Signed pi R-330254_07172026123028.pdf
PDF 288 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 (Release Order Number 25-416CMS-BOSS4-P-75647:599) issued by the State of Illinois Department of Corrections to Shelby County Community Services, INC., a vendor located in Shelbyville, Illinois. The purchase order is a release from an existing master contract (Master Contract Reference #9100001917, Contract/PO #P-75647). The state agency contact is Michelle Grogan of the Department of Corrections, located in Sheridan, Illinois.
The purchase order specifies the procurement of unbleached single-fold paper towels, Class-Item 640-75, measuring 9.5" x 10.75" with a 27# basis weight and a minimum of 4,000 sheets per case. The towels contain 40% post-consumer recycled content and meet EPA guidelines. The order quantity is 250 cases at a unit price of $34.97 per case, resulting in a total cost of $8,742.50 with no applicable discounts, taxes, or freight charges. The release period runs from July 16, 2026 through December 6, 2026, with a delivery requirement of one calendar day after receipt of order. The purchase order was approved by buyer Amanda Crisman on July 10, 2026.
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Text version
25-416CMS-BOSS4-P-75647:599
DOC - Corrections Release Order Number
Purchase Order
Vendor Number: V00005019 Shelby County Community Services, INC.
E 1810 W South 3rd N Shelbyville, IL 62565
D sccsprod@sccsil.org
(217) 774-2924
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.
25-416CMS-BOSS4-P-
75647:599
Master Contract? Y
Master Con/Ref #: 9100001917
Contract/PO #: P-75647
Michelle Grogan s 4017 E. 2603rd Road Melissa Morsch
H Sheridan, IL 60551
I US
p Email: Michelle.grogan@illinois.gov
(815) 496-2181
T
Michelle Grogan
B 4017 E. 2603rd Road Melissa Morsch Sheridan, IL 60551
L u L Email: Michelle.grogan@illinois.gov
(815) 496-2181
T
Shipping Method: Freight Terms:
Shipping Terms: Payment Terms:
Solicitation (Bid) No.: N/A
Release Begin Date: 07/16/2026 Release End Date: 12/06/2026 Delivery Calendar Day(s) A.R.O.: 1
Item # 1
Class- Item 640-75
TOWEL, PAPER, SINGLE FOLD, UNBLEACHED, 9.5" X 10.75", 27# BASIS,
MINIMUM 4000/CASE
99% POST-CONSUMER RECYCLED MATERIAL: 40% POST-CONSUMER RECYCLED CONTENT. MEETS EPA GUIDELINES.
- 4000 per case
Quantity Unit Price I UOM Discount % 'Total Discount' I Tax Rate I 'Tax Amount' Freight I Total Cost I
Amt.
250.00 $34.97 CV 0.00% $0.00 $0.00 $0.00 $ 8,742.50
TAX: $ 0.00
FREIGHT: $0.00
TOTAL: $8,742.50
25-416CMS-BOSS4-P-75647:599
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 #:
Date:
State of Illinois Agency or Other Purchasing Entity Procuring State Agency or Entity: ___________
Snure:
Printed Name: I I I Title: " 4*.' Designee Signature: ___________________________
Printed Name: ________________________________
Title:
Date: -1 JI 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 CertlDisclosure Yes__________ No____________________________
APPROVED
By: Amanda Crisman
Phone#: (1R 4qt-7ipi
BUYER
File details come from the government source that posted it. Updated .