Signed boa r 342997_10132026091704.pdf
PDF 282 KB Posted
- Contract number
- 27-426DOC-SHERI-P-103456
- Issued by
- Illinois
About this file
This is a State of Illinois Basic Ordering Agreement (BOA) under $50,000 between the State Agency Sheridan Correctional Center and vendor E&N Service Company. The contract is designated as BOA #27-426DOC-SHERI-R-342997 and is classified as a new purchase acquisition with payment upon receipt. Sheridan Correctional Center is located at 4017 E. 2603rd Road, Sheridan, Illinois 60551, with primary contact Michelle Grogan. E&N Service Company, owned by Ethan Miller, is located at 8408 N. Kilbuck Road, Monroe Center, Illinois 61052, with primary contact Nicole Disch. The vendor holds EIN 92-2046429 and is classified as a corporation not providing medical or health care services.
The contract covers a one-time purchase of HARRIS 4533 Safety-Silv 45 Silver Brazing Alloy, 1/16" diameter, with a quantity of two each at $188.00 per unit for a total contract value of $376.00. The contract term begins upon final signatures and extends through June 30, 2027. Billing and shipment are directed to Sheridan Correctional Center at the address listed above. The agreement was signed by vendor representative Ethan Miller on October 8, 2026, and by State of Illinois representative Lee Woods, identified as Warden.
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Text version
STATE OF ILLINOIS
BASIC ORDERING AGREEMENT (BOA) < $50,000
The terms and conditions of this BOA, including those terms and conditions set forth in the additional documents referenced below, and any continuation sheets, constitute the entire agreement between the parties with respect to the subject matter of this BOA. State documents will prevail in the event of a conflict between
State and Vendor documents.
CONTRACT INFORMATION
Contract #: 27-426D0C-SHERI-R-342997 Action: New Acquisition Type: Purchase Payment Cycle: Upon receipt Terms and Conditions: BOA Terms and Conditions
Term:
Begin Date:
Upon Final Signatures
CONTACT INFORMATION
Vendor Name: E&N Service Company Address: 8408 N. Kilbuck Rd. Monroe Center IL 61052 Contact: Nicole Disch Phone #: 262-206-2108
Email: enservicecompany@gmail.com Fax #: 262-997-0613
State Agency Name: Sheridan Correctional Center
Address: 4017 E. 2603rd Rd, Sheridan, IL 60551 Contact: Michelle Grogan Phone #: 815-496-2181 ext. 32006
Email: Michelle.Grogan @illinois.gov Fax#: N/A
Bill To:
End Date: Sheridan Correctional Center
6/30/2027 Address: 4017 E. 2603rd Rd.
Sheridan, IL 60551
Ship To:
Sheridan Correctional Center Address: 4017 E. 2603rd Rd.
Sheridan, IL 60551
ORDERING INFORMATION
Description One Time Charge
Unit Extension Item (manufacturer, model, serial number, feature, etc.) Qty
1 HARRIS 4533 SAFETY-SILV 45 SILVER BRAZING ALLOY 1/16" / 3 T.O. 2 EA $188.00 $376.00
The use of a brand name is for the purpose of describing the standard of quality, performance, and characteristics desired and is not intended to limit or restrict competition. "Or equal" submissions will not be rejected because of minor differences in design, construction or features that do not affect the suitability of the product for its intended use. Burden of proof that the product is equal is on the bidder. PLEASE INDICATE ANY ITEM
SUBSTITUTION(S). _______ _________________________ ________________ ______
COMPLETED/SIGNED BASIC ORDERING AGREEMENT (BOA) IS TO BE N/A N/A N/A
ATTACHED WITH QUOTE IN BIDBUY. __________________________ _________________ ________ _______
Page Total: $376.00
BOA Total (if multiple pages): $376.00 ______________
State of Illinois Chief Procurement Office General Services
BOA under $50,000 V.23.2
SIGNATURES The undersigned parties agree to these terms and conditions.
Vendor
Signature:
I Printed Name: Ethan Miller
Title: Member
Date: 10/8/26
State of Illinois
Signature agency representative:
Printed Name:
Title: Warden
Date
State of Illinois
State Agency:
Signature agency representative:
Printed Name:
Title:
Date:
State of Illinois
Signature agency representative:
Printed Name:
Title:
Date:
State of Illinois Chief Procurement Office General Services
BOA under $50,000
STATE OF ILLINOIS
TAXPAYER IDENTIFICATION NUMBER
certify that:
The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all 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).
o If you are an individual, enter your name and SSN as it appears on your Social Security Card.
o If you are a sole proprietor, enterthe 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's name on the name line and the D/B/A on the business name line and enter the owner's SSN or EIN.
" If the LLC is a corporation or partnership, enter the entity's business name and EIN and for corporations, 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 ElN.
Name: Ethan Miller
Business Name: E&N Service Company
Taxpayer Identification Number:
Social Security Number:
or
Employer Identification Number: 92-2046429
Legal Status (check one):
Individual Governmental
Sole Proprietor Nonresident alien
Partnership Estate or trust
Legal Services Corporation Pharmacy (Non-Corp.)
Tax-exempt Lii 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 medical and/or health care services
C = corporation
P = partnership
Signature of Authorized Representative
Date: September 21, 2026
State of Illinois chief Procurement Office General Services 10 Taxpayer Identification Number
File details come from the government source that posted it. Updated .