Signed Bid Buy Purchase Order P 75647 498 Facility Paper Towels.PDF
PDF 124 KB Posted
- Attached to
- Release State Use/Facilities for Persons with Severe Disabilities IL|25-416CMS-BOSS4-P-75647
- Contract number
- 25-416CMS-BOSS4-P-75647
- Issued by
- Illinois
About this file
This is a Purchase Order issued by the State of Illinois Department of Juvenile Justice (DJJ) to Shelby County Community Services, Inc., a vendor located in Shelbyville, Illinois. The purchase order is for delivery to the Illinois Youth Center-St. Charles facility in St. Charles, Illinois. The document references a master contract number 9100001917 and is dated June 5, 2026.
The purchase order is for 150 cases of multi-fold paper towels manufactured from 99% post-consumer recycled material, with a minimum order of 4,000 towels per case. Each towel measures approximately 9.25" x 9.50" and weighs 22 pounds per case. The unit price is $31.89 per case, with a total contract value of $4,783.50 with no taxes or freight charges. The release period for this order runs from June 22, 2026, through September 30, 2026, with delivery required within one calendar day of order. The purchase order requires signature execution by both the vendor and the State of Illinois agency before commencement of delivery.
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Text version
25-416CMS-BOSS4-P-75647:498
Vendor Number: V00005019 Shelby County Community Services, INC.
1810 W South 3rd Shelbyville, IL 62565 sccsprod@sccsil.org
(217) 774-2924
Purchase Order
DJJ - Department of Juvenile Justice
25-416CMS-BOSS4-P-
75647:498
Contract/PO #: 24-416CMS-BOSS4-P- 75647
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
--Please see specific requirements provided by the purchasing entity.
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:
Shipping Terms:
Release Begin Date: 06/22/2026 Release End Date: 09/30/2026
V E N D O R
Freight Terms:
Payment Terms:
Delivery Calendar Day(s) A.R.O.: 1
Master Con/Ref #: 9100001917
Item # 1 Class-Item 640-75
TOWEL, PAPER, MULTI-FOLD, NATURAL, 9.25" X 9.50" APPROX.
22 LB. CASE WEIGHT
99% POST-CONSUMER RECYCLED MATERIAL: 40% POST-CONSUMER RECYCLED CONTENT, 60% PRE-CONSUMER CONTENT
MINIMUM ORDER: SEE SPECIAL TERMS & CONDITIONS IN NOTES - 4000 per case - 4000 per case
Quantity UOMUnit Price Discount % Total Discount Amt. Tax Rate Tax Amount Freight Total Cost
150.00 CV$ 31.89 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 4,783.50
TOTAL: $ 4,783.50
TAX: $ 0.00
FREIGHT: $ 0.00
25-416CMS-BOSS4-P-75647:498
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:
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__________________________
6/5/2026
CFO
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