDW GOVERNMENT LLC
230 N MILWUAKEE AVE
VERNON HILLS, IL 60061
null null
Purchase Order
AGE - Aging
23-448DOIT-ADMIN-P-
51166:49
Contract/PO #:
Release Order Number
Master Contract? Y
S H I P
T O
APO/CFO/Division AA One Natural Resources Way Suite 100 Springfield, IL 62702-1271
US
Email: allison.j.miller@illinois.gov
(217) 785-4476
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
APO/CFO/Division AA One Natural Resources Way Suite 100 Springfield, IL 62702-1271
US
Email: allison.j.miller@illinois.gov
(217) 785-4476
Solicitation (Bid) No.: N/A
Shipping Method: Best Way Shipping Terms:
Release Begin Date: 12/01/2025 Release End Date: 11/30/2026
V E N D O R
Freight Terms: Freight Prepaid
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 1
Master Con/Ref #: CMT4036108
Item # 1 Class-Item 920-45
Docusign Contract Lifecycle Management Tools, examples such as Full User, Standard User, View only User, UAT Sandbox, Storage and similar Docusign products. IDoA -AGE Software Licenses 12/1/2025 to 11/30/2026. Order includes 1-Docusign DSU Campus Pass Team, 5-Docusign CLM Full User Subscription licenses, 1-Dousign CLM UAT Sandbox license, 1- Docusign CLM -additional 5 TB, 40- Docusign Standard User-subscription, 1- Docusign Monitor license, 16500- Docusign Esign ENT Pro F Gov Env, 1- Docusign ENT Prem Sup, 1-Docusign ENT Prem Sup, 6- Docusign CLM Boost Svcs.
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
1.00 EA$ 224,489.15 8.00 % -$ 17,959.132 $ 0.00 $ 0.00 $ 206,530.02
Item # 2 Class-Item 920-45
Line item to correct rounding errors per service quotes.
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
1.00 EA$ 17,959.132 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 17,959.13
$ 224,489.15
$ 0.00
$ 0.00
APPROVED
By:
Phone#:
Veronica Williams
(217) 524-5817
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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