P-86473 WAP NASCSP Membership PO Executed.pdf
PDF 213 KB Posted
- Contract number
- 26-420DCEO-COMMA-P-86473
- Issued by
- Illinois
About this file
This document is a Purchase Order issued by the Illinois CEO - Commerce and Economic Opportunity agency for an annual membership with the National Association for State Community Services Programs (NASCSP), located in Washington, DC. The purchase order is numbered 26-420DCEO-COMMA-P-86473 and involves a contract between the state agency and the vendor organization.
The purchase order covers an annual membership dues payment of $6,073.62 for the period of January 1, 2026 through December 31, 2026. The specific membership includes an option for the Weather Assistance Program (WAP). The document indicates no discounts, taxes, or freight charges, with a total cost matching the unit price. The purchase order was signed by Mary Collins from NASCSP as the Operations Director, and approved on the state side by Kristin A. Richards (Director) and Brandy Evans (Chief Operating Officer) on 10/03/25.
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Other files
| File | Type | Posted |
|---|---|---|
| standard-terms-and-conditions 23.2~21.pdf |
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Text version
26-420DCEO-COMMA-P-86473
Vendor Number: V00013465 National Association for State Community Services Programs (NASCSP) 111 K St NE STE 300 Washington, DC 20002 chomol@nascsp.org
(202) 370-3657
Purchase Order
CEO - Commerce and Economic Opportunity
26-420DCEO-COMMA-P-
86473
Contract/Ob #:
Purchase Order Number
Master Contract? N
S H I P
T O
Agency Procurement Officer 607 E Adams St Springfield, IL 62701
US
Email: ceo.procurement@illinois.gov
(217) 524-8148
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
Agency Procurement Officer 607 E Adams St Springfield, IL 62701
US
Email: ceo.procurement@illinois.gov
(217) 524-8148
Solicitation (Bid) No.: N/A
Shipping Method:
Shipping Terms:
Contract Begin Date: 01/01/2026 Contract End Date: 12/31/2026
V E N D O R
Freight Terms:
Payment Terms:
Delivery Calendar Day(s) A.R.O.: 0
Item # 1
Class-Item 963-48
Annual Membership Dues - Membership to the National Association for State Community Services Program; Option Weather Assistance Program (WAP). Membership from 1/1/2026-12/31/2026
Quantity UOMUnit Price Discount % Total Discount
Tax Rate Tax Amount
Freight Total Cost
1.00 YR$ 6,073.62 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 6,073.62
S H I P
T O
Agency Procurement Officer 1011 S Second St Springfield, IL 62704
US
Email: ceo.procurement@illinois.gov
(217) 524-8148
B I L L
T O
Financial Management 1011 S Second St Springfield, IL 62704
US
Email: ceo.accountspayable@illinois.gov
(217) 524-8148
TOTAL: $ 6,073.62
TAX: $ 0.00
FREIGHT: $ 0.00
The undersigned agree to the Terms and Conditions as acknowledged by the Vendor and maintained in the State of Illinois' a-procurement system. This agreement consists of all terms as maintained in the state's a-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: Nei:tro,,-.t--\ �\�//' £."-1 V"\ �r �tv'tl Vendor
(o "'V''\ -'"' I '°") �rv;u.o p ,0 � r wv'l_)
Signature:...12)4l- �p
Printed Name: �.Aa'1 l'...ao � l V �
Title: DPe AAI ,� fy'.!.. a, Q. \;L..TO!l...
Phone#: (;t."2) �t, - _36, 5'1
Email: \Y\Covs.,o>e> c,4<-csp� or)
Date: -�I =o 1�3>�1 �2-�v�z< ____ _
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 Disclos-e-cd,--: --------
Subcontractors Utilized: ______ --=:----:-.,..,------ Publication Date:_-:-:-
- Financing Needed: __ _
IPG Cert/Disclosure Yes ____ No __________ _
APPROVED
26-420DCEO-COMMA-P-864 73
By: Logan Lehman Phone#: (217) 782-9972
BUYER
| Procuring State Agency or Entity: DCEO |
| Printed Name: Kristin A. Richards |
| Tille: Director |
| Printed Name_2: Brandy Evans |
| Tille_2: Chief Operating Officer |
| Date_2: 10/03/25 |
| Text5: |
| Text6: |
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