PO2958- Fully Executed BidBuy Purchase Order.pdf

PDF 155 KB Posted

Attached to
Release Competitive Sealed Proposal IL|25-448DOIT-INFOT-P-71153
Contract number
25-448DOIT-INFOT-P-71153
Issued by
Illinois

About this file

This is a Purchase Order issued by the State of Illinois Executive Ethics Commission (EEC) to Xerox Corporation for multi-function devices (MFD) under the NASPO ValuePoint Master Contract #187800. The order is identified as Release Order Number 25-448DOIT-INFOT-P-71153:344 with Contract/PO #2958, referencing Master Contract Reference #9100001882. Xerox Corporation, headquartered in Bolingbrook, Illinois, is the vendor providing the equipment and services.

The purchase order covers three line items for a 36-month lease term under the NASPO ValuePoint Multi-Function Devices Contract with a release period from July 31, 2026 through July 31, 2029. Item #1 specifies 36 months of B7130H+ 3 Hole Punch devices at $160.25 per month for a total of $5,769.00; Item #2 covers 36 months of C8230H+ Fax functionality at $297.08 per month totaling $10,694.88; and Item #3 includes an additional 36 months of B7130H+ 3 Hole Punch at $160.25 per month for $5,769.00. The combined total contract value is $22,232.88 with no applicable discounts, taxes, or freight charges. Delivery is required within 10 calendar days after release order, and the order was approved by buyer Sierra Luster with official signature from Executive Director Nathan Rice of the Executive Ethics Commission.

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Text version

25-448DOIT-INFOT-P-71153:344

Vendor Number: V00004988 Xerox Corporation

3 Territorial Ct Bolingbrook, IL 60440 brooke.eastburn@xerox.com

(563) 505-7817

Purchase Order

EEC - Executive Ethics Commission

25-448DOIT-INFOT-P-

71153:344

Contract/PO #: 2958

Release Order Number

Master Contract? Y

S H I P

T O

EEC Executive Ethics Commission 401 S. Spring Street 516 Stratton Office Building Springfield, IL 62706

US

Email: EEC.Fiscal@illinois.gov

(217) 558-1393

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

EEC Executive Ethics Commission 401 S. Spring Street 516 Stratton Office Building Springfield, IL 62706

US

Email: EEC.Fiscal@illinois.gov

(217) 558-1393

Solicitation (Bid) No.: N/A

Shipping Method:

Shipping Terms:

Release Begin Date: 07/31/2026 Release End Date: 07/31/2029

V E N D O R

Freight Terms:

Payment Terms: NA

Delivery Calendar Day(s) A.R.O.: 10

Master Con/Ref #: 9100001882

Item # 1 Class-Item 600-72

NASPO Value Point Multi-Function Devices (MFD) Contract. Please see defined prices from Xerox based on NASPO ValuePoint Contract #187800.

Agencies should utilize this line item for leases of standard MFD devices against the contract with an initial term of 36 months. Pricing can be found at https://www.naspovaluepoint.org/portfolio/multi-function-devices-and-related-software-services-and-cloud-solutions/xerox-corporation/

B7130H+ 3 Hole Punch

Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost

36.00 MON$ 160.25 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 5,769.00

Docusign Envelope ID: 4CC5341F-7887-895A-8347-D2E6478B7030

Item # 2 Class-Item 600-72

NASPO Value Point Multi-Function Devices (MFD) Contract. Please see defined prices from Xerox based on NASPO ValuePoint Contract #187800.

Agencies should utilize this line item for leases of standard MFD devices against the contract with an initial term of 36 months. Pricing can be found at https://www.naspovaluepoint.org/portfolio/multi-function-devices-and-related-software-services-and-cloud-solutions/xerox-corporation/ C8230H+ Fax

Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost

36.00 MON$ 297.08 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 10,694.88

Item # 3 Class-Item 600-72

NASPO Value Point Multi-Function Devices (MFD) Contract. Please see defined prices from Xerox based on NASPO ValuePoint Contract #187800.

Agencies should utilize this line item for leases of standard MFD devices against the contract with an initial term of 36 months. Pricing can be found at https://www.naspovaluepoint.org/portfolio/multi-function-devices-and-related-software-services-and-cloud-solutions/xerox-corporation/ B7130H+ 3 Hole Punch

Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost

36.00 MON$ 160.25 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 5,769.00

TOTAL: $ 22,232.88

TAX: $ 0.00

FREIGHT: $ 0.00

Docusign Envelope ID: 4CC5341F-7887-895A-8347-D2E6478B7030

APPROVED

By:

Phone#:

Sierra Luster

(217) 558-1393

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__________________________

Docusign Envelope ID: 4CC5341F-7887-895A-8347-D2E6478B7030

Executive Director

Nathan Rice

Executive Ethics Commission

2026-07-22T15:54:54+0000
Digitally verifiable PDF exported from www.docusign.com

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