Updated Signed Bid Buy Purchase Order 22 416CMS BOSS4 P 39072 90 PC 2026 Annual and Triennial Compliance Testing.PDF
PDF 70 KB Posted
- Contract number
- 22-416CMS-BOSS4-P-39072
- Issued by
- Illinois
About this file
This is a Purchase Order (PO #22-416CMS-BOSS4-P-39072:90) issued by the State of Illinois Department of Juvenile Justice (DJJ) to Stenstrom Petroleum Services Group, a vendor based in Rockford, Illinois. The purchase order is for services to be provided at the Illinois Youth Center-St. Charles facility located in St. Charles, Illinois. The document reflects a release order from an existing master contract (Reference #9100001433) with a contract period spanning from April 17, 2026, to June 26, 2026.
The contract covers 2026 Annual and Triennial Compliance Testing services for a fueling station in the North Region. The pricing structure includes two line items: seven (7) hours of Monday-Friday business hours labor (7 a.m. to 5 p.m.) at a rate of $156.00 per hour for the fourth year of the contract, totaling $1,092.00, and fifty (50) miles of mileage reimbursement at $0.73 per mile (based on the Illinois State Travel Control Board rate), totaling $36.50. The total contract value is $1,128.50. The labor rate is subject to prevailing wage requirements applicable to the highest rate across all counties within the North Region. Payment terms are net 30 days from receipt of invoice.
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Text version
22-416CMS-BOSS4-P-39072:90
Vendor Number: V00007035 Stenstrom Petroleum Services Group
2422 Center Street Rockford, IL 61108 amberp@rstenstrom.com
(815) 398-6250
Purchase Order
DJJ - Department of
22-416CMS-BOSS4-P-
39072:90
Contract/PO #: 22-416CMS-BOSS4-P- 39072
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
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: 04/17/2026 Release End Date: 06/26/2026
V E N D O R
Freight Terms:
Payment Terms: NA
Delivery Calendar Day(s) A.R.O.: 30
Master Con/Ref #: 9100001433
Item # 1
Class-Item 928-43
Peace Center at Saint Charles 2026 Annual and Triennial Compliance Testing. Fueling Station North Region M-F hourly labor rate: for services performed Monday-Friday, business hours, 7 am- 5 pm; hourly rate is for FOURTH YEAR of the contract; must minimally meet prevailing wage for the highest rate of all the counties within the region
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
7.00 HR$ 156.00 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 1,092.00
Item # 2
Class-Item 917-37
Peace Center at Saint Charles 2026 Annual and Triennial Compliance Testing. Fueling Station Per Mile Rate for all Regions: mileage calculated one way from the closest office to the service location or from the last service location to the next service location. Rate is based on the Illinois State Travel Control Board rate. Current rate can be found here: https://cms.illinois.gov/employees/travel.html
Quantity UOMUnit Price Discount % Total Discount
Amt.
Tax Rate Tax Amount Freight Total Cost
50.00 MI$ 0.73 0.00 % $ 0.00 $ 0.00 $ 0.00 $ 36.50
$ 1,128.50
$ 0.00
$ 0.00
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:
4/10/2026
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__________________________
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