SIGNED Bid Buy PO P 28449 352 PC Course Rock Salt August 2025 Delivery.pdf
PDF 65 KB Posted
- Contract number
- 21-416CMS-BOSS4-P-28449
- Issued by
- Illinois
About this file
This document is a Purchase Order (PO) issued by the Illinois Department of Juvenile Justice (DJJ) for the Illinois Youth Center-St. Charles, awarded to Midwest Salt, LLC, a vendor located in West Chicago, Illinois. The contract is a master contract with the reference number 9100001231, and the specific release order number is 21-416CMS-BOSS4-P-28449:352.
The purchase order is for 25 tons of rock salt, bulk, truckload quantity, specifically for water softener application, conforming to A.W.W.A. B200-07 standard specification for sodium chloride. The unit price is $128.44 per ton, resulting in a total cost of $3,211.00. The release period is from 08/15/2025 to 08/29/2025, with a delivery calendar of 45 days after receipt (A.R.O.). Shipping is set as "Best Way" with freight prepaid, and the payment terms are noted as "NA". The document includes provisions for purchase order requirements for state agencies and other purchasing entities, emphasizing the need for full contract execution before commencing work.
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Text version
21-416CMS-BOSS4-P-28449:352
Vendor Number: V00001529 Midwest Salt, LLC
1300 W. Washington Street West Chicago, IL 60510 customerservice@midwestsalt.net
(630) 513-7575
DJJ - Department of
21-416CMS-BOSS4-P-
28449:352
Contract/PO #: 21-416CMS-BOSS4-P- 28449
Release Order Number
Master Contract? Y
S H I P
T O
Illinois Youth Center-St. Charles 3825 Campton Hills Drive St. Charles, IL 60175
US
Email: john.e.wilkins@illinois.gov
(630) 584-0506
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
Illinois Youth Center-St. Charles 3825 Campton Hills Drive St. Charles, IL 60175
US
Email: john.e.wilkins@illinois.gov
(630) 584-0506
Solicitation (Bid) No.: N/A
Shipping Method: Best Way
Shipping Terms:
Release Begin Date: 08/15/2025 Release End Date: 08/29/2025
V E N D O R
Freight Terms: Freight Prepaid
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 45
Master Con/Ref #: 9100001231
ROCK SALT, BULK, TRUCKLOAD QTY. ZONE-1, FOR WATER SOFTENER APPLICATION USAGE. A.W.W.A. B200-07 ( OR LATEST )
STANDARD SPECIFICATION FOR SODIUM CHLORIDE, ROCK SALT, TRUCKLOAD MINIMUM ORDER.
BIDDER SHALL STATE THE BRAND NAME IN THE ALTERNATE DESCRIPTION BELOW.
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
25.00 TON$ 128.44 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 3,211.00
$ 3,211.00
$ 0.00
$ 0.00
APPROVED
By:
Phone#:
John Wilkins
(630) 584-0506
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:
CFO
8/14/2025
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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