Signed po R-330224_07172026123108.pdf

24-41BCMS-BOSS4-P-66227:165

DOC - Corrections P.O. Date: 7/1612026

Release Order Number

Purchase Order

Vendor Number: V00001909 Nutrien Ag Solutions, Inc.

E POBox50 N 972 East Pearl St

D Kasota, MN 56050 Jesse.wolff@nutrien.com

L) (888) 495-8840 R

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.

24-416CMS-BOSS4-P-

66227:165

Master Contract? V

Master Con/Ref #: 9100001782

Contract/PO #: P-66227

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 US

L Email: Michelle.grogan@illinois.gov

(815)496-2181

I Shipping Method: Best Way Freight Terms: Freight Prepaid

Shipping Terms: I Payment Terms: NA I Solicitation (Bid) No.: N/A I I

Release Begin Date: 07/16/2026 Release End Date: 06/30/2027 Delivery Calendar Day(s) A.R.O.: 5 item # 1

Class-Item 675-90

HERBICIDE, METHOD 2405L OR EQUAL.

2.5 GALLON CONTAINERS, 2/CASE.

MINIMUM ORDER: 5 GAL.

CONTAINER SIZE: 2 X 2 1/2 GAL

Quantity I Unit Price I UOM ITotal I Discount %

Discount!

I I Tax Rate Tax Amount Freight Total Cost I Amt.

2.00 $357.12 GAL 0.DO % $0.00 $0.00 $0.00 $714.24

24-416CMS-BOSS4-P-66227:165

Item #2

Class-Item 675-90

HERBICIDE, ROUNDUP QUICKPRO SC TOTAL OR EQUAL.

2.5 GALLON CONTAINERS, 2/CASE

MINIMUM ORDER: 5 GAL.

CONTAINER SIZE: 2 X 2 1/2 GAL

Quantity Unit Price I UOM I Discount % 'Total Discount'

Tax Rate Tax Amountl Freight I Total Cost I Amt.

4.00 $58.00 GAL 0.00% $0.00 $0.00 $0.00 $232.00

TAX: $ 0.00

FREIGHT: $0.00

TOTAL: $946.24

24-416CMS-BOSS4-P-66227: 165

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 s-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: I a Title: A -

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__________________________

APPROVED

By: Amanda Crisman

Phone#:(815) 496-2181

BUYER