signed 284078 BOA padlocks.docx .pdf
PDF 867 KB Posted
- Contract number
- 26-426DOC-PEORI-P-85857
- Issued by
- Illinois
About this file
This document is a Basic Ordering Agreement (BOA) under $50,000 from the State of Illinois Chief Procurement Office, involving E&N Service Company as the vendor and Peoria Adult Transition Center as the state agency. The contract is located in Illinois, with the vendor based in Monroe Center, IL and the agency located in Peoria, IL. The contract number is 26-426DOC-PEORI-R-284078, with a begin date of upon final signatures and an end date of 6/30/2026.
The contract specifies the purchase of 5 Master Lock 1525 combination padlocks, paired and keyed to V64, at a unit price of $18.84 each, totaling $94.20. The purchasing method is a one-time payment, and the padlocks will be shipped to and billed to Peoria ATC at 607 Main Street, Peoria, IL 61602. The vendor, E&N Services Company, is classified as a corporation not providing medical and/or health care services, with an Employer Identification Number of 922046429. The contract appears to be a standard procurement agreement for a small quantity of security equipment.
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Other files
| File | Type | Posted |
|---|---|---|
| signed 26PEO0035 padlocks.pdf |
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Text version
ORDERING INFORMATION
Item Description
(manufacturer, model, serial number, feature, etc.) Qty One Time Charge
Unit Extension
1.
Master Lock 1525 combination padlock paired combinations/taped together Keyed to V64 5 $18.84 $94.20
Page Total:$ 94.20
BOA Total (if multiple pages):$
State of Illinois Chief Procurement Office General Services 1 BOA under $50,000 V.23.2
SIGNATURES The undersigned parties agree to theseterms and conditions.
Vendor State of Illinois
Signature:
State Agency:
Printed Name: Ethan Miller Signature agency representative:
Title: Member Printed Name:
Date: 8/29/25 Title:
Date:
State of Illinois State of Illinois
Signature agency representative: Signature agency representative:
Printed Name: Printed Name:
Title: Title:
Date: Date:
State of Illinois Chief Procurement Office General Services 3 BOA under $50,000
STATE OF ILLINOIS
TAXPAYER IDENTIFICATION NUMBER
I certify that:
Thenumbershownonthisformismycorrecttaxpayeridentificationnumber(orIamwaitingforanumbertobeissued to me), and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notifiedbytheInternalRevenueService(IRS)thatIamsubjecttobackupwithholdingasaresultofafailuretoreportall interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
I am a U.S. person (including a U.S. resident alien).
● If you are an individual, enter your name and SSN as it appears on your Social Security Card.
● If you are a sole proprietor, enter the owner’s name on the name line followed by the name of the business and the owner’s SSN or EIN.
● If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’snameonthenamelineandtheD/B/Aonthebusinessnamelineandentertheowner’sSSNor
EIN.
● IftheLLCisacorporationorpartnership,entertheentity’sbusinessnameandEINandforcorporations, attach IRS acceptance letter (CP261 or CP277).
● For all other entities, enter the name of the entity as used to apply for the entity’s EIN and the EIN.
Name: Ethan Miller
Business Name: E&N Services Company
Taxpayer Identification Number:
Social Security Number:
or
Employer Identification Number: 922046429
Legal Status (check one)
☐ Individual ☐ Governmental
☐ Sole Proprietor ☐ Nonresident alien
☐ Partnership ☐ Estate or trust
☐ Legal Services Corporation ☐ Pharmacy (Non-Corp.)
☐ Tax-exempt ☐ Pharmacy/Funeral Home/Cemetery (Corp.)
☐ Corporation providing or billing ☐ Limited Liability Company medical and/or health care services (select applicable tax classification)
X Corporation NOT providing or billing ☐ C = corporation medical and/or health care services ☐ P = partnership
Signature of Authorized Representative:
Date: 8/29/25
State of Illinois Chief Procurement Office General Services 11 Taxpayer Identification Number
File details come from the government source that posted it. Updated .