PO2976- ED Signed BidBuy Purchase Order.pdf
PDF 155 KB Posted
- Contract number
- 26-416CMS-BOSS4-P-91099
- Issued by
- Illinois
About this file
This is a Purchase Order issued by the Executive Ethics Commission (EEC), a State of Illinois agency located in Springfield, Illinois, to Confidential On-Site Paper Shredding, a vendor based in Normal, Illinois (Vendor Number V00003672). The purchase order is designated as a release order from an existing master contract (Master Contract Reference #9100002106) and is identified as Purchase Order #2976 with Release Order Number 26-416CMS-BOSS4-P-91099:9.
The contract provides on-site mobile paper shredding services for Region 6, specifically for the delivery, set-up, and servicing of 64-gallon capacity containers. Item #1 establishes an hourly rate of $20.00 per hour for services associated with delivery and set-up of the container, with pricing inclusive of all overhead, labor, and profit. Item #2 establishes a per-service fee of $21.00 per each (EA) for on-site container emptying services, with containers remaining at the requesting building. The total contract value for this release order is $41.00, with no applicable taxes or freight charges. The delivery requirement is one calendar day as received on order (A.R.O.), with freight prepaid and "Best Way" shipping method designated. The purchase order was approved on September 8, 2026, by Sierra Luster, Buyer for the EEC, and officially signed by Nathan Rice, Executive Director of the Executive Ethics Commission.
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Text version
26-416CMS-BOSS4-P-91099:9
Vendor Number: V00003672 Confidential On-Site Paper Shredding
422 S. White Oak Road Normal, IL 61761 null null
Purchase Order
EEC - Executive Ethics Commission
26-416CMS-BOSS4-P-
91099:9
Contract/PO #: 2976
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: Best Way Shipping Terms:
Release Begin Date: Release End Date:
V E N D O R
Freight Terms: Freight Prepaid
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 1
Master Con/Ref #: 9100002106
Item # 1 Class-Item 962-27
SECONDARY - REGION 6- ON-SITE/MOBILE - hourly rate for services associated with the delivery and set-up for 64-gallon capacity container;
pricing will include all overhead, labor, and profit.
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
1.00 HR$ 20.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 20.00
Docusign Envelope ID: 37B5C54C-74C3-84DA-83B1-267D3F29167A
Item # 2 Class-Item 962-27
SECONDARY - REGION 6- ON-SITE/MOBILE 64 gallon capacity container *SERVICES ARE PROVIDED ONSITE- CONTAINERS EMPTIED AND
REMAIN AT THE REQUESTING BUILDING*
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
1.00 EA$ 21.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 21.00
TOTAL: $ 41.00
TAX: $ 0.00
FREIGHT: $ 0.00
Docusign Envelope ID: 37B5C54C-74C3-84DA-83B1-267D3F29167A
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: 37B5C54C-74C3-84DA-83B1-267D3F29167A
Executive Director
Nathan Rice
9/8/2026 | 2:51 PM CDT
Executive Ethics Commission
| 2026-09-08T19:51:35+0000 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .