Signed po r335439_08202026132406.pdf
PDF 73 KB Posted
- Contract number
- 21-416CMS-BOSS4-P-31055
- Issued by
- Illinois
About this file
This is a Purchase Order issued by the State of Illinois Department of Corrections (DOC) to Globe Medical-Surgical Supply Co., a vendor located in Lansing, Illinois. The purchase order, numbered 21-416CMS-BOSS4-P-31055:842, is a release order under Master Contract 9100001296. The ordering entity is the DOC Corrections facility at Stateville in Cresthill, Illinois, with Michelle Grogan and Melissa Morsch designated as the primary shipping and billing contacts. The vendor, Globe Medical-Surgical Supply Co. (Vendor Number V00001085), is located at 17939 Chappel Avenue, Lansing, Illinois 60438.
The purchase order covers the procurement of two items of FDA-approved nitrile examination gloves, each specified as 9-inch, beaded cuff, 4-5 mil, powder-free, ambidextrous, medical-grade gloves with AQL Level 2.5 certification. Item #1 consists of 250 boxes of large-sized gloves at $8.20 per box, totaling $2,050.00, and Item #2 consists of 250 boxes of extra-large-sized gloves at $8.20 per box, also totaling $2,050.00. The combined order total is $4,100.00 with no applicable taxes or freight charges. The release period extends from August 19, 2026, to December 25, 2026, with a delivery requirement of 10 calendar days after receipt of order. Freight is prepaid by the vendor, and payment terms are listed as not applicable.
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Text version
21-416CMS-BOSS4-P-31055:842
DOC - Corrections
Release Order Number
Purchase Order 21-416CMS-BOSS4-P- 31055:842
Master Contract? Y
Master Con/Ref #: 9100001296
Contract/PO #: P-31055
Vendor Number: V00001085 Globe Medical-surgical supply Co.
E 17939 Chappel Avenue N Lansing, IL 60438
D cassie@globemedsupplies.com null
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.
Michelle Grogan s 4017 E. 2603rd Road
H Melissa Morsch 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
T
Shipping Method: I Freight Terms: Freight Prepaid
Payment Terms: NA Shipping Terms:
Solicitation (Bid) No.: N/A
Release Begin Date: 08/19/2026 Release End Date: 12/25/2026 Delivery Calendar Day(s) A.R.O.: 10
Item # 1
Class-Item 475-41
GLOVES, EXAM, NITRILE 9" UOM: EA=100/BOX LARGE, BEADED CUFF, 4-5 MIL, POWDER-FREE, AMBIDEXTROUS, MEDICAL GRADE.
MUST BE FDA APPROVED. AQL LEVEL 2.5.
I Quantity I Unit Price I UOM I Discount % 'Total Discount' I Tax Rate 'Tax Amountl Freight Total Cost
Amt.
250.00 $8.20 EA 0.00% $0.00 $0.00 $0.00 $2,050.00
s Business Administrator 20025 Division St.
H Cresthill, IL 60403
I US
Email: DOC.Stateville.BusinessOffice@illinois.gov
'D
(815) 727-3607
T
B Business Administrator 20025 Division St.
I Cresthill, IL 60403
L US
Email: DOC.Stateville.BusinessOffice@illinois.gov
L (815) 727-3607
T
Item #2
Class- Item 475-41
GLOVES, EXAM, NITRILE 9' UOM: EA=100/BOX X-LARGE, BEADED CUFF, 4-5 MIL, POWDER-FREE, AMBIDEXTROUS, MEDICAL GRADE.
MUST BE FDA APPROVED. AQL LEVEL 2.5.
Quantity Unit Price I UOM I Discount % 'Total Discount
Tax Rate Tax Amount Freight I Total Cost j Anit.
250.00 $8.20 EA 0.00% $0.00 $0.00 $ 0.00 $ 2,050.00
s Business Administrator 20025 Division St.
H Cresthill, IL 60403
US
Email: DOC.Stateville.BusinessOffice@illinois.gov
(815) 727-3607
B Business Administrator 20025 Division St.
Cresthill, IL 60403
L US
Email: DOC.Stateville.BusinessOffice@illinois.gov
L (815) 727-3607
T
TAX: $0.00
FREIGHT: $0.00
TOTAL: $4,100.00
The undersigned agree to the Terms and Conditions as acknowledged by the Vendor and maintained in the State of Illinois' a-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:
OFFICtAL 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: ( /(3f) LAEL Title:
Designee Signature: __________________________
Printed Name: ________________________________
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 Dale:_______________________ Financing Needed:________ IPG Cert/Disclosure Yes No
APPROVED
By: AmandaCrisman
Phone#: (R15 496-2181
BUYER
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