117
This is an award of a Quantity Purchase Agreement for Uniforms and Related Items. QPA can be mutually renewed for one additional year. The vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration date, but issued prior to the expiration date, and postmarked no later than 14 business days after the QPA's expiration date. Quantities are estimates and actual usage could be substantially more or less. 1 99,999,999.00 PR 93.9500 000000000100198633 Boot,Special Order Size,Tactical 8'',Male,IDOC,Black,Full Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable Innersole 2 99,999,999.00 PR 93.9500 000000000100198634 Boot,Tactical,8",M,7M,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 3 99,999,999.00 PR 93.9500 000000000100198635 Boot,Tactical,8",M,7W,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 4 99,999,999.00 PR 93.9500 000000000100198636 Boot,Tactical,8",M,7.5M,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 5 99,999,999.00 PR 93.9500 000000000100198637 Boot,7.5W,Tactical 8'',Male,IDOC,Black,Full Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable Innersole 6 99,999,999.00 PR 93.9500 000000000100198638 Boot,Tactical,8",M,8M,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 7 99,999,999.00 PR 93.9500 000000000100198639 Boot,Tactical,8",M,8W,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 8 99,999,999.00 PR 93.9500 000000000100198640 Boot,8.5M,Tactical 8'',Male, IDOC,Black,Full Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable Innersole 9 99,999,999.00 PR 93.9500 000000000100198641 Boot,Tactical,8",M,8.5W,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 10 99,999,999.00 PR 93.9500 000000000100198642 Boot,Tactical,8",M,9M,BK" Alpha Force Soft Toe,Full-grain leather,900 denier nylon combin upper,Non metallic stablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil & Quantity Purchase Agreement With The State Of Indiana Page 1 of 117 Requisition Nbr.: Uniforms and Related Items Qty Purchase Agreement QPA Number 0000000000000000000013038 Agency Number: Facility: ASA-RFP-13-21 Effective Date: 08/05/2013 Expiration Date: 02/28/2020 Vendor ID: Vendor Remit to: BLACKJACK UNIFORMS 7242 KENNEDY AVE. HAMMOND IN 46323 0000062282 Name and Address of Vendor: BLACKJACK UNIFORMS 7242 KENNEDY AVE. HAMMOND IN 46323 Vendor Telephone Nbr: 219/844-2870-- Name Of Contact Pers: JUDITH CROWELL Contact Email: FAX Number: 219/844-3511-- Line Number Quantity UNIT Article and Description Unit Price In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, Procurement Division, has the option to purchase the items listed below under the terms of this agreement. The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date. The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement. Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release. State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

This is an award of a Quantity Purchase Agreement for Uniforms and Related Items. QPA can be mutually renewed for one additional year. The vendor agrees to charge these prices for any products ordered on any QPA releasereceived after the expiration date, but issued prior to the expiration date, andpostmarked no later than 14 business days after the QPA's expiration date. Quantities are estimates and actual usage could be substantially more or less.

1 99,999,999.00 PR 93.9500000000000100198633 Boot,Special Order Size,Tactical

8'',Male,IDOC,Black,Full Grain Leather Toe & Side,Black Tri-DensityPolyurethane Sole, Ballistic Cloth Cordura Nylon Full WaterproofLiner,Removable Innersole

2 99,999,999.00 PR 93.9500000000000100198634 Boot,Tactical,8",M,7M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

3 99,999,999.00 PR 93.9500000000000100198635 Boot,Tactical,8",M,7W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

4 99,999,999.00 PR 93.9500000000000100198636 Boot,Tactical,8",M,7.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

5 99,999,999.00 PR 93.9500000000000100198637 Boot,7.5W,Tactical 8'',Male,IDOC,Black,Full Grain

Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic ClothCordura Nylon Full Waterproof Liner,Removable Innersole

6 99,999,999.00 PR 93.9500000000000100198638 Boot,Tactical,8",M,8M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

7 99,999,999.00 PR 93.9500000000000100198639 Boot,Tactical,8",M,8W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

8 99,999,999.00 PR 93.9500000000000100198640 Boot,8.5M,Tactical 8'',Male, IDOC,Black,Full Grain

Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic ClothCordura Nylon Full Waterproof Liner,Removable Innersole

9 99,999,999.00 PR 93.9500000000000100198641 Boot,Tactical,8",M,8.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

10 99,999,999.00 PR 93.9500000000000100198642 Boot,Tactical,8",M,9M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &

Quantity Purchase AgreementWith The State Of Indiana

Page1 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 2: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 11 99,999,999.00 PR 93.9500000000000100198643 Boot,Tactical,8",M,9W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

12 99,999,999.00 PR 93.9500000000000100198644 Boot,Tactical,8",M,9.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

13 99,999,999.00 PR 93.9500000000000100198645 Boot,Tactical,8",M,9.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

14 99,999,999.00 PR 93.9500000000000100198646 Boot,Tactical,8",M,10M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

15 99,999,999.00 PR 93.9500000000000100198647 Boot,Tactical,8",M,10W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

16 99,999,999.00 PR 93.9500000000000100198648 Boot,Tactical,8",M,10.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

17 99,999,999.00 PR 93.9500000000000100198649 Boot,Tactical,8",M,10.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

18 99,999,999.00 PR 93.9500000000000100198650 Boot,Tactical,8",M,11M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

19 99,999,999.00 PR 93.9500000000000100198651 Boot,Tactical,8",M,11W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

20 99,999,999.00 PR 93.9500000000000100198652 Boot,Tactical,8",M,11.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

21 99,999,999.00 PR 93.9500000000000100198653 Boot,Tactical,8",M,11.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

Quantity Purchase AgreementWith The State Of Indiana

Page2 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 3: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

22 99,999,999.00 PR 93.9500000000000100198654 Boot,Tactical,8",M,12M,BK" Alpha Force SoftToe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

23 99,999,999.00 PR 93.9500000000000100198655 Boot,Tactical,8",M,12W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

24 99,999,999.00 PR 93.9500000000000100198656 Boot,Tactical,8",M,13M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

25 99,999,999.00 PR 93.9500000000000100198657 Boot,Tactical,8",M,13W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

26 99,999,999.00 PR 93.9500000000000100198658 Boot,Tactical,8",M,14M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

27 99,999,999.00 PR 93.9500000000000100198659 Boot,Tactical,8",M,14W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

28 99,999,999.00 PR 93.9500000000000100198660 Boot,Tactical,8",M,15M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

29 99,999,999.00 PR 93.9500000000000100198661 Boot,Tactical,8",M,15W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

30 99,999,999.00 PR 93.9500000000000100198662 Boot,Tactical,8",M,16M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

31 99,999,999.00 PR 93.9500000000000100198663 Boot,Tactical,8",M,16W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

32 99,999,999.00 PR 93.9500000000000100198664 Boot,Special Order Size,Tactical

8'',Female,IDOC,Black,Full Grain Leather Toe & Side,Black Tri-DensityPolyurethane Sole, Ballistic Cloth Cordura Nylon Full WaterproofLiner,Removable Innersole

33 99,999,999.00 PR 93.9500000000000100198665 Boot,Tactical,8",W,5M,BK" Alpha Force Soft

Quantity Purchase AgreementWith The State Of Indiana

Page3 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 4: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

34 99,999,999.00 PR 93.9500000000000100198666 Boot,Tactical,8",W,5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

35 99,999,999.00 PR 93.9500000000000100198667 Boot,Tactical,8",W,5.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

36 99,999,999.00 PR 93.9500000000000100198668 Boot,Tactical,8",W,5.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

37 99,999,999.00 PR 93.9500000000000100198669 Boot,Tactical,8",W,6M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

38 99,999,999.00 PR 93.9500000000000100198670 Boot,Tactical,8",W,6W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

39 99,999,999.00 PR 93.9500000000000100198671 Boot,Tactical,8",W,6.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

40 99,999,999.00 PR 93.9500000000000100198672 Boot,Tactical,8",W,6.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

41 99,999,999.00 PR 93.9500000000000100198673 Boot,Tactical,8",W,7M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

42 99,999,999.00 PR 93.9500000000000100198674 Boot,Tactical,8",W,7W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

43 99,999,999.00 PR 93.9500000000000100198675 Boot,Tactical,8",W,7.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

44 99,999,999.00 PR 93.9500000000000100198676 Boot,Tactical,8",W,7.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &

Quantity Purchase AgreementWith The State Of Indiana

Page4 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 5: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof 45 99,999,999.00 PR 93.9500000000000100198677 Boot,Tactical,8",W,8M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

46 99,999,999.00 PR 93.9500000000000100198678 Boot,Tactical,8",W,8W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

47 99,999,999.00 PR 93.9500000000000100198679 Boot,Tactical,8",W,8.5M,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

48 99,999,999.00 PR 93.9500000000000100198680 Boot,Tactical,8",W,8.5W,BK" Alpha Force Soft

Toe,Full-grain leather,900 denier nylon combin upper,Non metallicstablizer,400 Grams of Thinsulate,Ultra Ins,airport footbed,Oil &slip-Resistant RigiTrac molded EVA/rubber outsole,Rocky Waterproof

49 99,999,999.00 PR 93.9500000000000100197831 Boot,Size 9M,Tactical 8'',Female,IDOC,Black,Full

Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, BallisticCloth Cordura Nylon Full Waterproof Liner,Removable Innersole

50 99,999,999.00 PR 93.9500000000000100197832 Boot,Size 9W, Tactical 8'',Female,IDOC,Black,Full

Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, BallisticCloth Cordura Nylon Full Waterproof Liner,Removable Innersole

51 99,999,999.00 PR 93.9500000000000100198681 Boot, 9.5M, Tactical 8'',Female,IDOC,Black,Full Grain

Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic ClothCordura Nylon Full Waterproof Liner,Removable Innersole

52 99,999,999.00 PR 93.9500000000000100198682 Boot,9.5W,Tactical 8'',Female,IDOC,Black,Full Grain

Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic ClothCordura Nylon Full Waterproof Liner,Removable Innersole

53 99,999,999.00 PR 93.9500000000000100197833 Boot,Size 10M,Tactical 8'',Female,IDOC,Black,Full

Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, BallisticCloth Cordura Nylon Full Waterproof Liner,Removable Innersole

54 99,999,999.00 PR 93.9500000000000100197834 Boot,Size 10W,Tactical 8'',IDOC,Black,Full Grain

Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic ClothCordura Nylon Full Waterproof Liner,Removable Innersole

55 99,999,999.00 PR 93.9500000000000100197835 Boot,Size 10.5M,Tactical 8'',Female,IDOC,Black,Full

Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, BallisticCloth Cordura Nylon Full Waterproof Liner,Removable Innersole

56 99,999,999.00 PR 93.9500000000000100197836 Boot,Size 10.5W,Tactical 8'',Female,IDOC,Black,Full

Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, BallisticCloth Cordura Nylon Full Waterproof Liner,Removable Innersole

57 99,999,999.00 PR 93.9500000000000100197837 Boot,Size 11M,Tactical 8'',Female,IDOC,Black,Full

Grain Leather Toe & Side,Black Tri-Density Polyurethane Sole, BallisticCloth Cordura Nylon Full Waterproof Liner,Removable Innersole

Quantity Purchase AgreementWith The State Of Indiana

Page5 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 6: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

58 99,999,999.00 PR 93.9500000000000100197838 Boot,11W,Tactical 8'',Female,IDOC,Black,Full Grain

Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic ClothCordura Nylon Full Waterproof Liner,Removable Innersole

59 99,999,999.00 EA 60.0000000000000100197742 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 24, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 60 99,999,999.00 EA 60.0000000000000100197743 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 26, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 61 99,999,999.00 EA 60.0000000000000100197744 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 28, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 62 99,999,999.00 EA 60.0000000000000100197745 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 30, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 63 99,999,999.00 EA 60.0000000000000100197746 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 32, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 64 99,999,999.00 EA 60.0000000000000100197747 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 34, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 65 99,999,999.00 EA 60.0000000000000100197748 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 36, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 66 99,999,999.00 EA 60.0000000000000100197749 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 38, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 67 99,999,999.00 EA 60.0000000000000100197750 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 40, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 68 99,999,999.00 EA 60.0000000000000100197751 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 42, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 69 99,999,999.00 EA 60.0000000000000100197752 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 44, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 70 99,999,999.00 EA 60.0000000000000100197753 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 46, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 71 99,999,999.00 EA 60.0000000000000100197754 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 48, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 72 99,999,999.00 EA 60.0000000000000100197755 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 50, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 73 99,999,999.00 EA 60.0000000000000100197756 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 52, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 74 99,999,999.00 EA 60.0000000000000100197757 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 54, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 75 99,999,999.00 EA 60.0000000000000100197758 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 56, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE

Quantity Purchase AgreementWith The State Of Indiana

Page6 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 7: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

76 99,999,999.00 EA 60.0000000000000100197759 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 58, HIGHGLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE

77 99,999,999.00 EA 60.0000000000000100197760 IDNR-LE, BELT, DUTY, CLASS A, LEATHER, SIZE 60, HIGH

GLOSS BLACK FINISH, 2.25" WIDE, 4-ROW STITCHING, FULLY-LINED, BRASS BUCKLE 78 99,999,999.00 EA 40.0000000000000100197764 IDNR-LE, BELT, DUTY, CLASS B, LEATHER, SIZE XSMALL

(20-26"), PLAIN BLACK LAMINATE W/LEATHER OUTER FINISH, 2" WIDE, 4-ROWSTITCHING, 3X LOCKING BUCKLE SYSTEM

79 99,999,999.00 EA 40.0000000000000100197765 IDNR-LE, BELT, DUTY, CLASS B, LEATHER, SIZE SMALL

(26-32"), PLAIN BLACK LAMINATE W/LEATHER OUTER FINISH, 2" WIDE, 4-ROWSTITCHING, 3X LOCKING BUCKLE SYSTEM

80 99,999,999.00 EA 40.0000000000000100197766 IDNR-LE, BELT, DUTY, CLASS B, LEATHER, SIZE MEDIUM

(32-38"), PLAIN BLACK LAMINATE W/LEATHER OUTER FINISH, 2" WIDE, 4-ROWSTITCHING, 3X LOCKING BUCKLE SYSTEM

81 99,999,999.00 EA 40.0000000000000100197767 IDNR-LE, BELT, DUTY, CLASS B, LEATHER, SIZE LARGE

(38-44"), PLAIN BLACK LAMINATE W/LEATHER OUTER FINISH, 2" WIDE, 4-ROWSTITCHING, 3X LOCKING BUCKLE SYSTEM

82 99,999,999.00 EA 40.0000000000000100197768 IDNR-LE, BELT, DUTY, CLASS B, LEATHER, SIZE XLARGE

(44-50"), PLAIN BLACK LAMINATE W/LEATHER OUTER FINISH, 2" WIDE, 4-ROWSTITCHING, 3X LOCKING BUCKLE SYSTEM

83 99,999,999.00 EA 40.0000000000000100197769 IDNR-LE, BELT, DUTY, CLASS B, LEATHER, SIZE 2XLARGE

(50-56"), PLAIN BLACK LAMINATE W/LEATHER OUTER FINISH, 2" WIDE, 4-ROWSTITCHING, 3X LOCKING BUCKLE SYSTEM

84 99,999,999.00 PR 230.0000000000000100204535 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 3D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

85 99,999,999.00 PR 230.0000000000000100204536 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 3EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

86 99,999,999.00 PR 230.0000000000000100204537 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 3.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

87 99,999,999.00 PR 230.0000000000000100204538 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 3.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

88 99,999,999.00 PR 230.0000000000000100204539 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 4D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

89 99,999,999.00 PR 230.0000000000000100204540 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 4EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

90 99,999,999.00 PR 230.0000000000000100204541 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 4.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEX

Quantity Purchase AgreementWith The State Of Indiana

Page7 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 8: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

LINER, 1000 DENIER NYLON UPPER 91 99,999,999.00 PR 230.0000000000000100204542 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 4.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

92 99,999,999.00 PR 230.0000000000000100204543 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

93 99,999,999.00 PR 230.0000000000000100204544 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

94 99,999,999.00 PR 230.0000000000000100204545 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 5.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

95 99,999,999.00 PR 230.0000000000000100204546 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 5.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

96 99,999,999.00 PR 230.0000000000000100204547 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 6D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

97 99,999,999.00 PR 230.0000000000000100204548 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 6EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

98 99,999,999.00 PR 230.0000000000000100204549 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 6.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

99 99,999,999.00 PR 230.0000000000000100204550 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 6.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

100 99,999,999.00 PR 230.0000000000000100204551 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 7D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

101 99,999,999.00 PR 230.0000000000000100204552 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 7EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

102 99,999,999.00 PR 230.0000000000000100204556 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 7.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

103 99,999,999.00 EA 230.0000000000000100230663 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 7.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

104 99,999,999.00 PR 230.0000000000000100204553 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 8D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

Quantity Purchase AgreementWith The State Of Indiana

Page8 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 9: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

105 99,999,999.00 PR 230.0000000000000100204554 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 8EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

106 99,999,999.00 PR 230.0000000000000100204555 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 8.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

107 99,999,999.00 PR 230.0000000000000100204557 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 8.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

108 99,999,999.00 PR 230.0000000000000100204558 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 9D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

109 99,999,999.00 PR 230.0000000000000100204559 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 9EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

110 99,999,999.00 EA 230.0000000000000100221304 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 9.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

111 99,999,999.00 EA 230.0000000000000100221305 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 9.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

112 99,999,999.00 PR 230.0000000000000100204560 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 10D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

113 99,999,999.00 PR 230.0000000000000100204561 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 10EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

114 99,999,999.00 PR 230.0000000000000100204562 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 10.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

115 99,999,999.00 PR 230.0000000000000100204563 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE

10.5EE (WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOFGORE-TEX LINER, 1000 DENIER NYLON UPPER

116 99,999,999.00 PR 230.0000000000000100204564 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 11D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

117 99,999,999.00 PR 230.0000000000000100204565 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 11EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

118 99,999,999.00 PR 230.0000000000000100204566 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 11.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

Quantity Purchase AgreementWith The State Of Indiana

Page9 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 10: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

119 99,999,999.00 PR 230.0000000000000100204567 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE

11.5EE (WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOFGORE-TEX LINER, 1000 DENIER NYLON UPPER

120 99,999,999.00 PR 230.0000000000000100204568 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 12D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

121 99,999,999.00 PR 230.0000000000000100204569 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 12EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

122 99,999,999.00 PR 230.0000000000000100204570 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 13D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

123 99,999,999.00 PR 230.0000000000000100204571 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 13EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

124 99,999,999.00 PR 230.0000000000000100204572 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 14D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

125 99,999,999.00 PR 230.0000000000000100204573 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 14EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

126 99,999,999.00 PR 230.0000000000000100204574 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 15D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

127 99,999,999.00 PR 230.0000000000000100204575 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 15EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

128 99,999,999.00 PR 230.0000000000000100204576 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 16D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

129 99,999,999.00 PR 230.0000000000000100204577 IDNR-LE, BOOT, 8" DUTY, MODEL 21210, MALE, SIZE 16EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER

130 99,999,999.00 PR 146.0000000000000100197777 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 3D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

131 99,999,999.00 PR 146.0000000000000100197778 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 3EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

132 99,999,999.00 PR 146.0000000000000100197779 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 3.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

Quantity Purchase AgreementWith The State Of Indiana

Page10 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 11: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

133 99,999,999.00 PR 128.5300000000000100197780 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 3.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

134 99,999,999.00 PR 128.5300000000000100197781 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 4D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

135 99,999,999.00 PR 128.5300000000000100197782 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 4EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

136 99,999,999.00 PR 128.5300000000000100197783 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 4.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

137 99,999,999.00 PR 128.5300000000000100197784 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 4.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

138 99,999,999.00 PR 128.5300000000000100197785 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

139 99,999,999.00 PR 128.5300000000000100197786 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

140 99,999,999.00 PR 128.5300000000000100197787 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 5.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

141 99,999,999.00 PR 128.5300000000000100197788 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 5.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

142 99,999,999.00 PR 128.5300000000000100197789 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 6D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

143 99,999,999.00 PR 146.0000000000000100197790 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 6EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

144 99,999,999.00 PR 146.0000000000000100197791 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 6.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

145 99,999,999.00 PR 146.0000000000000100197792 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 6.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

146 99,999,999.00 PR 146.0000000000000100197793 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 7D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

Quantity Purchase AgreementWith The State Of Indiana

Page11 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 12: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

147 99,999,999.00 PR 146.0000000000000100197794 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 7EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

148 99,999,999.00 EA 146.0000000000000100230664 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 7.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

149 99,999,999.00 PR 146.0000000000000100197798 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 7.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

150 99,999,999.00 PR 146.0000000000000100197795 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 8D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

151 99,999,999.00 PR 146.0000000000000100197796 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 8EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

152 99,999,999.00 PR 146.0000000000000100197797 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 8.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

153 99,999,999.00 PR 146.0000000000000100197799 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 8.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

154 99,999,999.00 PR 146.0000000000000100197800 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 9D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

155 99,999,999.00 PR 146.0000000000000100197801 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 9EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

156 99,999,999.00 EA 146.0000000000000100228365 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 9.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

157 99,999,999.00 EA 146.0000000000000100228366 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 9.5EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

158 99,999,999.00 PR 146.0000000000000100197802 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 10D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

159 99,999,999.00 PR 146.0000000000000100197803 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 10EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

160 99,999,999.00 PR 146.0000000000000100197804 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 10.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

Quantity Purchase AgreementWith The State Of Indiana

Page12 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 13: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

161 99,999,999.00 PR 146.0000000000000100197805 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE

10.5EE (WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOFGORE-TEX LINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

162 99,999,999.00 PR 146.0000000000000100197806 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 11D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

163 99,999,999.00 PR 146.0000000000000100197807 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 11EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

164 99,999,999.00 PR 146.0000000000000100197808 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 11.5D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

165 99,999,999.00 PR 146.0000000000000100197809 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE

11.5EE (WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOFGORE-TEX LINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

166 99,999,999.00 PR 146.0000000000000100197810 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 12D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

167 99,999,999.00 PR 146.0000000000000100197811 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE

12.5EE (WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOFGORE-TEX LINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

168 99,999,999.00 PR 146.0000000000000100197812 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 13D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

169 99,999,999.00 PR 146.0000000000000100197813 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 13EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

170 99,999,999.00 PR 146.0000000000000100197814 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 14D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

171 99,999,999.00 PR 146.0000000000000100197815 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 14EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

172 99,999,999.00 PR 146.0000000000000100197816 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 15D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

173 99,999,999.00 PR 146.0000000000000100197817 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 15EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

174 99,999,999.00 PR 146.0000000000000100197818 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 16D

(MEDIUM), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

Quantity Purchase AgreementWith The State Of Indiana

Page13 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 14: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

175 99,999,999.00 PR 146.0000000000000100197819 IDNR-LE, BOOT, 8" DUTY, MODEL 42980, MALE, SIZE 16EE

(WIDE), BLACK, FULL GRAIN LEATHER TOE & SIDE, 100% WATERPROOF GORE-TEXLINER, 1000 DENIER NYLON UPPER, OIL-RESISTANT OUTSOLE, NYLON SHANK

176 99,999,999.00 EA 6.5000000000000100196007 IDNR-ALL, HAT, STOCKING CAP STYLE, UNISEX, NATURAL,

WINTER WOOL, NO DNR LOGO 177 99,999,999.00 EA 4.0000000000000100196008 IDNR-ALL, HAT, STOCKING CAP STYLE, UNISEX, BLACK, NO

DNR LOGO 178 99,999,999.00 EA 85.1000000000000100197363 IDNR-PROPERTY, HAT, "SMOKEY BEAR" CAMPAIGN STYLE,

UNISEX, STRAW, TAN, SIZE CUSTOM ORDERED 179 99,999,999.00 EA 75.0000000000000100197367 IDNR-ALL, HOLDER FOR "SMOKEY BEAR" CAMPAIGN STYLE

HAT, PROTECTIVE STORAGE CASE 180 99,999,999.00 EA 195.5000000000000100195948 IDNR-LE, JACKET/LINER, SIZE SMALL, OUTERWEAR SYSTEM,

TUNDRA 181 99,999,999.00 EA 195.5000000000000100195949 IDNR-LE, JACKET/LINER, SIZE MEDIUM, OUTERWEAR SYSTEM,

TUNDRA 182 99,999,999.00 EA 195.5000000000000100195950 IDNR-LE, JACKET/LINER, SIZE LARGE, OUTERWEAR SYSTEM,

TUNDRA 183 99,999,999.00 EA 195.5000000000000100195951 IDNR-LE, JACKET/LINER, SIZE XL, OUTERWEAR SYSTEM,

TUNDRA 184 99,999,999.00 EA 195.5000000000000100195952 IDNR-LE, JACKET/LINER, SIZE 2XL, OUTERWEAR SYSTEM,

TUNDRA 185 99,999,999.00 EA 195.5000000000000100195953 IDNR-LE, JACKET/LINER, SIZE 3XL, OUTERWEAR SYSTEM,

TUNDRA 186 99,999,999.00 EA 212.0000000000000100195954 IDNR-LE, JACKET/LINER, SIZE 4XL, OUTERWEAR SYSTEM,

TUNDRA 187 99,999,999.00 EA 7.0000000000000100196009 IDNR-LE, TIE, SIZE SHORT (14.5"), BLACK 188 99,999,999.00 EA 7.0000000000000100196010 IDNR-LE, TIE, SIZE MEDIUM (18"), BLACK 189 99,999,999.00 EA 7.0000000000000100196011 IDNR-LE, TIE, SIZE LONG (20"), BLACK 190 99,999,999.00 EA 7.0000000000000100196012 IDNR-LE, TIE, SIZE XLONG (22"), BLACK 191 99,999,999.00 PR 103.9500000000000100197661 Boot, ISP, Duty, Size 7.5M, Black, Female, 8"

Lace-up, Full Grain Leather Upper w/Denier Nylon, Breathable Gore-TexLining, Slip Resistant Rubber Outsole, Goodyear Welt Construction

192 99,999,999.00 PR 103.9500000000000100197662 Boot, ISP, Duty, Size 7.5W, Black, Female, 8"

Lace-up, Full Grain Leather Upper w/Denier Nylon, Breathable Gore-TexLining, Slip Resistant Rubber Outsole, Goodyear Welt Construction

193 99,999,999.00 EA 23.0000000000000100197735 IDNR-LE, CHEMICAL AGENT AEROSOL HOLDER, CLASS A,

BLACK LEATHER, HIGH GLOSS FINISH, HIDDEN SNAP, 4" X 1.375"

Quantity Purchase AgreementWith The State Of Indiana

Page14 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 15: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

194 99,999,999.00 EA 24.0000000000000100197736 IDNR-LE, BATON HOLDER, CLASS A, BLACK LEATHER, HIGH

GLOSS FINISH, FITS BELTS UP TO 2.25" WIDE, FITS 21" EXPANDABLE BATONS 195 99,999,999.00 EA 27.0900000000000100197737 IDNR-LE, HANDCUFF HOLDER, CLASS A, BLACK LEATHER,

HIGH GLOSS FINISH, HIDDEN SNAP, FITS BELT UP TO 2.25" WIDE 196 99,999,999.00 EA 27.8400000000000100197740 IDNR-LE, AMMUNITION HOLDER, CLASS A, BELT ATTACHED,

DOUBLE MAGAZINE POUCH, BLACK LEATHER, HIGH GLOSS FINISH, FITS BELTS UP TO2.25" WIDE, HOLDS SIG SAUER P220

197 99,999,999.00 EA 22.4500000000000100197770 IDNR-LE, CHEMICAL AGENT AEROSOL HOLDER, CLASS B,

BLACK LEATHER, HIDDEN SNAP, 4" X 1.375" 198 99,999,999.00 EA 7.6100000000000100197771 IDNR-LE, FLASHLIGHT HOLDER, CLASS B, BLACK LEATHER,

NYLON-LOOK FINISH, BLACK SNAPS 199 99,999,999.00 EA 31.8100000000000100197772 IDNR-LE, HANDCUFF HOLDER, CLASS B, BLACK LEATHER,

NYLON-LOOK FINISH, HIDDEN SNAP, FITS BELT UP TO 2.25" WIDE 200 99,999,999.00 EA 27.8400000000000100197775 IDNR-LE, AMMUNITION HOLDER, CLASS B, BELT ATTACHMENT,

DOUBLE MAGAZINE POUCH, BLACK LEATHER, NYLON-LOOK FINISH, FITS BELTS UP TO2.25" WIDE, HOLDS SIG SAUER P220

201 99,999,999.00 EA 11.6300000000000100197763 IDNR-LE, PAGER HOLDER, BELT ATTACHMENT WITH HOOK &

LOOP FASTENER, BLACK LEATHER, STANDARD SIZE 202 99,999,999.00 EA 127.8400000000000100197738 IDNR-LE, FIREARM HOLSTER, CLASS A, RIGHT-HANDED, HIGH

GLOSS BLACK LEATHER, LEVEL III RETENTION, FITS SIG SAUER, 4.41" BBL, P220RDAK

203 99,999,999.00 EA 126.3100000000000100197739 IDNR-LE, FIREARM HOLSTER, CLASS A, LEFT-HANDED, HIGH

GLOSS BLACK LEATHER, LEVEL III RETENTION, FITS SIG SAUER, 4.41" BBL, P220RDAK

204 99,999,999.00 EA 93.0000000000000100197773 IDNR-LE, FIREARM HOLSTER, CLASS B, RIGHT-HANDED,

BLACK LEATHER, LEVEL III RETENTION, FITS SIG SAUER, 4.41" BBL, P220R DAK 205 99,999,999.00 EA 93.0000000000000100197774 IDNR-LE, FIREARM HOLSTER, CLASS B, LEFT-HANDED, BLACK

LEATHER, LEVEL III RETENTION, FITS SIG SAUER, 4.41" BBL, P220R DAK 206 99,999,999.00 SET 17.0000000000000100197741 IDNR-LE, BELT LOOP, CLASS A, SET OF 4, BLACK LEATHER,

16.0400 HIGH GLOSS FINISH, HIDDEN SNAP CONFIGURATION, MULTI-LAYERCONSTRUCTION, HOLDS DUTY BELT TO TROUSER BELT, FITS BELTS UP TO 2.25" WIDE,MODEL #62-4-9HS

207 99,999,999.00 EA 17.0000000000000100203377 IDNR-LE, BELT LOOP, CLASS B, SET OF 4, BLACK LEATHER

NYLON-LOOK FINISH, HIDDEN SNAP CONFIGURATION, MULTI-LAYER CONSTRUCTION,HOLDS DUTY BELT TO TROUSER BELT, FITS BELTS UP TO 2.25" WIDE

208 99,999,999.00 EA 24.0000000000000100204317 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 28",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

209 99,999,999.00 EA 24.0000000000000100204318 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 30",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROME

Quantity Purchase AgreementWith The State Of Indiana

Page15 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 16: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

BUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT 210 99,999,999.00 EA 24.0000000000000100204319 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 32",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

211 99,999,999.00 EA 24.0000000000000100204320 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 34",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

212 99,999,999.00 EA 24.0000000000000100204321 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 36",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

213 99,999,999.00 EA 24.0000000000000100204322 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 38",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

214 99,999,999.00 EA 24.0000000000000100204323 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 40",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

215 99,999,999.00 EA 24.0000000000000100204324 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 42",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

216 99,999,999.00 EA 24.0000000000000100204325 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 44",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

217 99,999,999.00 EA 24.0000000000000100204326 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 46",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

218 99,999,999.00 EA 26.0000000000000100204327 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 48",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

219 99,999,999.00 EA 26.0000000000000100204328 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 50",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

220 99,999,999.00 EA 28.0000000000000100204329 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 52",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

221 99,999,999.00 EA 28.0000000000000100204330 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 54",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

222 99,999,999.00 EA 28.0000000000000100204331 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 56",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

223 99,999,999.00 EA 28.0000000000000100204332 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 58",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

Quantity Purchase AgreementWith The State Of Indiana

Page16 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 17: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

224 99,999,999.00 EA 30.0000000000000100204333 IDNR-PROPERTY, BELT, UNISEX, TROUSER, SIZE 60",

BROWN, TOP GRAIN SADDLE LEATHER, 1.75" WIDE, BASKET WEAVE WITH CHROMEBUCKLE; SELECT SIZE NEAREST TO WAIST MEASUREMENT

225 99,999,999.00 EA 6.5000000000000100222940 IDNR-ALL, HAT, BASEBALL, UNISEX, SUMMER STYLE WITH

MESH BACKING, ADJUSTABLE FIT, BLACK, YELLOW "DNR" EMBROIDERY 226 99,999,999.00 EA 80.0000000000000100234771 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

SMALL (36-38" CHEST; 30-32" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

227 99,999,999.00 EA 80.0000000000000100234772 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

SMALL (36-38" CHEST; 30-32" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

228 99,999,999.00 EA 80.0000000000000100234773 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

MEDIUM (40-42" CHEST; 34-36" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

229 99,999,999.00 EA 80.0000000000000100234774 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

MEDIUM (40-42" CHEST; 34-36" WAIST), REGULAR (32" INSEAM), BROWN DUCK,COMES WITH DNR AND DIVISION BAR PATCHES

230 99,999,999.00 EA 80.0000000000000100234775 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

MEDIUM (40-42" CHEST; 34-36" WAIST), TALL (34" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

231 99,999,999.00 EA 80.0000000000000100234776 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

LARGE (44-46" CHEST; 38-40" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

232 99,999,999.00 EA 80.0000000000000100234777 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

LARGE (44-46" CHEST; 38-40" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

233 99,999,999.00 EA 80.0000000000000100234778 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE

LARGE (44-46" CHEST; 38-40" WAIST), TALL (34" INSEAM), BROWN DUCK, COMESWITH DNR AND DIVISION BAR PATCHES

234 99,999,999.00 EA 80.0000000000000100234779 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE XL

(48-50" CHEST; 42-44" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

235 99,999,999.00 EA 80.0000000000000100234780 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE XL

(48-50" CHEST; 42-44" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

236 99,999,999.00 EA 80.0000000000000100234781 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE XL

(48-50" CHEST; 42-44" WAIST), TALL (34" INSEAM), BROWN DUCK, COMES WITH DNRAND DIVISION BAR PATCHES

237 99,999,999.00 EA 80.0000000000000100234782 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 2XL

(52-54" CHEST; 46-48" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

Quantity Purchase AgreementWith The State Of Indiana

Page17 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 18: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

238 99,999,999.00 EA 80.0000000000000100234783 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 2XL(52-54" CHEST; 46-48" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

239 99,999,999.00 EA 80.0000000000000100234784 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 2XL

(52-54" CHEST; 46-48" WAIST), TALL (34" INSEAM), BROWN DUCK, COMES WITH DNRAND DIVISION BAR PATCHES

240 99,999,999.00 EA 80.0000000000000100234785 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 3XL

(56-58" CHEST; 50-52" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

241 99,999,999.00 EA 80.0000000000000100234786 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 3XL

(56-58" CHEST; 50-52" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

242 99,999,999.00 EA 80.0000000000000100234787 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 3XL

(56-58" CHEST; 50-52" WAIST), TALL (34" INSEAM), BROWN DUCK, COMES WITH DNRAND DIVISION BAR PATCHES

243 99,999,999.00 EA 80.0000000000000100234788 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 4XL

(60-62" CHEST; 54-56" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

244 99,999,999.00 EA 80.0000000000000100234789 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 4XL

(60-62" CHEST; 54-56" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

245 99,999,999.00 EA 80.0000000000000100234790 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 4XL

(60-62" CHEST; 54-56" WAIST), TALL (34" INSEAM), BROWN DUCK, COMES WITH DNRAND DIVISION BAR PATCHES

246 99,999,999.00 EA 80.0000000000000100234791 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 5XL

(64-66" CHEST; 58-60" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

247 99,999,999.00 EA 80.0000000000000100234792 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 5XL

(64-66" CHEST; 58-60" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

248 99,999,999.00 EA 80.0000000000000100234793 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 5XL

(64-66" CHEST; 58-60" WAIST), TALL (34" INSEAM), BROWN DUCK, COMES WITH DNRAND DIVISION BAR PATCHES

249 99,999,999.00 EA 80.0000000000000100234794 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 6XL

(68-70" CHEST; 62-64" WAIST), SHORT (30" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

250 99,999,999.00 EA 80.0000000000000100234795 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 6XL

(68-70" CHEST; 62-64" WAIST), REGULAR (32" INSEAM), BROWN DUCK, COMES WITHDNR AND DIVISION BAR PATCHES

251 99,999,999.00 EA 80.0000000000000100234796 IDNR-PROPERTY, COVERALLS, UNISEX, INSULATED, SIZE 6XL

(68-70" CHEST; 62-64" WAIST), TALL (34" INSEAM), BROWN DUCK, COMES WITH DNRAND DIVISION BAR PATCHES

Quantity Purchase AgreementWith The State Of Indiana

Page18 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 19: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

252 99,999,999.00 EA 35.0000000000000100234805 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZESMALL (36-38" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

253 99,999,999.00 EA 35.0000000000000100234806 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

MEDIUM (40-42" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

254 99,999,999.00 EA 35.0000000000000100234807 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

LARGE (44-46" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

255 99,999,999.00 EA 35.0000000000000100234808 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

XL (48-50" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

256 99,999,999.00 EA 35.0000000000000100234809 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

2XL (52-54" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

257 99,999,999.00 EA 35.0000000000000100234810 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

3XL (56-58" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

258 99,999,999.00 EA 35.0000000000000100234811 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

4XL (60-62" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

259 99,999,999.00 EA 8.5000000000000100197358 IDNR-PROPERTY, HAT, BOONIE, "FISHERMAN" STYLE W/BRIM

ALL THE WAY AROUND HAT, UNISEX, KHAKI, NO DNR LOGO 260 99,999,999.00 EA 19.0000000000000100195980 IDNR-PROPERTY, HOOD, UNISEX, BROWN DUCK, QUILT LINED,

ATTACHES TO BROWN DUCK JACKET, CANNOT BE USED ALONE 261 99,999,999.00 EA 112.1800000000000100234814 IDNR-PROPERTY, JACKET, UNISEX, BROWN DUCK, SIZE

MEDIUM, 100% COTTON, COMES WITH DNR AND DIVISION BAR PATCHES 262 99,999,999.00 EA 112.1800000000000100234815 IDNR-PROPERTY, JACKET, UNISEX, BROWN DUCK, SIZE

LARGE, 100% COTTON, COMES WITH DNR AND DIVISION BAR PATCHES 263 99,999,999.00 EA 112.1800000000000100234816 IDNR-PROPERTY, JACKET, UNISEX, BROWN DUCK, SIZE XL,

100% COTTON, COMES WITH DNR AND DIVISION BAR PATCHES 264 99,999,999.00 EA 112.1800000000000100234817 IDNR-PROPERTY, JACKET, UNISEX, BROWN DUCK, SIZE 2XL,

100% COTTON, COMES WITH DNR AND DIVISION BAR PATCHES 265 99,999,999.00 EA 112.1800000000000100234818 IDNR-PROPERTY, JACKET, UNISEX, BROWN DUCK, SIZE 3XL,

100% COTTON, COMES WITH DNR AND DIVISION BAR PATCHES 266 99,999,999.00 EA 112.1800000000000100234819 IDNR-PROPERTY, JACKET, UNISEX, BROWN DUCK, SIZE 4XL,

100% COTTON, COMES WITH DNR AND DIVISION BAR PATCHES 267 99,999,999.00 EA 52.8600000000000100195987 IDNR-PROPERTY, JACKET, UNISEX, FLEECE, SIZE MEDIUM,

BLACK, FULL ZIP FRONT, EMBROIDERED TRI-COLOR DNR LOGO 268 99,999,999.00 EA 52.8600000000000100195988 IDNR-PROPERTY, JACKET, UNISEX, FLEECE, SIZE LARGE,

Quantity Purchase AgreementWith The State Of Indiana

Page19 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 20: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

BLACK, FULL ZIP FRONT, EMBROIDERED TRI-COLOR DNR LOGO 269 99,999,999.00 EA 52.8600000000000100195989 IDNR-PROPERTY, JACKET, UNISEX, FLEECE, SIZE XL,

BLACK, FULL ZIP FRONT, EMBROIDERED TRI-COLOR DNR LOGO 270 99,999,999.00 EA 52.8600000000000100195990 IDNR-PROPERTY, JACKET, UNISEX, FLEECE, SIZE 2XL,

BLACK, FULL ZIP FRONT, EMBROIDERED TRI-COLOR DNR LOGO 271 99,999,999.00 EA 52.8600000000000100195991 IDNR-PROPERTY, JACKET, UNISEX, FLEECE, SIZE 3XL,

BLACK, FULL ZIP FRONT, EMBROIDERED TRI-COLOR DNR LOGO 272 99,999,999.00 EA 69.9500000000000100195824 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

SMALL (36-38" CHEST, 30-32" WAIST), SHORT (30" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

273 99,999,999.00 EA 69.9500000000000100195825 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

SMALL (36-38" CHEST, 30-32" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

274 99,999,999.00 EA 69.9500000000000100195827 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

MEDIUM (40-42" CHEST, 34-36" WAIST), SHORT (30" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

275 99,999,999.00 EA 69.9500000000000100195828 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

MEDIUM (40-42" CHEST, 34-36" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

276 99,999,999.00 EA 69.9500000000000100195830 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

LARGE (44-46" CHEST, 38-40" WAIST), SHORT (30" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

277 99,999,999.00 EA 69.9500000000000100195831 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

LARGE (44-46" CHEST, 38-40" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

278 99,999,999.00 EA 69.9500000000000100195833 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE XL

(48-50" CHEST, 42-44" WAIST), SHORT (30" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

279 99,999,999.00 EA 69.9500000000000100195834 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE XL

(48-50" CHEST, 42-44" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

280 99,999,999.00 EA 69.9500000000000100195836 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 2XL

(52-54" CHEST, 46-48" WAIST), SHORT (30" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

281 99,999,999.00 EA 69.9500000000000100195837 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 2XL

(52-54" CHEST, 46-48" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

282 99,999,999.00 EA 69.9500000000000100195838 Overalls, Insulated, Brown Duck - Property - Size 46

Length 28 283 99,999,999.00 EA 69.9500000000000100195839 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 3XL

(56-58" CHEST, 50-52" WAIST), SHORT (30" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page20 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 21: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

284 99,999,999.00 EA 69.9500000000000100195840 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 3XL

(56-58" CHEST, 50-52" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

285 99,999,999.00 EA 69.9500000000000100195842 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 4XL

(60-62" CHEST, 54-56" WAIST), SHORT (30" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

286 99,999,999.00 EA 69.9500000000000100195843 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 4XL

(60-62" CHEST, 54-56" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

287 99,999,999.00 EA 69.9500000000000100195844 Overalls, Insulated, Brown Duck - Property - Size 50

Length 28 288 99,999,999.00 EA 69.9500000000000100195845 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 5XL

(64-66" CHEST, 58-60" WAIST), SHORT (30" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

289 99,999,999.00 EA 69.9500000000000100195846 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 5XL

(64-66" CHEST, 58-60" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

290 99,999,999.00 EA 69.9500000000000100195848 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 6XL

(68-70" CHEST, 62-64" WAIST), SHORT (30" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

291 99,999,999.00 EA 77.9000000000000100195849 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 6XL

(68-70" CHEST, 62-64" WAIST), REGULAR (32" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

292 99,999,999.00 EA 34.8000000000000000034563 Rainwear Coat Special Order Size Black 210 Denier

Nylon Full Length Slash Pockets Snap Closing Interlocking Storm Front Additional Specifications Attached

293 99,999,999.00 EA 34.8000000000000100080906 Rainwear, jacket, Xsmall, Black, 100% Polyurethane

Coated Nylon, Snap Front Storm Fly, Snap Cuffs, Lay down collar, SlashPockets, Raglan Sleeves, Sealed Seams, Color matches Rain Pants

294 99,999,999.00 EA 34.8000000000000100008774 Rainwear, Jacket, Small, Black, 100% Polyurethane

Coated Nylon, Snap Front Storm Fly, Snap Cuffs, Lay Down Collar, SlashPockets, Raglan Sleeves, Sealed Seams, Color Matches Rain Pants

295 99,999,999.00 EA 34.8000000000000100008775 Rainwear, Jacket, Medium, Black, 100% Polyurethane

Coated Nylon, Snap Front Storm Fly, Snap Cuffs, Lay Down Collar, SlashPockets, Raglan Sleeves, Sealed Seams, Color Matches Rain Pants

296 99,999,999.00 EA 34.8000000000000100008776 Rainwear, Jacket, Large, Black, 100% Polyurethane

Coated Nylon, Snap Front Storm Fly, Snap Cuffs, Lay Down Collar, SlashPockets, Raglan Sleeves, Sealed Seams, Color Matches Rain Pants

297 99,999,999.00 EA 34.8000000000000100008777 Rainwear, Jacket, X-Large, Black, 100% Polyurethane

Coated Nylon, Snap Front Storm Fly, Snap Cuffs, Lay Down Collar, SlashPockets, Raglan Sleeves, Sealed Seams, Color Matches Rain Pants

Quantity Purchase AgreementWith The State Of Indiana

Page21 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 22: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

298 99,999,999.00 EA 34.8000000000000100008778 Rainwear, Jacket, 2X-Large, Black, 100% PolyurethaneCoated Nylon, Snap Front Storm Fly, Snap Cuffs, Lay Down Collar, SlashPockets, Raglan Sleeves, Sealed Seams, Color Matches Rain Pants

299 99,999,999.00 EA 34.8000000000000000034607 Rainwear Jacket 3XL Black 100% Polyurethane

Coated Nylon Snap Front Storm Fly Snap Cuffs Lay Down Collar SlashPockets Raglan Sleeves Sealed Seams Color Matches Rain Pants

300 99,999,999.00 EA 34.8000000000000000034608 Rainwear Jacket 4XL Black 100% Polyurethane

Coated Nylon Snap Front Storm Fly Snap Cuffs Lay Down Collar SlashPockets Raglan Sleeves Sealed Seams Color Matches Rain Pants

301 99,999,999.00 EA 34.8000000000000000034564 Rainwear Jacket Special Order Size Black 100%

Polyurethane Coated Nylon Snap Front Storm Fly Snap Cuffs Lay DownCollar Slash Pockets Raglan Sleeves Sealed Seams Color Matches RainPants

302 99,999,999.00 EA 34.8000000000000100080907 Rainwear, Pants, Xsmall, Black, 100% Polyurethane

Coated Nylon, Elastic Waist Hook & Loop Side Opening, Double Snap FlySealed Seams, Color matches Rain Jacket

303 99,999,999.00 EA 34.8000000000000100008779 Rainwear, Pants, Small, Black, 100% Polyurethane

Coated Nylon, Elastic Waist, Hook & Loop Side Opening, Double Snap Fly,Sealed Seams, Color Matches Rain Jacket

304 99,999,999.00 EA 31.2000000000000100008780 Rainwear, Pants, Medium, Black, 100% Polyurethane

Coated Nylon, Elastic Waist, Hook & Loop Side Opening, Double Snap Fly,Sealed Seams, Color Matches Rain Jacket

305 99,999,999.00 EA 31.2000000000000100008781 Rainwear, Pants, Large, Black, 100% Polyurethane

Coated Nylon, Elastic Waist, Hook & Loop Side Opening, Double Snap Fly,Sealed Seams, Color Matches Rain Jacket

306 99,999,999.00 EA 31.2000000000000100008782 Rainwear, Pants, X-Large, Black, 100% Polyurethane

Coated Nylon, Elastic Waist, Hook & Loop Side Opening, Double Snap Fly,Sealed Seams, Color Matches Rain Jacket

307 99,999,999.00 EA 34.8000000000000100008783 Rainwear, Pants, 2X-Large, Black, 100% Polyurethane

Coated Nylon, Elastic Waist, Hook & Loop Side Opening, Double Snap Fly,Sealed Seams, Color Matches Rain Jacket

308 99,999,999.00 EA 34.8000000000000000034609 Rainwear Pants 3XL Black 100% Polyurethane Coated

Nylon Elastic Waist Hook & Loop Side Opening Double Snap Fly SealedSeams Color Matches Rain Jacket

309 99,999,999.00 EA 34.8000000000000000034610 Rainwear Pants 4XL Black 100% Polyurethane Coated

Nylon Elastic Waist Hook & Loop Side Opening Double Snap Fly SealedSeams Color Matches Rain Jacket

310 99,999,999.00 EA 34.8000000000000000034565 Rainwear Pants Special Order Size Black 100%

Polyurethane Coated Nylon Elastic Waist Hook & Loop Side Opening DoubleSnap Fly Sealed Seams Color Matches Rain Jacket

311 99,999,999.00 EA 23.9500000000000100222910 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE XSMALL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page22 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 23: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

312 99,999,999.00 EA 23.9500000000000100222911 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE SMALL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

313 99,999,999.00 EA 23.9500000000000100222912 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE MEDIUM,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

314 99,999,999.00 EA 23.9500000000000100222913 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE LARGE,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

315 99,999,999.00 EA 23.9500000000000100222914 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

316 99,999,999.00 EA 23.9500000000000100222915 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 2XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

317 99,999,999.00 EA 23.9500000000000100222916 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 3XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

318 99,999,999.00 EA 23.9500000000000100222917 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 4XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED DNR LOGO 319 99,999,999.00 EA 25.9500000000000100222918 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 5XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

320 99,999,999.00 EA 25.9500000000000100222919 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 6XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

321 99,999,999.00 EA 18.9500000000000100195857 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE XSMALL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

322 99,999,999.00 EA 18.9500000000000100195858 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE SMALL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

323 99,999,999.00 EA 18.9500000000000100195859 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE MEDIUM,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

324 99,999,999.00 EA 18.9500000000000100195860 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE LARGE,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

325 99,999,999.00 EA 18.9500000000000100195861 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page23 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 24: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

326 99,999,999.00 EA 18.9500000000000100195862 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 2XL,KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

327 99,999,999.00 EA 18.9500000000000100195863 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 3XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

328 99,999,999.00 EA 18.9500000000000100279938 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 4XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR

329 99,999,999.00 EA 5.9500000000000100196014 IDNR-PROPERTY, SOCKS, UNISEX, CREW, SIZE MEDIUM (SHOE

9-11), OLIVE DRAB GREEN 330 99,999,999.00 EA 41.1300000000000100234755 IDNR-PROPERTY, SWEATER, COMMANDO STYLE, SIZE XSMALL,

CREW NECK, OLIVE DRAB GREEN, MENS MILITARY STYLING, COMES WITH DNR ANDDIVISION BAR PATCHES

331 99,999,999.00 EA 41.1300000000000100234756 IDNR-PROPERTY, SWEATER, COMMANDO STYLE, SIZE SMALL,

CREW NECK, OLIVE DRAB GREEN, MENS MILITARY STYLING, COMES WITH DNR ANDDIVISION BAR PATCHES

332 99,999,999.00 EA 41.1300000000000100234757 IDNR-PROPERTY, SWEATER, COMMANDO STYLE, SIZE MEDIUM,

CREW NECK, OLIVE DRAB GREEN, MENS MILITARY STYLING, COMES WITH DNR ANDDIVISION BAR PATCHES

333 99,999,999.00 EA 41.1300000000000100234758 IDNR-PROPERTY, SWEATER, COMMANDO STYLE, SIZE LARGE,

CREW NECK, OLIVE DRAB GREEN, MENS MILITARY STYLING, COMES WITH DNR ANDDIVISION BAR PATCHES

334 99,999,999.00 EA 41.1300000000000100234759 IDNR-PROPERTY, SWEATER, COMMANDO STYLE, SIZE XL, CREW

NECK, OLIVE DRAB GREEN, MENS MILITARY STYLING, COMES WITH DNR AND DIVISIONBAR PATCHES

335 99,999,999.00 EA 41.1300000000000100234760 IDNR-PROPERTY, SWEATER, COMMANDO STYLE, SIZE 2XL,

CREW NECK, OLIVE DRAB GREEN, MENS MILITARY STYLING, COMES WITH DNR ANDDIVISION BAR PATCHES

336 99,999,999.00 EA 18.0000000000000100195881 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE SMALL,

WINTER WHITE, SCREENPRINTED TRI-COLOR DNR LOGO 337 99,999,999.00 EA 18.0000000000000100195882 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE MEDIUM,

WINTER WHITE, SCREENPRINTED TRI-COLOR DNR LOGO 338 99,999,999.00 EA 18.0000000000000100195883 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE LARGE,

WINTER WHITE, SCREENPRINTED TRI-COLOR DNR LOGO 339 99,999,999.00 EA 18.0000000000000100195884 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE XL, WINTER

WHITE, SCREENPRINTED TRI-COLOR DNR LOGO 340 99,999,999.00 EA 18.0000000000000100195885 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 2XL,

WINTER WHITE, SCREENPRINTED TRI-COLOR DNR LOGO 341 99,999,999.00 EA 18.0000000000000100195886 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 3XL,

WINTER WHITE, SCREENPRINTED TRI-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page24 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 25: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

342 99,999,999.00 EA 52.0000000000000100222930 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE XSMALL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD,EMBROIDERED TRI-COLOR DNR LOGO

343 99,999,999.00 EA 52.0000000000000100222931 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE SMALL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

344 99,999,999.00 EA 52.0000000000000100222932 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE MEDIUM, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD,EMBROIDERED TRI-COLOR DNR LOGO

345 99,999,999.00 EA 52.0000000000000100222933 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE LARGE, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

346 99,999,999.00 EA 52.0000000000000100222934 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE XL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

347 99,999,999.00 EA 54.0000000000000100222935 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE 2XL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

348 99,999,999.00 EA 54.0000000000000100222936 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE 3XL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

349 99,999,999.00 EA 56.0000000000000100222937 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE 4XL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

350 99,999,999.00 EA 58.8000000000000100222938 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE 5XL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

351 99,999,999.00 EA 58.8000000000000100222939 IDNR-PROPERTY, SWEATSHIRT, ZIP FRONT, HOODED THERMAL,

SIZE 6XL, BLACK, FRONT HAND-WARMER POCKETS, DRAW STRING HOOD, EMBROIDEREDTRI-COLOR DNR LOGO

352 99,999,999.00 EA 25.0000000000000100195889 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

SMALL, FOREST GREEN, FRONT HAND WARMER POCKET, DRAW STRING HOOD,SCREENPRINTED TRI-COLOR DNR LOGO

353 99,999,999.00 EA 25.0000000000000100195890 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

MEDIUM, FOREST GREEN, FRONT HAND WARMER POCKET, DRAW STRING HOOD,SCREENPRINTED TRI-COLOR DNR LOGO

354 99,999,999.00 EA 25.0000000000000100195891 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

LARGE, FOREST GREEN, FRONT HAND WARMER POCKET, DRAW STRING HOOD,SCREENPRINTED TRI-COLOR DNR LOGO

355 99,999,999.00 EA 25.0000000000000100195892 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE XL,

FOREST GREEN, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page25 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 26: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

356 99,999,999.00 EA 25.0000000000000100195893 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

2XL, FOREST GREEN, FRONT HAND WARMER POCKET, DRAW STRING HOOD,SCREENPRINTED TRI-COLOR DNR LOGO

357 99,999,999.00 EA 25.0000000000000100195894 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

3XL, FOREST GREEN, FRONT HAND WARMER POCKET, DRAW STRING HOOD,SCREENPRINTED TRI-COLOR DNR LOGO

358 99,999,999.00 EA 25.0000000000000100195897 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

SMALL, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

359 99,999,999.00 EA 25.0000000000000100195898 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

MEDIUM, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

360 99,999,999.00 EA 25.0000000000000100195899 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

LARGE, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

361 99,999,999.00 EA 25.0000000000000100195900 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE XL,

SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTED TRI-COLORDNR LOGO

362 99,999,999.00 EA 25.0000000000000100195901 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

2XL, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

363 99,999,999.00 EA 25.0000000000000100195902 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

3XL, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

364 99,999,999.00 EA 25.0000000000000100195903 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

4XL, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

365 99,999,999.00 EA 16.3000000000000100222921 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

SMALL, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 366 99,999,999.00 EA 16.3000000000000100222922 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

MEDIUM, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 367 99,999,999.00 EA 16.3000000000000100222923 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

LARGE, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 368 99,999,999.00 EA 16.3000000000000100222924 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

XL, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 369 99,999,999.00 EA 16.3000000000000100222925 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

2XL, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 370 99,999,999.00 EA 16.3000000000000100222926 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

3XL, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 371 99,999,999.00 EA 16.3000000000000100222927 IDNR-PROPERTY, T-SHIRT, CREW NECK, LONG-SLEEVES, SIZE

Quantity Purchase AgreementWith The State Of Indiana

Page26 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 27: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

4XL, KHAKI, ALL COTTON, NO POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 372 99,999,999.00 EA 16.3000000000000100222929 T-Shirt, IDNR, Property, LS, 6X, Khaki, No Pockets,

screenprinted with DNR Logo 373 99,999,999.00 EA 11.3000000000000100200099 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE SMALL, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNRLOGO

374 99,999,999.00 EA 11.3000000000000100200100 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE MEDIUM, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNRLOGO

375 99,999,999.00 EA 11.3000000000000100200101 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE LARGE, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNRLOGO

376 99,999,999.00 EA 11.3000000000000100200102 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE XL, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 377 99,999,999.00 EA 11.3000000000000100200103 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE 2XL, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 378 99,999,999.00 EA 11.3000000000000100200104 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE 3XL, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 379 99,999,999.00 EA 11.3000000000000100200105 IDNR-PROPERTY, T-SHIRT, CREW NECK, SHORT-SLEEVES,

SIZE 4XL, KHAKI, ALL COTTON, CHEST POCKET, SCREENPRINTED TRI-COLOR DNR LOGO 380 99,999,999.00 EA 38.0000000000000100195993 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE MEDIUM, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 381 99,999,999.00 EA 38.0000000000000100195994 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE LARGE, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 382 99,999,999.00 EA 38.0000000000000100195995 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE XL, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 383 99,999,999.00 EA 38.0000000000000100195996 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE 2XL, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 384 99,999,999.00 EA 38.0000000000000100195997 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE 3XL, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 385 99,999,999.00 EA 38.0000000000000100195998 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE 4XL, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 386 99,999,999.00 EA 24.8600000000000100195999 IDNR-PROPERTY, WINDSHIRT, SIZE MEDIUM, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 387 99,999,999.00 EA 24.8600000000000100196000 IDNR-PROPERTY, WINDSHIRT, SIZE LARGE, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 388 99,999,999.00 EA 24.8600000000000100196001 IDNR-PROPERTY, WINDSHIRT, SIZE XL, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 389 99,999,999.00 EA 24.8600000000000100196002 IDNR-PROPERTY, WINDSHIRT, SIZE 2XL, BLACK, V-NECK,

Quantity Purchase AgreementWith The State Of Indiana

Page27 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 28: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 390 99,999,999.00 EA 24.8600000000000100196003 IDNR-PROPERTY, WINDSHIRT, SIZE 3XL, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 391 99,999,999.00 EA 24.8600000000000100196004 IDNR-PROPERTY, WINDSHIRT, SIZE 4XL, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 392 99,999,999.00 EA 24.8600000000000100279936 IDNR-PROPERTY, WINDSHIRT, SIZE X-SMALL, BLACK,

V-NECK, PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 393 99,999,999.00 EA 24.8600000000000100279937 IDNR-PROPERTY, WINDSHIRT, SIZE SMALL, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 394 99,999,999.00 EA 17.5000000000000100198742 Belt, IDOC,Small-26"-33",Black,2" Wide,3-layer

construction of heavy weight polypropylene webbing,55-gage polyethyleneplastic liner, hook & loop, durable heavy-duty 2” quick release buckle,twoplastic keepers on both sides of buckle

395 99,999,999.00 EA 17.5000000000000100198743 Belt,IDOC,Med-34"-41",Black, 2" Wide,3-layer

construction of heavy weight polypropylene webbing,55-gage polyethyleneplastic liner, hook & loop, durable heavy-duty 2” quick release buckle,twoplastic keepers on both sides of buckle,

396 99,999,999.00 EA 17.5000000000000100198744 Belt, IDOC, Lrg-41"-46" Black, 2" Wide,3-layer

construction of heavy weight polypropylene webbing,55-gage polyethyleneplastic liner, hook & loop, durable heavy-duty 2” quick release buckle,twoplastic keepers on both sides of buckle,

397 99,999,999.00 EA 17.5000000000000100198745 Belt, IDOC,XLrg-46"-56",Black,2" Wide,3-layer

construction of heavy weight polypropylene webbing,55-gage polyethyleneplastic liner, hook & loop, durable heavy-duty 2” quick release buckle,twoplastic keepers on both sides of buckle,

398 99,999,999.00 EA 17.5000000000000100198746 Belt, IDOC,XXL-56"-64",Black,2" Wide,3-layer

construction of heavy weight polypropylene webbing,55-gage polyethyleneplastic liner, hook & loop, durable heavy-duty 2” quick release buckle,twoplastic keepers on both sides of buckle,

399 99,999,999.00 EA 7.5000000000000100198747 Belt,IDOC,Trouser,Sm-27"-31"Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook& loop buckle closure

400 99,999,999.00 EA 7.5000000000000100198748 Belt,IDOC,Trouser,Med 31"-35",Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook& loop buckle closure

401 99,999,999.00 EA 7.5000000000000100198749 Belt,IDOC,Trouser,Lrg 35"-39",Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook& loop buckle closure

402 99,999,999.00 EA 7.5000000000000100198750 Belt,IDOC,Trouser,XLrg 39"-43",Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook& loop buckle closure

403 99,999,999.00 EA 6.7500000000000100198751 Belt,IDOC,Trouser,XXL 43"-51",Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook

Quantity Purchase AgreementWith The State Of Indiana

Page28 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 29: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

& loop buckle closure 404 99,999,999.00 EA 8.1000000000000100198752 Belt,IDOC,Trouser,XXXL 51"-59",Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook& loop buckle closure

405 99,999,999.00 EA 16.9500000000000100198753 Belt,IDOC,Trouser,XXXXL 59"-67",Black,1.5” wide

heavyweight stiff nylon webbing rounded at one end and incorporates a hook& loop buckle closure

406 99,999,999.00 EA 8.5000000000000000034606 Beret Lined 100% Wool Special Order Size Maroon

fully lined stiffener for placement of rank and insignia smooth wool felt sweatband military issue style

407 99,999,999.00 EA 8.5000000000000100080949 Beret, Lined, 6.75,100% Wool, Airborne Maroon,

Unlined, pre-shaped & ready to wear;feathers leather sweatband, Stiffenerfor Rank & Insignia,Smooth Wool felt,sweatband, millitary issue style

408 99,999,999.00 EA 8.5000000000000100080950 Beret, Lined, 7,100% Wool, Airborne Maroon, Unlined,

pre-shaped & ready to wear;feathers leather sweatband, Stiffener for Rank &Insignia,Smooth Wool felt,sweatband, millitary issue style

409 99,999,999.00 EA 8.5000000000000100080951 Beret, Lined, 7.25,100% Wool, Airborne Maroon,

Unlined, pre-shaped & ready to wear;feathers leather sweatband, Stiffenerfor Rank & Insignia,Smooth Wool felt,sweatband, millitary issue style

410 99,999,999.00 EA 8.5000000000000100080952 Beret, Lined, 7.5,100% Wool, Airborne Maroon,

Unlined, pre-shaped & ready to wear;feathers leather sweatband, Stiffenerfor Rank & Insignia,Smooth Wool felt,sweatband, millitary issue style

411 99,999,999.00 EA 8.5000000000000100080953 Beret, Lined, 7.75,100% Wool, Airborne Maroon,

Unlined, pre-shaped & ready to wear;feathers leather sweatband, Stiffenerfor Rank & Insignia,Smooth Wool felt,sweatband, millitary issue style

412 99,999,999.00 EA 8.5000000000000100080954 Beret, Lined, SERT ONLY, 6.75,100% Wool, Airborne

Maroon, Unlined, pre-shaped & ready to wear;feathers leather sweatband,Stiffener for Rank & Insignia,Smooth Wool felt,sweatband, millitary issuestyle

413 99,999,999.00 EA 8.5000000000000100080955 Beret, Lined, SERT ONLY, 7,100% Wool, Airborne

Maroon, Unlined, pre-shaped & ready to wear;feathers leather sweatband,Stiffener for Rank & Insignia,Smooth Wool felt,sweatband, millitary issuestyle

414 99,999,999.00 EA 8.5000000000000100080956 Beret, Lined, SERT ONLY, 7.25,100% Wool, Airborne

Maroon, Unlined, pre-shaped & ready to wear;feathers leather sweatband,Stiffener for Rank & Insignia,Smooth Wool felt,sweatband, millitary issuestyle

415 99,999,999.00 EA 8.5000000000000100080957 Beret, Lined, SERT ONLY, 7.5,100% Wool, Airborne

Maroon, Unlined, pre-shaped & ready to wear;feathers leather sweatband,Stiffener for Rank & Insignia,Smooth Wool felt,sweatband, millitary issuestyle

416 99,999,999.00 EA 8.5000000000000100080958 Beret, Lined, SERT ONLY 7.75,100% Wool, Airborne

Maroon, Unlined, pre-shaped & ready to wear;feathers leather sweatband,Stiffener for Rank & Insignia,Smooth Wool felt,sweatband, millitary issue

Quantity Purchase AgreementWith The State Of Indiana

Page29 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 30: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

style 417 99,999,999.00 PR 79.3500000000000100198573 Boot,Special Order Size,6'' Lace-up

Chukka,IDOC,Black,Male,full grain #1 grade cowhide leather,paddedcollar,fiberglass shank,removable cushioned & moisture wicking insole.Black slip resistant,high traction lug thread design sole

418 99,999,999.00 PR 71.0000000000000100198574 Boot,6M,6'' Lace-up Chukka,Size IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

419 99,999,999.00 PR 71.0000000000000100198575 Boot,Size 6EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

420 99,999,999.00 PR 71.0000000000000100198576 Boot,SIZE 6.5M,6'' Lace-up

Chukka,IDOC,Black,Male,full grain #1 grade cowhide leather,paddedcollar,fiberglass shank,removable cushioned & moisture wicking insole.Black slip resistant,high traction lug thread design sole

421 99,999,999.00 PR 71.0000000000000100198577 Boot,SIZE 6.5EW,6'' Lace-up

Chukka,IDOC,Black,Male,full grain #1 grade cowhide leather,paddedcollar,fiberglass shank,removable cushioned & moisture wicking insole.Black slip resistant,high traction lug thread design sole

422 99,999,999.00 PR 71.0000000000000100198578 Boot, SIZE 7M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole.Black slip resistant,high traction lugthread design sole

423 99,999,999.00 PR 71.0000000000000100198579 Boot,7EW,6'' Lace-up Chukka,Size 7EW,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

424 99,999,999.00 PR 71.0000000000000100198580 Boot,Size 7.5M,6'' Lace-up

Chukka,IDOC,Black,Male,full grain #1 grade cowhide leather,paddedcollar,fiberglass shank,removable cushioned & moisture wicking insole.Black slip resistant,high traction lug thread design sole

425 99,999,999.00 PR 71.0000000000000100198581 Boot,7.5EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

426 99,999,999.00 PR 71.0000000000000100198582 Boot,8M,6'' Lace-up Chukka,IDOC,Black,Male,full grain

#1 grade cowhide leather,padded collar,fiberglass shank,removable cushioned& moisture wicking insole. Black slip resistant,high traction lug threaddesign sole

427 99,999,999.00 PR 71.0000000000000100198583 Boot,8EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

Quantity Purchase AgreementWith The State Of Indiana

Page30 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 31: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

428 99,999,999.00 PR 71.0000000000000100198584 Boot,8.5M,6'' Lace-up Chukka,IDOC,Black,Male,fullgrain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

429 99,999,999.00 PR 71.0000000000000100198585 Boot,8.5EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

430 99,999,999.00 PR 71.0000000000000100198586 Boot,9M,6'' Lace-up Chukka,IDOC,Black,Male,full grain

#1 grade cowhide leather,padded collar,fiberglass shank,removable cushioned& moisture wicking insole. Black slip resistant,high traction lug threaddesign sole

431 99,999,999.00 PR 71.0000000000000100198587 Boot,9EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

432 99,999,999.00 PR 71.0000000000000100198588 Boot,9.5M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

433 99,999,999.00 PR 71.0000000000000100198589 Boot,9.5EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

434 99,999,999.00 PR 71.0000000000000100198590 Boot,10M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

435 99,999,999.00 PR 71.0000000000000100198591 Boot,10EW6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

436 99,999,999.00 PR 71.0000000000000100198592 Boot,10.5M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

437 99,999,999.00 PR 71.0000000000000100198593 Boot,10.5EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

438 99,999,999.00 PR 71.0000000000000100198594 Boot,11M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

439 99,999,999.00 PR 71.0000000000000100198595 Boot,11EW,6'' Lace-up Chukka,IDOC,Black,Male,full

Quantity Purchase AgreementWith The State Of Indiana

Page31 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 32: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

440 99,999,999.00 PR 71.0000000000000100198596 Boot,11.5M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

441 99,999,999.00 PR 71.0000000000000100198597 Boot,11.5EW6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

442 99,999,999.00 PR 71.0000000000000100198598 Boot,12M, 6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

443 99,999,999.00 PR 71.0000000000000100198599 Boot,12EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

444 99,999,999.00 PR 71.0000000000000100198600 Boot,13M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

445 99,999,999.00 PR 71.0000000000000100198601 Boot,13EW, 6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

446 99,999,999.00 PR 71.0000000000000100198602 Boot,14M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

447 99,999,999.00 PR 71.0000000000000100198603 Boot,14EW, 6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

448 99,999,999.00 PR 71.0000000000000100198604 Boot,15M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

449 99,999,999.00 PR 71.0000000000000100198605 Boot,IDOC,6'' Lace-up Chukka,Size

15EW,Black,Male,full grain #1 grade cowhide leather,paddedcollar,fiberglass shank,removable cushioned & moisture wicking insole.Black slip resistant,high traction lug thread design sole

450 99,999,999.00 PR 71.0000000000000100198606 Boot,16M,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lug

Quantity Purchase AgreementWith The State Of Indiana

Page32 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 33: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

thread design sole 451 99,999,999.00 PR 71.0000000000000100198607 Boot,16EW,6'' Lace-up Chukka,IDOC,Black,Male,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

452 99,999,999.00 PR 71.0000000000000100198608 Boot,Special Order, 6'' Lace-up

Chukka,IDOC,Black,Female,full grain #1 grade cowhide leather,paddedcollar,fiberglass shank,removable cushioned & moisture wicking insole.Black slip resistant,high traction lug thread design sole

453 99,999,999.00 PR 71.0000000000000100198609 Boot,5M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

454 99,999,999.00 PR 71.0000000000000100198610 Boot,5W,6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

455 99,999,999.00 PR 71.0000000000000100198611 Boot,5.5M,6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

456 99,999,999.00 PR 71.0000000000000100198612 Boot,5.5W, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

457 99,999,999.00 PR 71.0000000000000100198613 Boot,6M,6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

458 99,999,999.00 PR 71.0000000000000100198614 Boot,6W,6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

459 99,999,999.00 PR 71.0000000000000100198615 Boot,6.5M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

460 99,999,999.00 PR 71.0000000000000100198616 Boot,6.5W,6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

461 99,999,999.00 PR 71.0000000000000100198617 Boot,7M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

Quantity Purchase AgreementWith The State Of Indiana

Page33 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 34: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

462 99,999,999.00 PR 71.0000000000000100198618 Boot,7W, 6'' Lace-up Chukka,IDOC,Black,Female,fullgrain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

463 99,999,999.00 PR 71.0000000000000100198619 Boot,7.5M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

464 99,999,999.00 PR 71.0000000000000100198620 Boot,7.5W, 6'' Lace-up Chukka, IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

465 99,999,999.00 PR 71.0000000000000100198621 Boot, 8M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

466 99,999,999.00 PR 71.0000000000000100198622 Boot,8W,6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

467 99,999,999.00 PR 71.0000000000000100198623 Boot,8.5M, 6'' Lace-up Chukka, IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

468 99,999,999.00 PR 71.0000000000000100198624 Boot,8.5W, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

469 99,999,999.00 PR 71.0000000000000100198625 Boot,9M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

470 99,999,999.00 PR 71.0000000000000100198626 Boot,9W, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

471 99,999,999.00 PR 71.0000000000000100197828 Boot,Size 9.5M,6'' Lace-up Chukka,IDOC,Female,Black,

Full Grain #1 Grade Cowhide Leather,Padded Collar,FiberglassShank,Removable Cushoined & Moisture Wicking Insole. Black SlipResistant,High Traction Lug Thread Design Sole

472 99,999,999.00 PR 71.0000000000000100197829 Boot,Size 9.5W,6'' Lace-up Chukka,IDOC,Female,Black,

Full Grain #1 Grade Cowhide Leather,Padded Collar,FiberglassShank,Removable Cushoined & Moisture Wicking Insole. Black SlipResistant,High Traction Lug Thread Design Sole

473 99,999,999.00 PR 88.9600000000000100198683 Boot,Special Order Size,Male,10",Black,IDOC,Gore-tex

Quantity Purchase AgreementWith The State Of Indiana

Page34 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 35: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Fabric, Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

474 99,999,999.00 PR 88.9600000000000100198684 Boot, M, SIZE 7M,10",Black,IDOC,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

475 99,999,999.00 PR 88.9600000000000100198685 Boot,7W,10"Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

476 99,999,999.00 PR 88.9600000000000100198686 Boot,7.5M,10",Black,Male,IDOC,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

477 99,999,999.00 PR 88.9600000000000100198687 Boot,7.5W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

478 99,999,999.00 PR 88.9600000000000100198688 Boot,8M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

479 99,999,999.00 PR 88.9600000000000100198689 Boot,8W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

480 99,999,999.00 PR 88.9600000000000100198690 Boot,8.5M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

481 99,999,999.00 PR 88.9600000000000100198691 Boot,8.5W,10,"Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

482 99,999,999.00 PR 88.9600000000000100198692 Boot,9M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

483 99,999,999.00 PR 88.9600000000000100198693 Boot,9W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

484 99,999,999.00 PR 88.9600000000000100198694 Boot,9.5M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

485 99,999,999.00 PR 88.9600000000000100198695 Boot,9.5W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

486 99,999,999.00 PR 88.9600000000000100198696 Boot,10M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

Quantity Purchase AgreementWith The State Of Indiana

Page35 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 36: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

487 99,999,999.00 PR 88.9600000000000100198697 Boot,10W,10",Black,IDOC,Male,Gore-tex Fabric, WaterResistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

488 99,999,999.00 PR 88.9600000000000100198698 Boot,10.5M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

489 99,999,999.00 PR 88.9600000000000100198699 Boot,10.5W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

490 99,999,999.00 PR 88.9600000000000100198700 Boot,11M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

491 99,999,999.00 PR 88.9600000000000100198701 Boot,11W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

492 99,999,999.00 PR 88.9600000000000100198702 Boot,11.5M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

493 99,999,999.00 PR 88.9600000000000100198703 Boot,11.5W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

494 99,999,999.00 PR 88.9600000000000100198704 Boot,12M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

495 99,999,999.00 PR 88.9600000000000100198705 Boot,12W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

496 99,999,999.00 PR 88.9600000000000100198706 Boot,13M,10",BlackIDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

497 99,999,999.00 PR 88.9600000000000100198707 Boot,13W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

498 99,999,999.00 PR 88.9600000000000100198708 Boot,14M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

499 99,999,999.00 PR 88.9600000000000100198709 Boot,14W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

500 99,999,999.00 PR 88.9600000000000100198710 Boot,15M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

Quantity Purchase AgreementWith The State Of Indiana

Page36 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 37: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

501 99,999,999.00 PR 88.9600000000000100198711 Boot,15W,10",Black,IDOC,Male,Gore-tex Fabric, WaterResistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

502 99,999,999.00 PR 88.9600000000000100198712 Boot,16M,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

503 99,999,999.00 PR 88.9600000000000100198713 Boot,16W,10",Black,IDOC,Male,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

504 99,999,999.00 PR 88.9600000000000100198714 Boot,Special Order

Size,10",Black,IDOC,Female,Gore-tex Fabric, Water Resistant Leather,DryInsulating Protection,Side Zipper,Slip Resistant Lug Soles,FiberglassShank, Speed Lacing System,Removable Innersole

505 99,999,999.00 PR 88.9600000000000100198715 Boot,5M,10",Black,IDOC, Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

506 99,999,999.00 PR 88.9600000000000100198716 Boot,5W,10",Black,IDOC, Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

507 99,999,999.00 PR 88.9600000000000100198717 Boot,5.5M,10",Black,IDOC, Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

508 99,999,999.00 PR 88.9600000000000100198718 Boot,5.5W,10",Black,IDOC, Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

509 99,999,999.00 PR 88.9600000000000100198719 Boot,6M,10",Black,IDOC, Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

510 99,999,999.00 PR 88.9600000000000100198720 Boot,6W,10",Black,IDOC, Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

511 99,999,999.00 PR 88.9600000000000100198721 Boot,6.5M,10",Black,IDOC, Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

512 99,999,999.00 PR 88.9600000000000100198722 Boot,6.5W,10",Black,IDOC, Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

513 99,999,999.00 PR 88.9600000000000100198723 Boot,7M,10",Black,IDOC, Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

Quantity Purchase AgreementWith The State Of Indiana

Page37 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 38: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

514 99,999,999.00 PR 88.9600000000000100198724 Boot,7W,10",Black,IDOC, Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

515 99,999,999.00 PR 88.9600000000000100198725 Boot,7.5M,10",Black,IDOC, Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

516 99,999,999.00 PR 88.9600000000000100198726 Boot,7.5W,10",Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

517 99,999,999.00 PR 88.9600000000000100198727 Boot,8M,10",Black,IDOC,Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

518 99,999,999.00 PR 88.9600000000000100198728 Boot,8W,10,"Black,IDOC,Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

519 99,999,999.00 PR 88.9600000000000100198729 Boot,8.5M,10",Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

520 99,999,999.00 PR 88.9600000000000100198730 Boot,8.5W,10",Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

521 99,999,999.00 PR 88.9600000000000100197840 Boot,9M,10'',Black,IDOC,Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

522 99,999,999.00 PR 88.9600000000000100197841 Boot,9W,10'',Black,IDOC,Female,Gore-tex Fabric, Water

Resistant Leather,Dry Insulating Protection,Side Zipper,Slip Resistant LugSoles,Fiberglass Shank, Speed Lacing System,Removable Innersole

523 99,999,999.00 PR 88.9600000000000100198731 Boot,9.5M,10",Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

524 99,999,999.00 PR 88.9600000000000100198732 Boot,9.5W,10",Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

525 99,999,999.00 PR 88.9600000000000100197842 Boot,10M,10'',Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

Quantity Purchase AgreementWith The State Of Indiana

Page38 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 39: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

526 99,999,999.00 PR 88.9600000000000100197843 Boot,10W,10'',Black,IDOC,Female,Gore-tex Fabric,Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

527 99,999,999.00 PR 88.9600000000000100197844 Boot,10.5M,10'',Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

528 99,999,999.00 PR 88.9600000000000100197845 Boot,10.5W,10',Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

529 99,999,999.00 PR 88.9600000000000100197846 Boot,11M,10'',Black, IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

530 99,999,999.00 PR 88.9600000000000100197847 Boot,11W,10'',Black,IDOC,Female,Gore-tex Fabric,

Water Resistant Leather,Dry Insulating Protection,Side Zipper,SlipResistant Lug Soles,Fiberglass Shank, Speed Lacing System,RemovableInnersole

531 99,999,999.00 EA 7.0000000000000100111591 Cap, Knit Watch Cap, Dark Navy Blue, 100% Turbo

Acrylic, Brimless, 12" L x 8" w, IDOC Logo Embroidered on front 532 99,999,999.00 EA 9.0000000000000100111592 Cap, Baseball, Round IDOC Patch, Dark Navy Blue, 85%

Acrylic, 12% Wool, 3% Spandex, Reinforced Buckram Fronts, Six Rows VisorStitching, Closed Back, Embroidered Center Front and Center Back, Washable

533 99,999,999.00 EA 9.0000000000000100111593 Cap, Baseball, Custody Gold Shield w/Full Color

Indiana State Seal Patch, Dark Navy Blue, 85% Acrylic, 12% Wool, 3%Spandex, Reinforced Buckram Fronts, Six Rows Visor Stitching, Closed Back,Embroidered Center Front and Center Back, Washable

534 99,999,999.00 EA 5.0000000000000100008360 Cap, Fatigue, Summer, Small, Green Camouflage, Must

Meet Military Specifications 535 99,999,999.00 EA 5.0000000000000100008361 Cap, Fatigue, Summer, Medium, Green Camouflage, Must

Meet Military Specifications 536 99,999,999.00 EA 5.0000000000000100008362 Cap, Fatigue, Summer, Large, Green Camouflage, Must

Meet Military Specifications 537 99,999,999.00 EA 5.0000000000000100008363 Cap, Fatigue, Summer, X-Large, Green Camouflage, Must

Meet Military Specifications 538 99,999,999.00 EA 5.0000000000000100008364 Cap, Fatigue, Summer, 2X-Large, Green Camouflage,

Must Meet Military Specifications 539 99,999,999.00 EA 5.0000000000000100008365 Cap, Fatigue, Summer, Small, Olive Drab Green, Must

Meet Military Specifications 540 99,999,999.00 EA 5.0000000000000100008366 Cap, Fatigue, Summer, Medium, Olive Drab Green, Must

Quantity Purchase AgreementWith The State Of Indiana

Page39 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 40: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Meet Military Specifications 541 99,999,999.00 EA 5.0000000000000100008367 Cap, Fatigue, Summer, Large, Olive Drab Green, Must

Meet Military Specifications 542 99,999,999.00 EA 5.0000000000000100008368 Cap, Fatigue, Summer, X-Large, Olive Drab Green, Must

Meet Military Specifications 543 99,999,999.00 EA 5.0000000000000100008369 Cap, Fatigue, Summer, 2X-Large, Olive Drab Green,

Must Meet Military Specifications 544 99,999,999.00 EA 6.1000000000000100008375 Cap, Fatigue, Winter, w/Ear Flaps Small, Green

Camouflage, Must Meet Military Specifications 545 99,999,999.00 EA 6.1000000000000100008376 Cap, Fatigue, Winter, w/Ear Flaps Medium, Green

Camouflage, Must Meet Military Specifications 546 99,999,999.00 EA 6.1000000000000100008377 Cap, Fatigue, Winter, w/Ear Flaps Large, Green

Camouflage, Must Meet Military Specifications 547 99,999,999.00 EA 6.1000000000000100008378 Cap, Fatigue, Winter, w/Ear Flaps X-Large, Green

Camouflage, Must Meet Military Specifications 548 99,999,999.00 EA 6.1000000000000100008379 Cap, Fatigue, Winter, w/Ear Flaps 2X-Large, Green

Camouflage, Must Meet Military Specifications 549 99,999,999.00 EA 6.1000000000000100008380 Cap, Fatigue, Winter, w/Ear Flaps Small, Olive Drab

Green, Must Meet Military Specifications 550 99,999,999.00 EA 6.1000000000000100008381 Cap, Fatigue, Winter, w/Ear Flaps Medium, Olive Drab

Green, Must Meet Military Specifications 551 99,999,999.00 EA 6.1000000000000100008382 Cap, Fatigue, Winter, w/Ear Flaps Large, Olive Drab

Green, Must Meet Military Specifications 552 99,999,999.00 EA 6.1000000000000100008383 Cap, Fatigue, Winter, w/Ear Flaps X-Large, Olive Drab

Green, Must Meet Military Specifications 553 99,999,999.00 EA 6.1000000000000100008384 Cap, Fatigue, Winter, w/Ear Flaps 2X-Large, Olive

Drab Green, Must Meet Military Specifications 554 99,999,999.00 EA 46.0000000000000100008404 Coat, Fatigue, Uniform, Small-Regular, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

555 99,999,999.00 EA 46.0000000000000100008405 Coat, Fatigue, Uniform, Small-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

556 99,999,999.00 EA 46.0000000000000100008406 Coat, Fatigue, Uniform, Medium-Regular, Black, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

557 99,999,999.00 EA 46.0000000000000100008407 Coat, Fatigue, Uniform, Medium-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page40 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 41: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

558 99,999,999.00 EA 46.0000000000000100008408 Coat, Fatigue, Uniform, Large-Regular, Black, Water &Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

559 99,999,999.00 EA 46.0000000000000100008409 Coat, Fatigue, Uniform, Large-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

560 99,999,999.00 EA 46.0000000000000100008410 Coat, Fatigue, Uniform, XLarge-Regular, Black, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

561 99,999,999.00 EA 46.0000000000000100008411 Coat, Fatigue, Uniform, XLarge-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

562 99,999,999.00 EA 46.0000000000000100008412 Coat, Fatigue, Uniform, 2XLarge-Regular, Black, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

563 99,999,999.00 EA 46.0000000000000100008413 Coat, Fatigue, Uniform, 2XLarge-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

564 99,999,999.00 EA 46.0000000000000100008414 Coat, Fatigue, Uniform, 3XLarge-Regular, Black, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

565 99,999,999.00 EA 46.0000000000000100008415 Coat, Fatigue, Uniform, 3XLarge-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

566 99,999,999.00 EA 48.0000000000000100008416 Coat, Fatigue, Uniform, 4XLarge-Regular, Black, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

567 99,999,999.00 EA 48.0000000000000100008417 Coat, Fatigue, Uniform, 4XLarge-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

568 99,999,999.00 EA 48.0000000000000100008418 Coat, Fatigue, Uniform, 5XLarge-Regular, Black, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

569 99,999,999.00 EA 48.0000000000000100008419 Coat, Fatigue, Uniform, 5XLarge-Long, Black, Water &

Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

570 99,999,999.00 EA 46.0000000000000100008420 Coat, Fatigue, Uniform, Small-Regular, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

571 99,999,999.00 EA 46.0000000000000100008421 Coat, Fatigue, Uniform, Small-Long, O.D. Green, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page41 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 42: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

572 99,999,999.00 EA 46.0000000000000100008422 Coat, Fatigue, Uniform, Medium-Regular, O.D. Green,Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

573 99,999,999.00 EA 46.0000000000000100008423 Coat, Fatigue, Uniform, Medium-Long, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

574 99,999,999.00 EA 46.0000000000000100008424 Coat, Fatigue, Uniform, Large-Regular, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

575 99,999,999.00 EA 46.0000000000000100008425 Coat, Fatigue, Uniform, Large-Long, O.D. Green, Water

& Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

576 99,999,999.00 EA 46.0000000000000100008426 Coat, Fatigue, Uniform, XLarge-Regular, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

577 99,999,999.00 EA 46.0000000000000100008427 Coat, Fatigue, Uniform, XLarge-Long, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

578 99,999,999.00 EA 46.0000000000000100008428 Coat, Fatigue, Uniform, 2XLarge-Regular, O.D.

Green,Water & Wind Proof, Military Style, Removeable Insulated Liner,Additional Specifications Attached.

579 99,999,999.00 EA 46.0000000000000100008429 Coat, Fatigue, Uniform, 2XLarge-Long, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

580 99,999,999.00 EA 46.0000000000000100008430 Coat, Fatigue, Uniform, 3XLarge-Regular, O.D.

Green,Water & Wind Proof, Military Style, Removeable Insulated Liner,Additional Specifications Attached.

581 99,999,999.00 EA 46.0000000000000100008431 Coat, Fatigue, Uniform, 3XLarge-Long, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

582 99,999,999.00 EA 46.9500000000000100008432 Coat, Fatigue, Uniform, 4XLarge-Regular, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

583 99,999,999.00 EA 48.0000000000000100008433 Coat, Fatigue, Uniform, 4XLarge-Long, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

584 99,999,999.00 EA 48.0000000000000100008434 Coat, Fatigue, Uniform, 5XLarge-Regular, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

585 99,999,999.00 EA 48.0000000000000100008435 Coat, Fatigue, Uniform, 5XLarge-Long, O.D. Green,

Water & Wind Proof, Military Style, Removeable Insulated Liner, AdditionalSpecifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page42 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 43: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

586 99,999,999.00 EA 182.0000000000000000034665 Coveralls 65/35% Poly/Cotton Special Order Size NavyBlue IDOC Patches Pleated Bi-Swing Back Double Reinforced Knees Heavy DutyTwo Way Zipper Front Closure Additional Specifications Attached.

587 99,999,999.00 EA 139.9500000000000100080684 Coverall, 65/35% Poly/Cotton, Xsmall-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy dutyTwo Way Zipper Front Closure

588 99,999,999.00 EA 139.9500000000000100080685 Coverall, 65/35% Poly/Cotton, Xsmall-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy dutyTwo Way Zipper Front Closure

589 99,999,999.00 EA 139.9500000000000100009488 Coveralls, 65/35% Poly/Cotton, Small-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

590 99,999,999.00 EA 139.9500000000000100009489 Coveralls, 65/35% Poly/Cotton, Small-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

591 99,999,999.00 EA 182.0000000000000100009490 Coveralls, 65/35% Poly/Cotton, Medium-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

592 99,999,999.00 EA 182.0000000000000100009491 Coveralls, 65/35% Poly/Cotton, Medium-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

593 99,999,999.00 EA 182.0000000000000100009492 Coveralls, 65/35% Poly/Cotton, Large-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

594 99,999,999.00 EA 182.0000000000000100009493 Coveralls, 65/35% Poly/Cotton, Large-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

595 99,999,999.00 EA 182.0000000000000100009494 Coveralls, 65/35% Poly/Cotton, XLarge-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

596 99,999,999.00 EA 182.0000000000000100009495 Coveralls, 65/35% Poly/Cotton, XLarge-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

597 99,999,999.00 EA 182.0000000000000100009496 Coveralls, 65/35% Poly/Cotton, 2XLarge-Reg, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

598 99,999,999.00 EA 182.0000000000000100009497 Coveralls, 65/35% Poly/Cotton, 2XLarge-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

599 99,999,999.00 EA 182.0000000000000100009498 Coveralls, 65/35% Poly/Cotton, 3XLarge-Reg, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page43 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 44: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

600 99,999,999.00 EA 182.0000000000000100009499 Coveralls, 65/35% Poly/Cotton, 3XLarge-Long, NavyBlue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

601 99,999,999.00 EA 182.0000000000000100009500 Coveralls, 65/35% Poly/Cotton, 4XLarge-Reg, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

602 99,999,999.00 EA 182.0000000000000100009501 Coveralls, 65/35% Poly/Cotton, 4XLarge-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

603 99,999,999.00 PR 4.0500000000000100198733 Gloves, IDOC, Parade, White, Small, 100% Cotton,

Palms w/ Slip Resistant Grip 604 99,999,999.00 PR 4.0500000000000100198734 Gloves, IDOC, Parade, White, Medium, 100% Cotton,

Palms w/ Slip Resistant Grip 605 99,999,999.00 PR 4.0500000000000100198735 Gloves, IDOC, Parade, White, Large, 100% Cotton,

Palms w/ Slip Resistant Grip 606 99,999,999.00 PR 4.0500000000000100198736 Gloves, IDOC, Parade, White, Extra Large, 100%

Cotton, Palms w/ Slip Resistant Grip 607 99,999,999.00 PR 4.0500000000000100197830 Gloves, IDOC, Parade, White, 2X-Large, 100% Cotton,

Palms w/ Slip Resistant Grip 608 99,999,999.00 EA 19.9500000000000000034590 Gloves Insulated Winter Black leather and nylon

Small 609 99,999,999.00 PR 19.9500000000000100198737 Gloves, IDOC, Black, Size Small (7-7 1/2), Leather,

Winter, C70 Thinsulate Insulation, Brushed Tricot Inner Liner, LeatherCinch Straps

610 99,999,999.00 PR 19.9500000000000100198738 Gloves, IDOC, Black, Size Medium (8-8 1/2), Leather,

Winter, C70 Thinsulate Insulation, Brushed Tricot Inner Liner, LeatherCinch Straps

611 99,999,999.00 PR 19.9500000000000100198739 Gloves, IDOC, Black, Size Large (9-9 1/2), Leather,

Winter, C70 Thinsulate Insulation, Brushed Tricot Inner Liner, LeatherCinch Straps

612 99,999,999.00 PR 19.9500000000000100198740 Gloves, IDOC, Black, Size X-Large (10-10 1/2),

Leather, Winter, C70 Thinsulate Insulation, Brushed Tricot Inner Liner,Leather Cinch Straps

613 99,999,999.00 PR 19.9500000000000100198741 Gloves, IDOC, Black, Size 2X-Large (11-11 1/2),

Leather, Winter, C70 Thinsulate Insulation, Brushed Tricot Inner Liner,Leather Cinch Straps

614 99,999,999.00 EA 180.0000000000000000034649 Jacket Uniform IDOC Patch Special Order Size Dark

Navy Blue Removable Liner Water & Wind Proof Breathable Removable InsulatedLiner Additional Specifications Attached.

615 99,999,999.00 EA 143.9100000000000100008501 Jacket, Uniform, IDOC Patch, XSmall-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable Insulated

Quantity Purchase AgreementWith The State Of Indiana

Page44 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 45: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Liner, Additional Specifications Attached. 616 99,999,999.00 EA 143.9100000000000100008500 Jacket, Uniform, IDOC Patch, XSmall-Regular,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

617 99,999,999.00 EA 143.9100000000000100008499 Jacket, Uniform, IDOC Patch, XSmall-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

618 99,999,999.00 EA 143.9100000000000100008502 Jacket, Uniform, IDOC Patch, XSmall-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

619 99,999,999.00 EA 143.9100000000000100008505 Jacket, Uniform, IDOC Patch, Small-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

620 99,999,999.00 EA 143.9100000000000100008504 Jacket, Uniform, IDOC Patch, Small-Regular,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

621 99,999,999.00 EA 143.9100000000000100008503 Jacket, Uniform, IDOC Patch, Small-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

622 99,999,999.00 EA 143.9100000000000100008506 Jacket, Uniform, IDOC Patch, Small-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

623 99,999,999.00 EA 143.9100000000000100008509 Jacket, Uniform, IDOC Patch, Medium-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

624 99,999,999.00 EA 143.9100000000000100008508 Jacket, Uniform, IDOC Patch, Medium-Regular,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

625 99,999,999.00 EA 143.9100000000000100008507 Jacket, Uniform, IDOC Patch, Medium-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

626 99,999,999.00 EA 143.9100000000000100008510 Jacket, Uniform, IDOC Patch, Medium-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

627 99,999,999.00 EA 143.9100000000000100008513 Jacket, Uniform, IDOC Patch, Large-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

628 99,999,999.00 EA 143.9100000000000100008512 Jacket, Uniform, IDOC Patch, Large-Regular,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

629 99,999,999.00 EA 143.9100000000000100008511 Jacket, Uniform, IDOC Patch, Large-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page45 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 46: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

630 99,999,999.00 EA 143.9100000000000100008514 Jacket, Uniform, IDOC Patch, Large-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

631 99,999,999.00 EA 143.9100000000000100008517 Jacket, Uniform, IDOC Patch, XLarge-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

632 99,999,999.00 EA 143.9100000000000100008516 Jacket, Uniform, IDOC Patch, XLarge-Regular,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

633 99,999,999.00 EA 143.9100000000000100008515 Jacket, Uniform, IDOC Patch, XLarge-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

634 99,999,999.00 EA 143.9100000000000100008518 Jacket, Uniform, IDOC Patch, XLarge-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

635 99,999,999.00 EA 143.9100000000000100008521 Jacket, Uniform, IDOC Patch, 2XLarge-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

636 99,999,999.00 EA 143.9100000000000100008520 Jacket, Uniform, IDOC Patch, 2XLarge-Regular,Dark

Navy Blue, Removable Liner, Water & Wind Proof, Breathable, RemovableInsulated Liner, Additional Specifications Attached.

637 99,999,999.00 EA 143.9100000000000100008519 Jacket, Uniform, IDOC Patch, 2XLarge-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

638 99,999,999.00 EA 143.9100000000000100008522 Jacket, Uniform, IDOC Patch, 2XLarge-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

639 99,999,999.00 EA 143.9100000000000100008525 Jacket, Uniform, IDOC Patch, 3XLarge-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

640 99,999,999.00 EA 143.9100000000000100008524 Jacket, Uniform, IDOC Patch, 3XLarge-Regular,Dark

Navy Blue, Removable Liner, Water & Wind Proof, Breathable, RemovableInsulated Liner, Additional Specifications Attached.

641 99,999,999.00 EA 143.9100000000000100008523 Jacket, Uniform, IDOC Patch, 3XLarge-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

642 99,999,999.00 EA 143.9100000000000100008526 Jacket, Uniform, IDOC Patch, 3XLarge-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

643 99,999,999.00 EA 156.2100000000000100008529 Jacket, Uniform, IDOC Patch, 4XLarge-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page46 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 47: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

644 99,999,999.00 EA 156.2100000000000100008528 Jacket, Uniform, IDOC Patch, 4XLarge-Regular,Dark

Navy Blue, Removable Liner, Water & Wind Proof, Breathable, RemovableInsulated Liner, Additional Specifications Attached.

645 99,999,999.00 EA 156.2100000000000100008527 Jacket, Uniform, IDOC Patch, 4XLarge-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

646 99,999,999.00 EA 156.2100000000000100008530 Jacket, Uniform, IDOC Patch, 4XLarge-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

647 99,999,999.00 EA 156.2100000000000100008534 Jacket, Uniform, IDOC Patch, 5XLarge-Short,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

648 99,999,999.00 EA 156.2100000000000100008531 Jacket, Uniform, IDOC Patch, 5 XLarge-Regular,Dark

Navy Blue, Removable Liner, Water & Wind Proof, Breathable, RemovableInsulated Liner, Additional Specifications Attached.

649 99,999,999.00 EA 156.2100000000000100008533 Jacket, Uniform, IDOC Patch, 5XLarge-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

650 99,999,999.00 EA 156.2100000000000100008532 Jacket, Uniform, IDOC Patch, 5 XLarge-XLong,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

651 99,999,999.00 EA 156.2100000000000100008535 Jacket, Uniform, IDOC Patch, 6 XLarge-Regular,Dark

Navy Blue, Removable Liner, Water & Wind Proof, Breathable, RemovableInsulated Liner, Additional Specifications Attached.

652 99,999,999.00 EA 78.9500000000000000034650 Jumpsuit 65/35% Poly/Cotton Special Order Size Navy

Blue IDOC Patches Pleated Bi-Swing Back Double Reinforced Knees Heavy DutyTwo Way Zipper Front Closure Additional Specifications Attached.

653 99,999,999.00 EA 156.2100000000000100008536 Jacket, Uniform, IDOC Patch, 6XLarge-Long,Dark Navy

Blue, Removable Liner, Water & Wind Proof, Breathable, Removable InsulatedLiner, Additional Specifications Attached.

654 99,999,999.00 EA 69.9600000000000100080686 Jumpsuit, 65/35% Poly/Cotton, Xsmall-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy dutyTwo Way Zipper Front Closure

655 99,999,999.00 EA 69.9600000000000100008577 Jumpsuit, 65/35% Poly/Cotton, Small-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

656 99,999,999.00 EA 69.9600000000000100008576 Jumpsuit, 65/35% Poly/Cotton, Small-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

657 99,999,999.00 EA 78.9500000000000100008578 Jumpsuit, 65/35% Poly/Cotton, Medium-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page47 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 48: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

658 99,999,999.00 EA 78.9500000000000100008581 Jumpsuit, 65/35% Poly/Cotton, Large-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

659 99,999,999.00 EA 78.9500000000000100008580 Jumpsuit, 65/35% Poly/Cotton, Large-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

660 99,999,999.00 EA 78.9500000000000100008583 Jumpsuit, 65/35% Poly/Cotton, XLarge-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

661 99,999,999.00 EA 78.9500000000000100008582 Jumpsuit, 65/35% Poly/Cotton, XLarge-Long, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

662 99,999,999.00 EA 78.9500000000000100008585 Jumpsuit, 65/35% Poly/Cotton, 2XLarge-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

663 99,999,999.00 EA 78.9500000000000100008584 Jumpsuit, 65/35% Poly/Cotton, 2XLarge-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

664 99,999,999.00 EA 78.9500000000000100008587 Jumpsuit, 65/35% Poly/Cotton, 3XLarge-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

665 99,999,999.00 EA 78.9500000000000100008586 Jumpsuit, 65/35% Poly/Cotton, 3XLarge-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

666 99,999,999.00 EA 78.9500000000000100008589 Jumpsuit, 65/35% Poly/Cotton, 4XLarge-Reg, Navy Blue,

IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, Heavy DutyTwo Way Zipper Front Closure, Additional Specifications Attached.

667 99,999,999.00 EA 78.9500000000000100008588 Jumpsuit, 65/35% Poly/Cotton, 4XLarge-Long, Navy

Blue, IDOC Patches, Pleated Bi-Swing Back, Double Reinforced Knees, HeavyDuty Two Way Zipper Front Closure, Additional Specifications Attached.

668 99,999,999.00 EA 27.7900000000000100080947 Pants, fatique, Xsmall-R, Camouflage Green, Battle

Rip 65% Polyester/35% Cotton Ripstop, BDU Style, double knees for removablepads, button flap hip pockets, Two angled front slash pockets

669 99,999,999.00 EA 27.7900000000000100080948 Pants, fatique, Xsmall-L, Camouflage Green, Battle

Rip 65% Polyester/35% Cotton Ripstop, BDU Style, double knees for removablepads, button flap hip pockets, Two angled front slash pockets

670 99,999,999.00 EA 34.1000000000000100008704 Pant, Fatigue, BDU Style, Small-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

671 99,999,999.00 EA 34.1000000000000100008705 Pant, Fatigue, BDU Style, Small-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, Adjustable

Quantity Purchase AgreementWith The State Of Indiana

Page48 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 49: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Waist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

672 99,999,999.00 EA 34.1000000000000100008706 Pant, Fatigue, BDU Style, Medium-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

673 99,999,999.00 EA 34.1000000000000100008707 Pant, Fatigue, BDU Style, Medium-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

674 99,999,999.00 EA 34.1000000000000100008708 Pant, Fatigue, BDU Style, Large-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

675 99,999,999.00 EA 34.1000000000000100008709 Pant, Fatigue, BDU Style, Large-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

676 99,999,999.00 EA 34.1000000000000100008710 Pant, Fatigue, BDU Style, Xlarge-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

677 99,999,999.00 EA 34.1000000000000100008711 Pant, Fatigue, BDU Style, Xlarge-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

678 99,999,999.00 EA 34.1000000000000100008712 Pant, Fatigue, BDU Style, 2X-Lrg-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

679 99,999,999.00 EA 34.1000000000000100008713 Pant, Fatigue, BDU Style, 2X-Lrg-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

680 99,999,999.00 EA 34.1000000000000100008714 Pant, Fatigue, BDU Style, 3X-Lrg-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

681 99,999,999.00 EA 34.1000000000000100008715 Pant, Fatigue, BDU Style, 3X-Lrg-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

682 99,999,999.00 EA 34.1000000000000100008716 Pant, Fatigue, BDU Style, 4X-Lrg-R, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

Quantity Purchase AgreementWith The State Of Indiana

Page49 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 50: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

683 99,999,999.00 EA 34.1000000000000100008717 Pant, Fatigue, BDU Style, 4X-Lrg-L, Camouflage, 65/35

Polester/Cotton w/100% Rip Stop, Button Fly, Blousing Cuff Ties, AdjustableWaist Tabs, Double Fabric Seat and Knees, Additional SpecificationsAttached.

684 99,999,999.00 EA 34.1000000000000100080945 Pants, fatique, Xsmall-R, OD Green, Battle Rip 65%

Polyester/35% Cotton Ripstop, BDU Style, double knees for removable pads,button flap hip pockets, Two angled front slash pockets

685 99,999,999.00 EA 34.1000000000000100080946 Pants, fatique, Xsmall-L, OD Green, Battle Rip 65%

Polyester/35% Cotton Ripstop, BDU Style, double knees for removable pads,button flap hip pockets, Two angled front slash pockets

686 99,999,999.00 EA 34.1000000000000100008690 Pants, Fatigue, Small-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

687 99,999,999.00 EA 34.1000000000000100008691 Pants, Fatigue, Small-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

688 99,999,999.00 EA 34.1000000000000100008692 Pants, Fatigue, Medium-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

689 99,999,999.00 EA 34.1000000000000100008693 Pants, Fatigue, Medium-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

690 99,999,999.00 EA 34.1000000000000100008694 Pants, Fatigue, Large-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

691 99,999,999.00 EA 34.1000000000000100008695 Pants, Fatigue, Large-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

692 99,999,999.00 EA 34.1000000000000100008696 Pants, Fatigue, XLarge-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

693 99,999,999.00 EA 34.1000000000000100008697 Pants, Fatigue, XLarge-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

694 99,999,999.00 EA 34.1000000000000100008698 Pants, Fatigue, 2XLarge-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 Button

Quantity Purchase AgreementWith The State Of Indiana

Page50 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 51: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Fly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

695 99,999,999.00 EA 34.1000000000000100008699 Pants, Fatigue, 2XLarge-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

696 99,999,999.00 EA 34.1000000000000100008700 Pants, Fatigue, 3XLarge-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

697 99,999,999.00 EA 34.1000000000000100008701 Pants, Fatigue, 3XLarge-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

698 99,999,999.00 EA 34.1000000000000100008702 Pants, Fatigue, 4XLarge-Regular, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

699 99,999,999.00 EA 34.1000000000000100008703 Pants, Fatigue, 4XLarge-Tall, O.D. Green, 60/40

Cotton/Polyester, 6 Pocket-2 Rear & 2 Cargo w/Fused Button Flaps, 4 ButtonFly, Nylon Drawstring Blousing Fused Knotted &Tacked, AdditionalSpecifications Attached.

700 99,999,999.00 EA 32.7900000000000100080942 Shirt, Fatique, Long Sleeve, Xsmall-S, Camouflage

Green w/IDOC Emblem, Battle Rip 65% Polyester/35% Cotton Ripstop, 4 DoublePleated Flap Pockets, Double Fabric Elbows

701 99,999,999.00 EA 32.7900000000000100080943 Shirt, Fatique, Long Sleeve, Xsmall-R, Camauflage

Green w/IDOC Emblem, Battle Rip 65% Polyester/35% Cotton Ripstop, 4 DoublePleated Flap Pockets, Double Fabric Elbows

702 99,999,999.00 EA 32.7900000000000100080944 Shirt, Fatique, Long Sleeve, Xsmall-L, Camouflage

Green w/IDOC Emblem, Battle Rip 65% Polyester/35% Cotton Ripstop, 4 DoublePleated Flap Pockets, Double Fabric Elbows

703 99,999,999.00 EA 32.7900000000000100009245 Shirt, Fatigue, Long Sleeve, Small-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

704 99,999,999.00 EA 32.7900000000000100009246 Shirt, Fatigue, Long Sleeve, Small-R, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

705 99,999,999.00 EA 32.7900000000000100009247 Shirt, Fatigue, Long Sleeve, Small-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

706 99,999,999.00 EA 32.7900000000000100009248 Shirt, Fatigue, Long Sleeve, Medium-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

707 99,999,999.00 EA 32.7900000000000100009249 Shirt, Fatigue, Long Sleeve, Medium-R, Camouflage,

Quantity Purchase AgreementWith The State Of Indiana

Page51 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 52: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

708 99,999,999.00 EA 32.7900000000000100009250 Shirt, Fatigue, Long Sleeve, Medium-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

709 99,999,999.00 EA 32.7900000000000100009251 Shirt, Fatigue, Long Sleeve, Large-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

710 99,999,999.00 EA 32.7900000000000100009252 Shirt, Fatigue, Long Sleeve, Large-R, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

711 99,999,999.00 EA 32.7900000000000100009253 Shirt, Fatigue, Long Sleeve, Large-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

712 99,999,999.00 EA 32.7900000000000100009254 Shirt, Fatigue, Long Sleeve, Xlarge-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

713 99,999,999.00 EA 32.7900000000000100009255 Shirt, Fatigue, Long Sleeve, Xlarge-R, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

714 99,999,999.00 EA 32.7900000000000100009256 Shirt, Fatigue, Long Sleeve, Xlarge-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

715 99,999,999.00 EA 32.7900000000000100009257 Shirt, Fatigue, Long Sleeve, 2X-Lrg-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

716 99,999,999.00 EA 32.7900000000000100009258 Shirt, Fatigue, Long Sleeve, 2X-Lrg-R, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

717 99,999,999.00 EA 32.7900000000000100009259 Shirt, Fatigue, Long Sleeve, 2X-Lrg-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

718 99,999,999.00 EA 32.7900000000000100009260 Shirt, Fatigue, Long Sleeve, 3X-Lrg-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

719 99,999,999.00 EA 32.7900000000000100009261 Shirt, Fatigue, Long Sleeve, 3X-Lrg-R, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

720 99,999,999.00 EA 32.7900000000000100009262 Shirt, Fatigue, Long Sleeve, 3X-Lrg-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

721 99,999,999.00 EA 32.7900000000000100009263 Shirt, Fatigue, Long Sleeve, 4X-Lrg-S, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double Pleated

Quantity Purchase AgreementWith The State Of Indiana

Page52 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 53: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Flap Pockets, Double Fabric Elbows, Additional Specifications Attached 722 99,999,999.00 EA 32.7900000000000100009264 Shirt, Fatigue, Long Sleeve, 4X-Lrg-R, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

723 99,999,999.00 EA 32.7900000000000100009265 Shirt, Fatigue, Long Sleeve, 4X-Lrg-L, Camouflage,

w/IDOC Emblem, 65/35 Polyester/Cotton w/100% Rip Stop, 4 Double PleatedFlap Pockets, Double Fabric Elbows, Additional Specifications Attached

724 99,999,999.00 EA 32.7900000000000100080939 Shirt, Fatique, Long Sleeve, Xsmall-S, OD Green

w/IDOC Emblem, Battle Rip 65% Polyester/35% Cotton Ripstop, 4 DoublePleated Flap Pockets, Double Fabric Elbows

725 99,999,999.00 EA 32.7900000000000100080940 Shirt, Fatique, Long Sleeve, Xsmall-R, OD Green

w/IDOC Emblem, Battle Rip 65% Polyester/35% Cotton Ripstop, 4 DoublePleated Flap Pockets, Double Fabric Elbows

726 99,999,999.00 EA 32.7900000000000100080941 Shirt, Fatique, Long Sleeve, Xsmall-L, OD Green

w/IDOC Emblem, Battle Rip 65% Polyester/35% Cotton Ripstop, 4 DoublePleated Flap Pockets, Double Fabric Elbows

727 99,999,999.00 EA 32.7900000000000100009291 Shirt, Fatigue, Long Sleeve, Small/Reg., O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

728 99,999,999.00 EA 32.7900000000000100009292 Shirt, Fatigue, Long Sleeve, Small/Tall, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

729 99,999,999.00 EA 34.7900000000000100009293 Shirt, Fatigue, Long Sleeve, Medium/Short, O.D.Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

730 99,999,999.00 EA 34.7900000000000100009294 Shirt, Fatigue, Long Sleeve, Medium/Reg., O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

731 99,999,999.00 EA 34.7900000000000100009295 Shirt, Fatigue, Long Sleeve, Medium/Tall, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

732 99,999,999.00 EA 34.7900000000000100009296 Shirt, Fatigue, Long Sleeve, Large/Short, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

733 99,999,999.00 EA 34.7900000000000100009297 Shirt, Fatigue, Long Sleeve, Large/Reg., O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

Quantity Purchase AgreementWith The State Of Indiana

Page53 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 54: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

734 99,999,999.00 EA 34.7900000000000100009298 Shirt, Fatigue, Long Sleeve, Large/Tall, O.D. Green,60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

735 99,999,999.00 EA 34.7900000000000100009299 Shirt, Fatigue, Long Sleeve, XLrg/Short, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

736 99,999,999.00 EA 34.7900000000000100009300 Shirt, Fatigue, Long Sleeve, XLrg/Reg., O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

737 99,999,999.00 EA 34.7900000000000100009301 Shirt, Fatigue, Long Sleeve, XLrg/Tall, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

738 99,999,999.00 EA 34.7900000000000100009302 Shirt, Fatigue, Long Sleeve, 2XLrg/Short, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

739 99,999,999.00 EA 34.7900000000000100009303 Shirt, Fatigue, Long Sleeve, 2XLrg/Reg., O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

740 99,999,999.00 EA 34.7900000000000100009304 Shirt, Fatigue, Long Sleeve, 2XLrg/Tall, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

741 99,999,999.00 EA 34.7900000000000100009305 Shirt, Fatigue, Long Sleeve, 3XLrg/Short, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

742 99,999,999.00 EA 34.7900000000000100009306 Shirt, Fatigue, Long Sleeve, 3XLrg/Reg., O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows, Additional Specifications Attached.

743 99,999,999.00 EA 34.7900000000000100009307 Shirt, Fatigue, Long Sleeve, 3XLrg/Tall, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

744 99,999,999.00 EA 34.7900000000000100009308 Shirt, Fatigue, Long Sleeve, 4XLrg/Short, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

745 99,999,999.00 EA 34.7900000000000100009309 Shirt, Fatigue, Long Sleeve, 4XLrg/Reg., O.D. Green,

Quantity Purchase AgreementWith The State Of Indiana

Page54 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 55: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

746 99,999,999.00 EA 34.7900000000000100009310 Shirt, Fatigue, Long Sleeve, 4XLrg/Tall, O.D. Green,

60/40% Cotton/Polyester,4 Pocket BDU, Drain Holes in Bellows Pockets, FusedPocket Flaps & Collar,Chest Pencil Pocket,2 Piece Reinforced Elbows,Additional Specifications Attached.

747 99,999,999.00 EA 22.9500000000000100168690 Shirt,XSm-Tall,Grey,Maint. S/S Polo,with emb/round

IDOC patch on left chest. 748 99,999,999.00 EA 15.0000000000000100198096 Shirt, XS-Tall, S/S, Polo, Dark Navy Blue, without

EMB 749 99,999,999.00 EA 15.0000000000000100198097 Shirt, SM-Tall, S/S, Polo, Dark Navy Blue, without

EMB 750 99,999,999.00 EA 15.0000000000000100198098 Shirt, MED-Tall, S/S, Polo, Dark Navy Blue, without

EMB 751 99,999,999.00 EA 15.0000000000000100198099 Shirt, Large-Tall, S/S, Polo, Dark Navy Blue, without

EMB 752 99,999,999.00 EA 15.0000000000000100198100 Shirt,XLarge-Tall, S/S, Polo, Dark Navy Blue, without

EMB 753 99,999,999.00 EA 15.0000000000000100198101 Shirt, 2X-Tall, S/S, Polo, Dark Navy Blue, without

EMB 754 99,999,999.00 EA 15.0000000000000100198102 Shirt, 3X-Tall, S/S, Polo, Dark Navy Blue, without

EMB 755 99,999,999.00 EA 15.0000000000000100198103 Shirt, 4X-Tall, S/S, Polo, Dark Navy Blue, without

EMB 756 99,999,999.00 EA 15.0000000000000100198104 Shirt, 5X-Tall, S/S, Polo, Dark Navy Blue, without

EMB 757 99,999,999.00 EA 15.0000000000000100198105 Shirt, 6X-Tall, S/S, Polo, Dark Navy Blue, without

EMB 758 99,999,999.00 EA 17.0000000000000100198106 Shirt, XS-Reg. L/S, Polo, Dark Navy Blue, without EMB 759 99,999,999.00 EA 17.0000000000000100198107 Shirt, S-Reg. L/S, Polo, Dark Navy Blue, without EMB 760 99,999,999.00 EA 17.0000000000000100198108 Shirt, M-Reg. L/S, Polo, Dark Navy Blue, without EMB 761 99,999,999.00 EA 17.0000000000000100198109 Shirt, M-Reg. L/S, Polo, Dark Navy Blue, without EMB 762 99,999,999.00 EA 17.0000000000000100198110 Shirt, L-Reg. L/S, Polo, Dark Navy Blue, without EMB 763 99,999,999.00 EA 17.0000000000000100198111 Shirt, XL-Reg. L/S, Polo, Dark Navy Blue, without EMB 764 99,999,999.00 EA 17.0000000000000100198112 Shirt, 2X-Reg. L/S, Polo, Dark Navy Blue, without EMB 765 99,999,999.00 EA 17.0000000000000100198113 Shirt, 3X-Reg. L/S, Polo, Dark Navy Blue, without EMB

Quantity Purchase AgreementWith The State Of Indiana

Page55 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 56: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

766 99,999,999.00 EA 17.0000000000000100198114 Shirt, 4X-Reg. L/S, Polo, Dark Navy Blue, without EMB 767 99,999,999.00 EA 17.0000000000000100198115 Shirt, 5X-Reg. L/S, Polo, Dark Navy Blue, without EMB 768 99,999,999.00 EA 17.0000000000000100198116 Shirt, 6X-Reg. L/S, Polo, Dark Navy Blue, without EMB 769 99,999,999.00 EA 17.0000000000000100198117 Shirt, XS - Tall, L/S, Polo, Dark Navy Blue without

EMB 770 99,999,999.00 EA 17.0000000000000100198118 Shirt, S - Tall, L/S, Polo, Dark Navy Blue without

EMB 771 99,999,999.00 EA 17.0000000000000100198119 Shirt, MED - Tall, L/S, Polo, Dark Navy Blue without

EMB 772 99,999,999.00 EA 17.0000000000000100198120 Shirt, Large- Tall, L/S, Polo, Dark Navy Blue without

EMB 773 99,999,999.00 EA 17.0000000000000100198121 Shirt, XL- Tall, L/S, Polo, Dark Navy Blue without

EMB 774 99,999,999.00 EA 17.0000000000000100198122 Shirt, 2X- Tall, L/S, Polo, Dark Navy Blue without

EMB 775 99,999,999.00 EA 17.0000000000000100198123 Shirt, 3X- Tall, L/S, Polo, Dark Navy Blue without

EMB 776 99,999,999.00 EA 17.0000000000000100198124 Shirt, 4X- Tall, L/S, Polo, Dark Navy Blue without

EMB 777 99,999,999.00 EA 17.0000000000000100198125 Shirt, 5X- Tall, L/S, Polo, Dark Navy Blue without

EMB 778 99,999,999.00 EA 17.0000000000000100198126 Shirt, 6X- Tall, L/S, Polo, Dark Navy Blue without

EMB 779 99,999,999.00 EA 19.5000000000000100168770 Shirt,XSm-REG,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 780 99,999,999.00 EA 19.5000000000000100168771 Shirt,Sm-REG,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 781 99,999,999.00 EA 19.5000000000000100168772 Shirt,MED-REG,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 782 99,999,999.00 EA 19.5000000000000100168773 Shirt,Large-REG,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 783 99,999,999.00 EA 19.5000000000000100168774 Shirt,XLarge-REG,Grey,L/S Polo,"SERGEANT"with

emb/gold sheild on left chest. 784 99,999,999.00 EA 19.5000000000000100168775 Shirt,2XLarge-REG,Grey,L/S Polo,"SERGEANT"with

emb/gold sheild on left chest. 785 99,999,999.00 EA 19.5000000000000100168776 Shirt,3XLarge-REG,Grey,L/S Polo,"SERGEANT"with

Quantity Purchase AgreementWith The State Of Indiana

Page56 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 57: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

emb/gold sheild on left chest. 786 99,999,999.00 EA 19.5000000000000100168777 Shirt,4XLarge-REG,Grey,L/S Polo,"SERGEANT"with

emb/gold sheild on left chest. 787 99,999,999.00 EA 19.5000000000000100168778 Shirt,5XLarge-REG,Grey,L/S Polo,"SERGEANT"with

emb/gold sheild on left chest. 788 99,999,999.00 EA 19.5000000000000100168779 Shirt,6XLarge-REG,Grey,L/S Polo,"SERGEANT"with

emb/gold sheild on left chest. 789 99,999,999.00 EA 19.5000000000000100168780 Shirt,XSm-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 790 99,999,999.00 EA 19.5000000000000100168781 Shirt,SM-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 791 99,999,999.00 EA 19.5000000000000100168782 Shirt,MED-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 792 99,999,999.00 EA 19.5000000000000100168783 Shirt,Large-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 793 99,999,999.00 EA 19.5000000000000100168784 Shirt,XLarge-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 794 99,999,999.00 EA 19.5000000000000100168785 Shirt,2XLarge-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 795 99,999,999.00 EA 19.5000000000000100168786 Shirt,3XLarge-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 796 99,999,999.00 EA 19.5000000000000100168787 Shirt,4XLarge-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 797 99,999,999.00 EA 19.5000000000000100168788 Shirt,5XLarge-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 798 99,999,999.00 EA 19.5000000000000100168789 Shirt,6XLarge-T,Grey,L/S Polo,"SERGEANT"with emb/gold

sheild on left chest. 799 99,999,999.00 EA 15.0000000000000100229034 Shirt, Polo, XS- Tall- Short Sleeve, Grey, without

the emb/gold on the left chest 800 99,999,999.00 EA 15.0000000000000100229035 Shirt, Polo, Sm- Tall- Short Sleeve, Grey, without

the emb/gold on the left chest 801 99,999,999.00 EA 15.0000000000000100229036 Shirt, Polo, Med - Tall- Short Sleeve, Grey, without

the emb/gold on the left chest 802 99,999,999.00 EA 15.0000000000000100229037 Shirt, Polo, Large - Tall- Short Sleeve, Grey,

without the emb/gold on the left chest 803 99,999,999.00 EA 15.0000000000000100229038 Shirt, Polo, XLarge- Tall- Short Sleeve, Grey,

without the emb/gold on the left chest 804 99,999,999.00 EA 15.0000000000000100229039 Shirt, Polo, 2XLarge- Tall- Short Sleeve, Grey,

Quantity Purchase AgreementWith The State Of Indiana

Page57 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 58: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

without the emb/gold on the left chest 805 99,999,999.00 EA 15.0000000000000100229040 Shirt, Polo, 3XLarge- Tall- Short Sleeve, Grey,

without the emb/gold on the left chest 806 99,999,999.00 EA 15.0000000000000100229041 Shirt, Polo, 4XLarge- Tall- Short Sleeve, Grey,

without the emb/gold on the left chest 807 99,999,999.00 EA 15.0000000000000100229042 Shirt, Polo, 5XLarge- Tall- Short Sleeve, Grey,

without the emb/gold on the left chest 808 99,999,999.00 EA 15.0000000000000100229043 Shirt, Polo, 6XLarge- Tall- Short Sleeve, Grey,

without the emb/gold on the left chest 809 99,999,999.00 EA 17.0000000000000100229044 Shirt, Polo, XS - Tall- Long Sleeve, Grey, without

the emb/gold on the left chest 810 99,999,999.00 EA 17.0000000000000100229045 Shirt, Polo, Sm- Tall- Long Sleeve, Grey, without the

emb/gold on the left chest 811 99,999,999.00 EA 17.0000000000000100229046 Shirt, Polo, Med- Tall- Long Sleeve, Grey, without

the emb/gold on the left chest 812 99,999,999.00 EA 17.0000000000000100229047 Shirt, Polo, Large - Tall- Long Sleeve, Grey, without

the emb/gold on the left chest 813 99,999,999.00 EA 17.0000000000000100229048 Shirt, Polo, XLarge - Tall- Long Sleeve, Grey,

without the emb/gold on the left chest 814 99,999,999.00 EA 17.0000000000000100229049 Shirt, Polo, 2XLarge - Tall- Long Sleeve, Grey,

without the emb/gold on the left chest 815 99,999,999.00 EA 17.0000000000000100229050 Shirt, Polo, 3XLarge - Tall- Long Sleeve, Grey,

without the emb/gold on the left chest 816 99,999,999.00 EA 17.0000000000000100229051 Shirt, Polo, 4XLarge - Tall- Long Sleeve, Grey,

without the emb/gold on the left chest 817 99,999,999.00 EA 17.0000000000000100229052 Shirt, Polo, 5XLarge - Tall- Long Sleeve, Grey,

without the emb/gold on the left chest 818 99,999,999.00 EA 17.0000000000000100229053 Shirt, Polo, 6XLarge - Tall- Long Sleeve, Grey,

without the emb/gold on the left chest 819 99,999,999.00 EA 17.0000000000000100229054 Shirt, Polo, XS- Regular - Long Sleeve, Grey, without

the emb/gold on the left chest 820 99,999,999.00 EA 17.0000000000000100229055 Shirt, Polo, Sm- Regular - Long Sleeve, Grey, without

the emb/gold on the left chest 821 99,999,999.00 EA 17.0000000000000100229056 Shirt, Polo, Med- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 822 99,999,999.00 EA 17.0000000000000100229057 Shirt, Polo, Large- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 823 99,999,999.00 EA 17.0000000000000100229058 Shirt, Polo, XLarge- Regular - Long Sleeve, Grey,

Quantity Purchase AgreementWith The State Of Indiana

Page58 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 59: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

without the emb/gold on the left chest 824 99,999,999.00 EA 17.0000000000000100229059 Shirt, Polo, 2XLarge- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 825 99,999,999.00 EA 17.0000000000000100229060 Shirt, Polo, 3XLarge- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 826 99,999,999.00 EA 17.0000000000000100229061 Shirt, Polo, 4XLarge- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 827 99,999,999.00 EA 17.0000000000000100229062 Shirt, Polo, 5XLarge- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 828 99,999,999.00 EA 17.0000000000000100229063 Shirt, Polo, 6XLarge- Regular - Long Sleeve, Grey,

without the emb/gold on the left chest 829 99,999,999.00 EA 15.5600000000000100080919 Trouser,28,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

830 99,999,999.00 EA 15.5600000000000100080920 Trouser,30,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

831 99,999,999.00 EA 15.5600000000000100080921 Trouser,32,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

832 99,999,999.00 EA 15.5600000000000100080922 Trouser,34,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

833 99,999,999.00 EA 15.5600000000000100080923 Trouser,36,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

834 99,999,999.00 EA 15.5600000000000100080924 Trouser,38,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

835 99,999,999.00 EA 15.5600000000000100080925 Trouser,40,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

836 99,999,999.00 EA 15.5600000000000100080926 Trouser,42,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

837 99,999,999.00 EA 15.5600000000000100080927 Trouser,44,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

838 99,999,999.00 EA 15.5600000000000100080928 Trouser,46,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

Quantity Purchase AgreementWith The State Of Indiana

Page59 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 60: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

839 99,999,999.00 EA 15.5600000000000100080929 Trouser,48,Maintenance,Dark Gray,Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

840 99,999,999.00 EA 15.5600000000000100080930 Trouser,50,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

841 99,999,999.00 EA 15.5600000000000100080931 Trouser,52,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

842 99,999,999.00 EA 15.5600000000000100080932 Trouser,54,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

843 99,999,999.00 EA 18.7600000000000100080933 Trouser,56,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

844 99,999,999.00 EA 18.7600000000000100080934 Trouser,58,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

845 99,999,999.00 EA 18.7600000000000100080935 Trouser,60,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

846 99,999,999.00 EA 18.7600000000000100080936 Trouser,62,Maintenance,Dark Gray,

Male,Female,Postcure Body Fabric,100%Durable Press Cotton,8.5oz persq.yd.,Two piece folder set,lined & inner liner waistband, 2" to 3" outlet

847 99,999,999.00 EA 39.9500000000000100197839 Holder, IDOC, Badge, Flip-out removable badge insert

that can be worn on the belt, pocket or around your neck. Business andcredit card window, 32” neck chain, holds ID up to 3”x 3-3/4”, badges up to2-3/4”W, Black.

848 99,999,999.00 EA 9.6000000000000100198758 Holder,IDOC,Belt,HandCuff,Black,2" Wide, 2-Layer

heavyweight polypropylene webbing w/adjustable hook & loop beltloop,internal hook & loop to prevent sliding,flap has adjustable rounded &taped edge,stress points bar tacked & boxed stitched

849 99,999,999.00 EA 5.5000000000000100198756 Holder, IDOC, Belt Clip, Black, Key Fastener 850 99,999,999.00 EA 9.2500000000000100198759 Holder,IDOC,Belt,Medical, Black, Heavy weight nylon

webbing consisting of two 4”x 3” pockets that fold up and are held by hookand loop flap closure. The belt loop is 2” W x 2.75” L sewn onto back ofpouch. Finished open case is 4”x10”.

851 99,999,999.00 EA 17.1500000000000100198755 Holder, IDOC,Belt, Radio,Black,Heavyweight Nylon

Webbing,Adjustable Hook & Loop Belt Loop,Internal Hook & Loop to PreventSliding,Adjustable Top Cord-Flap Mounted Secures Radio,Bucket Design,StressPoints Bar Tacked & Box Stitched,2" Wide

852 99,999,999.00 EA 8.5000000000000100198757 Holder, IDOC, Belt,Tear Gas, w/snap Nylon, Holds 4 oz

Canister

Quantity Purchase AgreementWith The State Of Indiana

Page60 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 61: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

853 99,999,999.00 SET 9.9500000000000100327588 Keeper,IDOC, Belt,Black,2" Wide Heavy Weight Nylon

Webbing Rounded at One End and Fits 2" Duty Belts,Snaps are Coated Black,(Pair)

854 99,999,999.00 EA 2.0000000000000100080969 Laces, Boot, 72" 100% nylon, black, 855 99,999,999.00 EA 0.7900000000000100207421 Patch,IDOC,American Flag,Round 856 99,999,999.00 EA 0.8500000000000100207420 Patch,IDOC,E-Squad 857 99,999,999.00 EA 0.8000000000000100207422 Patch,IDOC,K-9 858 99,999,999.00 EA 0.8900000000000100207424 IDOC - Patch - K9 4x 4 859 99,999,999.00 EA 0.9400000000000100207423 Patch,IDOC,S.E.R.T. 860 99,999,999.00 EA 56.0000000000000100197864 Belt, ISP,Size 28 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

861 99,999,999.00 EA 56.0000000000000100197865 Belt, ISP,Size 30 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

862 99,999,999.00 EA 56.0000000000000100197866 Belt, ISP,Size 32 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

863 99,999,999.00 EA 56.0000000000000100197867 Belt, ISP,Size 34 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

864 99,999,999.00 EA 56.0000000000000100197868 Belt, ISP,Size 36 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

865 99,999,999.00 EA 56.0000000000000100197869 Belt, ISP,Size 38 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

866 99,999,999.00 EA 56.0000000000000100197870 Belt, ISP,Size 40 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

867 99,999,999.00 EA 56.0000000000000100197871 Belt, ISP,Size 42 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

868 99,999,999.00 EA 56.0000000000000100197872 Belt, ISP,Size 44,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

869 99,999,999.00 EA 56.0000000000000100197873 Belt, ISP,Size 46 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

Quantity Purchase AgreementWith The State Of Indiana

Page61 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 62: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

870 99,999,999.00 EA 56.0000000000000100197874 Belt, ISP,Size 48 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

871 99,999,999.00 EA 56.0000000000000100197875 Belt, ISP,Size 50 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

872 99,999,999.00 EA 56.0000000000000100197876 Belt, ISP,Size 52 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

873 99,999,999.00 EA 56.0000000000000100197877 Belt, ISP,Size 54 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

874 99,999,999.00 EA 56.0000000000000100197878 Belt, ISP,Size 56 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

875 99,999,999.00 EA 56.0000000000000100197879 Belt, ISP,Size 58 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

876 99,999,999.00 EA 56.0000000000000100197880 Belt, ISP,Size 60 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

877 99,999,999.00 EA 56.0000000000000100197881 Belt, ISP,Size 62 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

878 99,999,999.00 EA 56.0000000000000100197882 Belt, ISP,Size 64 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

879 99,999,999.00 EA 54.7200000000000100197883 Belt, ISP,Size 66 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

880 99,999,999.00 EA 54.7200000000000100197884 Belt, ISP,Size 68 ,Sam Brown, Full Grain English

Bridle Leather, High Gloss Finish, Buckle to be Solid Brass, Four Rows ofStitching, Studs to be Solid Black with Black Oxide Coating, 2 1/4" Width

881 99,999,999.00 EA 86.0000000000000100240380 Belt,ISP,28,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

882 99,999,999.00 EA 86.0000000000000100240381 Belt,ISP,30,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

883 99,999,999.00 EA 86.0000000000000100240382 Belt,ISP,32,Custom Clarino Sam Browne w/DEES, Full

Quantity Purchase AgreementWith The State Of Indiana

Page62 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 63: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

884 99,999,999.00 EA 86.0000000000000100240383 Belt,ISP,34,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

885 99,999,999.00 EA 86.0000000000000100240384 Belt,ISP,36,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

886 99,999,999.00 EA 86.0000000000000100240385 Belt,ISP,38,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

887 99,999,999.00 EA 86.0000000000000100240386 Belt,ISP,40,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

888 99,999,999.00 EA 86.0000000000000100240387 Belt,ISP,42,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

889 99,999,999.00 EA 86.0000000000000100240388 Belt,ISP,44,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

890 99,999,999.00 EA 96.6000000000000100240389 Belt,ISP,46,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

891 99,999,999.00 EA 96.6000000000000100240390 Belt,ISP,48,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

892 99,999,999.00 EA 96.6000000000000100240391 Belt,ISP,50,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

893 99,999,999.00 EA 96.6000000000000100240392 Belt,ISP,52,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

894 99,999,999.00 EA 106.0900000000000100240393 Belt,ISP,54,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be Solid

Quantity Purchase AgreementWith The State Of Indiana

Page63 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 64: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Brass,Four Rows Of Stitching, 2 1/4" Width 895 99,999,999.00 EA 106.0900000000000100240394 Belt,ISP,56,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

896 99,999,999.00 EA 106.0900000000000100240395 Belt,ISP,58,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

897 99,999,999.00 EA 106.0900000000000100240396 Belt,ISP,60,Custom Clarino Sam Browne w/DEES, Full

Grain Leather,Vegetable Tanned Backs,Layer Of Polyurethane in Body, w/2sewn/fixed leather snap attachments,Studs,Hooks & Buckle to be SolidBrass,Four Rows Of Stitching, 2 1/4" Width

898 99,999,999.00 PR 56.5000000000000100197998 Boot, ISP ~ IDNR-LE, Male/Female (Unisex style),

Special Order Size, 5" Lace-Up Chukka, Black, full-grain water-resistantleather, polishable, durable Goodyear welt, insole has EVA cushionedfiller, blown rubber oil-resistant outsole

899 99,999,999.00 PR 56.5000000000000100198774 Boot, ISP ~ DNR-LE, Male/Female (Unisex style), Size

7M, 5" Lace-Up Chukka, Black, full-grain water-resistant leather,polishable, durable Goodyear welt, insole has EVA cushioned filler, blownrubber oil-resistant outsole

900 99,999,999.00 PR 56.5000000000000100198775 Boot, ISP ~ DNR-LE, Male/Female (Unisex style), Size

7W, 5" Lace-Up Chukka, Black, full-grain water-resistant leather,polishable, durable Goodyear welt, insole has EVA cushioned filler, blownrubber oil-resistant outsole

901 99,999,999.00 PR 111.0000000000000100240815 Boot, ISP, Duty, Size 5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction, Bates E03135

902 99,999,999.00 PR 111.0000000000000100240816 Boot, ISP, Duty, Size 5EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

903 99,999,999.00 PR 111.0000000000000100240817 Boot, ISP, Duty, Size 5.5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

904 99,999,999.00 PR 111.0000000000000100240818 Boot, ISP, Duty, Size 5.5EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

905 99,999,999.00 PR 111.0000000000000100240819 Boot, ISP, Duty, Size 6M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

906 99,999,999.00 PR 111.0000000000000100240820 Boot, ISP, Duty, Size 6EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

907 99,999,999.00 PR 111.0000000000000100240821 Boot, ISP, Duty, Size 6.5M, Black, Male, 8" Lace-up,

Quantity Purchase AgreementWith The State Of Indiana

Page64 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 65: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

908 99,999,999.00 PR 111.0000000000000100240822 Boot, ISP, Duty, Size 6.5EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

909 99,999,999.00 PR 111.0000000000000100198772 Boot, ISP, Duty, Size 7M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

910 99,999,999.00 PR 111.0000000000000100197890 Boot, ISP, Duty, Size 7.5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

911 99,999,999.00 PR 111.0000000000000100197891 Boot, ISP, Duty, Size 7.5EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

912 99,999,999.00 PR 111.0000000000000100197892 Boot, ISP, Duty, Size 8M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

913 99,999,999.00 PR 111.0000000000000100197893 Boot, ISP, Duty, Size 8EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

914 99,999,999.00 PR 111.0000000000000100197894 Boot, ISP, Duty, Size 8.5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

915 99,999,999.00 PR 111.0000000000000100197895 Boot, ISP, Duty, Size 8.5EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

916 99,999,999.00 PR 111.0000000000000100197896 Boot, ISP, Duty, Size 9M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

917 99,999,999.00 PR 111.0000000000000100197897 Boot, ISP, Duty, Size 9EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

918 99,999,999.00 PR 111.0000000000000100197898 Boot, ISP, Duty, Size 9.5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

919 99,999,999.00 PR 111.0000000000000100197899 Boot, ISP, Duty, Size 9.5EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

920 99,999,999.00 PR 111.0000000000000100197900 Boot, ISP, Duty, Size 10M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

921 99,999,999.00 PR 111.0000000000000100197901 Boot, ISP, Duty, Size 10EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, Slip

Quantity Purchase AgreementWith The State Of Indiana

Page65 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 66: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Resistant Rubber Outsole, Goodyear Welt Construction 922 99,999,999.00 PR 111.0000000000000100197902 Boot, ISP, Duty, Size 10.5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

923 99,999,999.00 PR 111.0000000000000100197903 Boot, ISP, Duty, Size 10.5EW, Black, Male, 8"

Lace-up, Full Grain Leather Upper w/Denier Nylon, Breathable Gore-TexLining, Slip Resistant Rubber Outsole, Goodyear Welt Construction

924 99,999,999.00 PR 111.0000000000000100197904 Boot, ISP, Duty, Size 11M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

925 99,999,999.00 PR 111.0000000000000100197905 Boot, ISP, Duty, Size 11EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

926 99,999,999.00 PR 111.0000000000000100197906 Boot, ISP, Duty, Size 11.5M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

927 99,999,999.00 PR 111.0000000000000100197907 Boot, ISP, Duty, Size 11.5EW, Black, Male, 8"

Lace-up, Full Grain Leather Upper w/Denier Nylon, Breathable Gore-TexLining, Slip Resistant Rubber Outsole, Goodyear Welt Construction

928 99,999,999.00 PR 111.0000000000000100197908 Boot, ISP, Duty, Size 12M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

929 99,999,999.00 PR 111.0000000000000100197909 Boot, ISP, Duty, Size 12EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

930 99,999,999.00 PR 111.0000000000000100197910 Boot, ISP, Duty, Size 13M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

931 99,999,999.00 PR 111.0000000000000100197911 Boot, ISP, Duty, Size 13EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

932 99,999,999.00 PR 111.0000000000000100197912 Boot, ISP, Duty, Size 14M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

933 99,999,999.00 PR 111.0000000000000100197913 Boot, ISP, Duty, Size 14EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

934 99,999,999.00 PR 111.0000000000000100197914 Boot, ISP, Duty, Size 15M, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

935 99,999,999.00 PR 111.0000000000000100197915 Boot, ISP, Duty, Size 15EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

Quantity Purchase AgreementWith The State Of Indiana

Page66 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 67: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

936 99,999,999.00 PR 104.0000000000000100205070 Boot, ISP, Lites, Size 7D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

937 99,999,999.00 PR 104.0000000000000100205071 Boot, ISP, Lites, Size 7E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

938 99,999,999.00 PR 104.0000000000000100205072 Boot, ISP, Lites, Size 7.5D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

939 99,999,999.00 PR 104.0000000000000100205073 Boot, ISP, Lites, Size 7.5E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

940 99,999,999.00 PR 104.0000000000000100205074 Boot, ISP, Lites, Size 8D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

941 99,999,999.00 PR 104.0000000000000100205075 Boot, ISP, Lites, Size 8E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

942 99,999,999.00 PR 104.0000000000000100205076 Boot, ISP, Lites, Size 8.5D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

943 99,999,999.00 PR 104.0000000000000100205077 Boot, ISP, Lites, Size 8.5E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

944 99,999,999.00 PR 104.0000000000000100205078 Boot, ISP, Lites, Size 9D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

945 99,999,999.00 PR 104.0000000000000100205079 Boot, ISP, Lites, Size 9E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

946 99,999,999.00 PR 104.0000000000000100205080 Boot, ISP, Lites, Size 9.5D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

Quantity Purchase AgreementWith The State Of Indiana

Page67 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 68: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

947 99,999,999.00 PR 104.0000000000000100205081 Boot, ISP, Lites, Size 9.5E, Black, Male, 6" LeatherLace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

948 99,999,999.00 PR 104.0000000000000100205082 Boot, ISP, Lites, Size 10D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

949 99,999,999.00 PR 104.0000000000000100205083 Boot, ISP, Lites, Size 10E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

950 99,999,999.00 PR 104.0000000000000100205084 Boot, ISP, Lites, Size 10.5D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

951 99,999,999.00 PR 104.0000000000000100205085 Boot, ISP, Lites, Size 10.5E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

952 99,999,999.00 PR 104.0000000000000100205086 Boot, ISP, Lites, Size 11D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

953 99,999,999.00 PR 104.0000000000000100205087 Boot, ISP, Lites, Size 11E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

954 99,999,999.00 PR 104.0000000000000100205088 Boot, ISP, Lites, Size 11.5D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

955 99,999,999.00 PR 104.0000000000000100205089 Boot, ISP, Lites, Size 11.5E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

956 99,999,999.00 PR 104.0000000000000100205090 Boot, ISP, Lites, Size 12D, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

957 99,999,999.00 PR 104.0000000000000100205091 Boot, ISP, Lites, Size 12E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

958 99,999,999.00 PR 104.0000000000000100205092 Boot, ISP, Lites, Size 13D, Black, Male, 6" Leather

Quantity Purchase AgreementWith The State Of Indiana

Page68 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 69: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

959 99,999,999.00 PR 104.0000000000000100205093 Boot, ISP, Lites, Size 13E, Black, Male, 6" Leather

Lace-up, Leather Upper, breathable liner, cushioned removeable insert,nonmarking Bats Lites outsole, Goodyear Welt Construction, Postal Approved-  Model E00058

960 99,999,999.00 EA 7.5000000000000100197359 Cap, Winter, Toboggan, Knit, ISP - CPS 961 99,999,999.00 PR 29.6100000000000100197943 Glove, ISP, Flight, Black, Size Small (7-7 1/2),

Constructed with Heat and Flash-Resistant Fabric Back, Durable and SoftPremium Leather Goatskin Palm, Gauntlet Design for Forearm Protection,Nomex/Kevlar Construction

962 99,999,999.00 PR 29.6100000000000100197944 Glove, ISP, Flight, Black, Size Medium (8-8 1/2),

Constructed with Heat and Flash-Resistant Fabric Back, Durable and SoftPremium Leather Goatskin Palm, Gauntlet Design for Forearm Protection,Nomex/Kevlar Construction

963 99,999,999.00 PR 29.6100000000000100197945 Glove, ISP, Flight, Black, Size Large (9-9 1/2),

Constructed with Heat and Flash-Resistant Fabric Back, Durable and SoftPremium Leather Goatskin Palm, Gauntlet Design for Forearm Protection,Nomex/Kevlar Construction

964 99,999,999.00 PR 29.6100000000000100197946 Glove, ISP, Flight, Black, Size Extra Large (10-10

1/2), Constructed with Heat and Flash-Resistant Fabric Back, Durable andSoft Premium Leather Goatskin Palm, Gauntlet Design for Forearm Protection,Nomex/Kevlar Construction

965 99,999,999.00 PR 29.6100000000000100197947 Glove, ISP, Flight, Black, Size 2X Large (11-11 1/2),

Constructed with Heat and Flash-Resistant Fabric Back, Durable and SoftPremium Leather Goatskin Palm, Gauntlet Design for Forearm Protection,Nomex/Kevlar Construction

966 99,999,999.00 PR 16.9200000000000100197948 Glove, ISP, Search, Black, Size Small (7-7 1/2),

Unlined, Soft, Durable Premium Leather Cut Extra Thin for Superior Feel andDexterity, Wrist-length Elasticized Cuff

967 99,999,999.00 PR 16.9200000000000100197949 Glove, ISP, Search, Black, Size Medium (8-8 1/2),

Unlined, Soft, Durable Premium Leather Cut Extra Thin for Superior Feel andDexterity, Wrist-length Elasticized Cuff

968 99,999,999.00 PR 16.9200000000000100197950 Glove, ISP, Search, Black, Size Large (9-9 1/2),

Unlined, Soft, Durable Premium Leather Cut Extra Thin for Superior Feel andDexterity, Wrist-length Elasticized Cuff

969 99,999,999.00 PR 16.9200000000000100197951 Glove, ISP, Search, Black, Size Extra Large (10-10

1/2), Unlined, Soft, Durable Premium Leather Cut Extra Thin for SuperiorFeel and Dexterity, Wrist-length Elasticized Cuff

970 99,999,999.00 PR 16.9200000000000100197952 Glove, ISP, Search, Black, Size 2X Large (11-11 1/2),

Unlined, Soft, Durable Premium Leather Cut Extra Thin for Superior Feel andDexterity, Wrist-length Elasticized Cuff

971 99,999,999.00 EA 90.0000000000000100197360 Hat, Campaign, Felt, Federal Blue, ISP

Quantity Purchase AgreementWith The State Of Indiana

Page69 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 70: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

972 99,999,999.00 EA 90.0000000000000100197362 Hat, Campaign, Felt, Black, ISP- CPS 973 99,999,999.00 EA 62.0000000000000100197365 Hat Campaign, Straw, Midnight Blue, ISP 974 99,999,999.00 EA 62.0000000000000100197366 Hat Campaign, Straw, Black, ISP - CPS 975 99,999,999.00 EA 3.5000000000000100198771 Hat Protectors, ISP, IDNR~LE, Property, Small (6

1/2-6 3/4), Clear, Vinyl, Rain Bonnet to Fit Campaign Hats 976 99,999,999.00 EA 3.5000000000000100197954 Hat Protectors, ISP, Med (6 7/8-7 1/8), Clear, Vinyl,

Rain Bonnet to Fit Campaign Hats 977 99,999,999.00 EA 3.5000000000000100197955 Hat Protectors, ISP, Large (7 1/2-7 3/8), Clear,

Vinyl, Rain Bonnet to Fit Campaign Hats 978 99,999,999.00 EA 3.5000000000000100197956 Hat Protectors, ISP, X-Large (7 3/8-7 3/4), Clear,

Vinyl, Rain Bonnet to Fit Campaign Hats 979 99,999,999.00 EA 133.0000000000000100197332 Jacket, Outer Wear System, ISP - Midnight Navy -Size

M 980 99,999,999.00 EA 133.0000000000000100197333 Jacket, Outer Wear System, ISP - Midnight Navy -Size

L 981 99,999,999.00 EA 133.0000000000000100197334 Jacket, Outer Wear System, ISP - Midnight Navy -Size

XL 982 99,999,999.00 EA 133.0000000000000100197335 Jacket, Outer Wear System, ISP - Midnight Navy -Size

2X 983 99,999,999.00 EA 160.4800000000000100197336 Jacket, Outer Wear System, ISP - Midnight Navy -Size

3X 984 99,999,999.00 EA 160.4800000000000100197337 Jacket, Outer Wear System, ISP - Midnight Navy -Size

4X 985 99,999,999.00 EA 160.4800000000000100197338 Jacket, Outer Wear System, ISP - Midnight Navy -Size

5X 986 99,999,999.00 EA 72.0000000000000100197339 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Midnight Navy - Size M 987 99,999,999.00 EA 72.0000000000000100197340 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Midnight Navy - Size L 988 99,999,999.00 EA 72.0000000000000100197341 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Midnight Navy - Size XL 989 99,999,999.00 EA 72.0000000000000100197342 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Midnight Navy - Size 2X 990 99,999,999.00 EA 72.0000000000000100197343 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Midnight Navy - Size 3X 991 99,999,999.00 EA 72.0000000000000100197344 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Quantity Purchase AgreementWith The State Of Indiana

Page70 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 71: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Midnight Navy - Size 4X 992 99,999,999.00 EA 72.0000000000000100197345 Jacket/Liner, Soft Shell,Outerwear System, ISP -

Midnight Navy - Size 5X 993 99,999,999.00 EA 84.0000000000000100197350 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size M 994 99,999,999.00 EA 84.0000000000000100197351 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size L 995 99,999,999.00 EA 84.0000000000000100197352 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size XL 996 99,999,999.00 EA 84.0000000000000100197353 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size 2X 997 99,999,999.00 EA 86.0500000000000100197354 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size 3X 998 99,999,999.00 EA 86.0500000000000100197355 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size 4X 999 99,999,999.00 EA 86.0500000000000100197356 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size 5X 1,000 99,999,999.00 EA 86.0500000000000100197357 Raincoat, Full Length Reversible, ISP - Midnight Navy

- Size 6X 1,001 99,999,999.00 EA 10.9500000000000100195940 Sweat Pants, Ash Gray, ISP - Size XS 1,002 99,999,999.00 EA 10.9500000000000100195941 Sweat Pants, Ash Gray, ISP - Size S 1,003 99,999,999.00 EA 10.9500000000000100195942 Sweat Pants, Ash Gray, ISP - Size M 1,004 99,999,999.00 EA 10.9500000000000100195943 Sweat Pants, Ash Gray, ISP - Size L 1,005 99,999,999.00 EA 10.9500000000000100195944 Sweat Pants, Ash Gray, ISP - Size XL 1,006 99,999,999.00 EA 10.9500000000000100195945 Sweat Pants, Ash Gray, ISP - Size 2XL 1,007 99,999,999.00 EA 10.9500000000000100195946 Sweat Pants, Ash Gray, ISP - Size 3XL 1,008 99,999,999.00 EA 10.9500000000000100195947 Sweat Pants, Ash Gray, ISP - Size 4XL 1,009 99,999,999.00 EA 6.9900000000000100195922 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size XS 1,010 99,999,999.00 EA 6.9900000000000100195923 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size S 1,011 99,999,999.00 EA 6.9900000000000100195924 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size M 1,012 99,999,999.00 EA 6.9900000000000100195925 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size L

Quantity Purchase AgreementWith The State Of Indiana

Page71 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 72: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,013 99,999,999.00 EA 6.9900000000000100195926 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -Size XL

1,014 99,999,999.00 EA 6.9900000000000100195927 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size 2XL 1,015 99,999,999.00 EA 6.9900000000000100195928 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size 3XL 1,016 99,999,999.00 EA 6.9900000000000100195929 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size 4XL 1,017 99,999,999.00 EA 12.0000000000000100195930 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size 5XL 1,018 99,999,999.00 EA 12.0000000000000100195931 Sweatshirt, Crewneck, Long Sleeve, Ash Gray, ISP -

Size 6XL 1,019 99,999,999.00 EA 7.0000000000000100197368 Tie, Uniform, Federal Blue, ISP - CPS - Size Short

14.5" 1,020 99,999,999.00 EA 7.0000000000000100228368 Tie, Uniform, Federal Blue, ISP - Size L (20" long) 1,021 99,999,999.00 EA 7.8000000000000100197370 Tie, Uniform, Federal Blue, ISP - CPS - Size XLong

22" 1,022 99,999,999.00 EA 7.0000000000000100205067 Tie, Uniform, French Blue, ISP - Size S 1,023 99,999,999.00 EA 7.0000000000000100205068 Tie, Uniform, French Blue, ISP - Size M 1,024 99,999,999.00 EA 7.1000000000000100228367 Tie, Uniform, French Blue, ISP - Size L (20" long) 1,025 99,999,999.00 EA 7.8000000000000100205069 Tie, Uniform, Frenchl Blue, ISP - Size XL 1,026 99,999,999.00 EA 8.9500000000000100195932 Trunks, Gym, Navy Blue, ISP - Size XS 1,027 99,999,999.00 EA 8.9500000000000100195933 Trunks, Gym, Navy Blue, ISP - Size S 1,028 99,999,999.00 EA 8.9500000000000100195934 Trunks, Gym, Navy Blue, ISP - Size M 1,029 99,999,999.00 EA 8.9500000000000100195935 Trunks, Gym, Navy Blue, ISP - Size L 1,030 99,999,999.00 EA 8.9500000000000100195936 Trunks, Gym, Navy Blue, ISP - Size XL 1,031 99,999,999.00 EA 8.9500000000000100195937 Trunks, Gym, Navy Blue, ISP - Size 2XL 1,032 99,999,999.00 EA 8.9500000000000100195938 Trunks, Gym, Navy Blue, ISP - Size 3XL 1,033 99,999,999.00 EA 8.9500000000000100195939 Trunks, Gym, Navy Blue, ISP - Size 4XL 1,034 99,999,999.00 EA 4.9900000000000100195912 T-shirt, Crewneck, Ash Gray, ISP - Size XS 1,035 99,999,999.00 EA 4.9900000000000100195913 T-shirt, Crewneck, Ash Gray, ISP - Size S 1,036 99,999,999.00 EA 4.9900000000000100195914 T-shirt, Crewneck, Ash Gray, ISP - Size M

Quantity Purchase AgreementWith The State Of Indiana

Page72 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 73: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,037 99,999,999.00 EA 4.9900000000000100195915 T-shirt, Crewneck, Ash Gray, ISP - Size L 1,038 99,999,999.00 EA 4.9900000000000100195916 T-shirt, Crewneck, Ash Gray, ISP - Size XL 1,039 99,999,999.00 EA 4.9900000000000100195917 T-shirt, Crewneck, Ash Gray, ISP - Size 2XL 1,040 99,999,999.00 EA 4.9900000000000100195918 T-shirt, Crewneck, Ash Gray, ISP - Size 3XL 1,041 99,999,999.00 EA 4.9900000000000100195919 T-shirt, Crewneck, Ash Gray, ISP - Size 4XL 1,042 99,999,999.00 EA 7.5000000000000100195920 T-shirt, Crewneck, Ash Gray, ISP - Size 5XL 1,043 99,999,999.00 EA 7.5000000000000100195921 T-shirt, Crewneck, Ash Gray, ISP - Size 6XL 1,044 99,999,999.00 EA 48.0000000000000100197346 Vest, Reflective, Traffic - ISP - Size M 1,045 99,999,999.00 EA 48.0000000000000100197347 Vest, Reflective, Traffic - ISP - Size L 1,046 99,999,999.00 EA 48.0000000000000100197348 Vest, Reflective, Traffic - ISP - Size XL 1,047 99,999,999.00 EA 48.0000000000000100197349 Vest, Reflective, Traffic - ISP - Size 2X 1,048 99,999,999.00 EA 2.0500000000000100197372 Button, State Seal, Silver, ISP 1,049 99,999,999.00 EA 2.0500000000000100197373 Button, State, Seal, Gold, ISP 1,050 99,999,999.00 EA 62.9500000000000100197862 Baton, ISP, Collapsible, Black, 21" Friction Lock,

Foam Grip,3-Stage Steel Friction Lock Baton, Hardened Shafts, Ball Tip,Firm Foam Grip over Black Finished Handle, Precision Parallel Swages, BoreGuide End Cap, Black Chrome Finish on Shafts

1,051 99,999,999.00 EA 14.5000000000000100197885 Case, ISP, Credential, Leather, Black, Badge and

Identification Holder, Spring Metal Clip-on Back w/Beaded Chain, PocketHolds Chain When Not in Use, May be Embossed with State Seal of Indiana orLeft Plain

1,052 99,999,999.00 EA 90.0900000000000100197887 Flashlight, ISP, LED Rechargeable Flashlight, Dual

Switch Technology to Access Three Variable Lighting Modes & Strobe,Switches Operate Independently, Non-Slip Rubberized Comfort Grip,Unbreakable Polycarbonate w/Scratch-Resistant Coating

1,053 99,999,999.00 EA 36.5000000000000100198769 Handcuffs, ISP, Tri-Hinged Standard Hinge Style,

Solid links Connect the Cuffs, Heavy-duty, Solid Hinges for ReinforcedHolding Power, Two (2) Keys Included

1,054 99,999,999.00 EA 35.0000000000000100198765 Holder, ISP, Aerosol, Black, Leather, 4 1/4" X 2",

Hidden Snap, Fits Sabre MK3 chemical agent, Fits Belt Up to 2-1/4", HighGloss Finish, Snaps to be Brass

1,055 99,999,999.00 EA 14.5000000000000100198763 Holder, ISP, Badge, Leather, Black, Badge and

Identification Holder, Embossed w/State Of Indiana Gold Logo for Police 1,056 99,999,999.00 EA 14.5000000000000100198764 Holder, ISP, Badge, Leather, Black, Badge and

Identification Holder, Embossed w/State Of Indiana Gold Logo for Non-Police 1,057 99,999,999.00 EA 22.2500000000000100198766 Holder, ISP, Baton, Black, Front Draw 360º Swivel

Quantity Purchase AgreementWith The State Of Indiana

Page73 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 74: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Baton Holder, Plain Finish, Fits Belt Up to 2-1/4", Multi-Position Clip-onHolder w/Molded Tension Springs for Baton Security

1,058 99,999,999.00 EA 51.5200000000000100198760 Belt,ISP,Size 28,Sam Brown B21,Full Grain

Leather,Vegetable Tanned Backs,Layer Of Polyurethane Body,Studs,Hooks &Buckle to be Solid Brass, Four Rows Of Stitching, 2 1/4" Width,2 Sets ofSnapped Straps for Removable “D” Rings & Removable ShoulderStrap,

1,059 99,999,999.00 EA 30.7800000000000100198767 Holder, ISP, Flashlight, Black, Leather, Fits

Streamlight Stinger DS LED Flashlight, Fits Belt Up to 2-1/4", High GlossFinish

1,060 99,999,999.00 EA 8.7600000000000100197886 Holder, ISP, Flashlight, Black High Gloss Leather

with Gold Ring Designed to Fit “C” Battery/Cell Flashlights and StreamlightStinger Flashlights

1,061 99,999,999.00 EA 16.4600000000000100197953 Holder,ISP,Glove, Black, Scuff-Resistant, High Gloss

Leather Consisting of Two Pockets that Fold Up and are Held by Hook andLoop Flap Closure. Weatherproof Polymer Laminate for Durability.

1,062 99,999,999.00 EA 36.2400000000000100198768 Holder, ISP, HandCuff, Black, Leather, Fits

Safariland (Hiatts) hinged handcuffs, Fits Belt Up to 2-1/4", High GlossFinish, Brass Snap

1,063 99,999,999.00 EA 28.6800000000000100205016 STX 573 MAG/CUFF .45 - ISP 1,064 99,999,999.00 EA 108.5000000000000100205010 Class B Duty Holster (Right) 6280-77-131 1,065 99,999,999.00 EA 108.5000000000000100205011 Class B Duty Holster (Left) 6280-77-132 1,066 99,999,999.00 EA 118.9500000000000100205012 Class B Duty Holster with Light (Right)

6280-77421-131 1,067 99,999,999.00 EA 118.9500000000000100205013 Class B Duty Holster with Light (Left) 6280-77421-132 1,068 99,999,999.00 EA 118.9500000000000100205442 Class A Duty Holster with Light (Right) 6280-77421-91 1,069 99,999,999.00 EA 118.9500000000000100205443 Class A Duty Holster with Light (Left) 6280-77421-92 1,070 99,999,999.00 EA 118.9500000000000100205008 Class A Duty Holster (Right) 6280-77-91 1,071 99,999,999.00 EA 118.9500000000000100205009 : Class A Duty Holster (Left) 6280-77-92 1,072 99,999,999.00 EA 43.8500000000000100205014 Holster - ISP - STX 568 FOR P227R -568-49-411 - Right 1,073 99,999,999.00 EA 43.8500000000000100205015 Holster - ISP - STX 568 FOR P227R -568-49-412 - Left 1,074 99,999,999.00 EA 51.5000000000000100198761 Strap,ISP, Shoulder, Black, Leather, High Gloss

Finish, Brass Studs and Buckle(s), Designed for use w/D rings, (Sizes22-60)

1,075 99,999,999.00 SET 39.8000000000000100198762 Keepers, ISP, Belt, Black, 3/4" Wide Leather Design

w/Dual Snap Configuration, Multi-layer Construction, Hi-Gloss Finish,Hidden Snap Holds Duty Belt to Trouser Belt, Snaps to be Brass, Set of Four(4)

1,076 99,999,999.00 EA 94.8700000000000100206417 Safariland - Model 6280 SLS Mid-Ride, Level II

Quantity Purchase AgreementWith The State Of Indiana

Page74 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 75: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Retention™ Duty Holster for Gun Mounted Light 1,077 99,999,999.00 EA 7.0000000000000100197863 Keeper, ISP, Belt, Black, 3/4" Wide Leather

Design,High Gloss Black Leather, Solid Brass Snap with Attached D Ring forUse with Shoulder Strap.

1,078 99,999,999.00 EA 51.5200000000000100197861 Belt,ISP,Size 56,Sam Brown B21,Full Grain

Leather,Vegetable Tanned Backs,Layer Of Polyurethane Body,Studs,Hooks &Buckle to be Solid Brass, Four Rows Of Stitching, 2 1/4" Width,2 Sets ofSnapped Straps for Removable “D” Rings & Removable ShoulderStrap,

1,079 99,999,999.00 EA 3.7800000000000100197888 Wand,ISP,Flashlight,Safety,Red, Fits Rechargeable

Streamlight Stinger DS LED Flashlight 1,080 99,999,999.00 EA 1.0500000000000100207396 ISP - Patch -Police Shoulder 1,081 99,999,999.00 EA 1.0500000000000100207397 ISP - Patch - CVED & CPS 1,082 99,999,999.00 EA 1.0500000000000100207398 ISP - Patch -Scuba Shoulder 1,083 99,999,999.00 EA 1.0500000000000100207399 ISP - Patch - Air Service 1,084 99,999,999.00 EA 1.0500000000000100207400 ISP - Patch -Tactical Team 1,085 99,999,999.00 EA 1.0500000000000100207401 ISP - Patch - ISPBLK & GRY 1,086 99,999,999.00 EA 1.0900000000000100207402 ISP - Patch - Chaplain 1,087 99,999,999.00 EA 1.2500000000000100207403 ISP - Patch - Shield Specialty 1,088 99,999,999.00 EA 0.9800000000000100207404 ISP - Patch -Firearms Instructor 1,089 99,999,999.00 EA 1.3900000000000100207405 ISP - Patch - Gold BDU 1,090 99,999,999.00 EA 1.3900000000000100207406 ISP - Patch - Silver BDU 1,091 99,999,999.00 EA 1.3900000000000100207407 ISP - First Sgt Chevrons 1,092 99,999,999.00 EA 1.1900000000000100207408 ISP - Sergeant Chevrons 1,093 99,999,999.00 EA 0.9400000000000100207409 ISP - Corporal Chevrons 1,094 99,999,999.00 EA 3.0000000000000100207410 ISP - Superintendent Epaulet 1,095 99,999,999.00 EA 3.6000000000000100207411 ISP - Colonel Epaulet 1,096 99,999,999.00 EA 3.6900000000000100207412 ISP - Lieutenant Colonel Epaulet 1,097 99,999,999.00 EA 3.6900000000000100207413 ISP - Major Epaulet 1,098 99,999,999.00 EA 3.0000000000000100207414 ISP - Captain Epaulet 1,099 99,999,999.00 EA 2.9500000000000100207415 ISP - Lieutenant Epaulet 1,100 99,999,999.00 EA 3.2500000000000100207416 ISP - First Sergeant Epaulet 1,101 99,999,999.00 EA 3.0000000000000100207417 ISP - Sergeant Epaulet

Quantity Purchase AgreementWith The State Of Indiana

Page75 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 76: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,102 99,999,999.00 EA 3.0000000000000100207418 ISP - Corporal Epaulet 1,103 99,999,999.00 EA 1.1000000000000100207419 ISP - Longevity Stripe 1,104 99,999,999.00 EA 2.9500000000000100240379 ISP, Patch, Capitol Police Section, Shoulder, Blue

and Gold 1,105 99,999,999.00 EA 6.8500000000000100255659 IDNR-ALL, HAT, BASEBALL, UNISEX, WINTER STYLE WITH

SOLID BACKING, ADJUSTABLE FIT, BLACK, YELLOW "DNR" EMBROIDERY 1,106 99,999,999.00 EA 6.8500000000000100255660 IDNR-ALL, HAT, BASEBALL, UNISEX, SUMMER STYLE WITH

MESH BACKING, ADJUSTABLE FIT, TAN, GREEN "DNR" EMBROIDERY 1,107 99,999,999.00 EA 6.8500000000000100255661 IDNR-ALL, HAT, BASEBALL, UNISEX, WINTER STYLE WITH

SOLID BACKING, ADJUSTABLE FIT, TAN, GREEN "DNR" EMBROIDERY 1,108 99,999,999.00 EA 110.0000000000000100255662 IDNR-ALL, RAIN COAT, UNISEX, SIZE SMALL, BLACK,

TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLE HOOD,NO DNR LOGO

1,109 99,999,999.00 EA 110.0000000000000100255663 IDNR-ALL, RAIN COAT, UNISEX, SIZE MEDIUM, BLACK,

TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLE HOOD,NO DNR LOGO

1,110 99,999,999.00 EA 110.0000000000000100255664 IDNR-ALL, RAIN COAT, UNISEX, SIZE LARGE, BLACK,

TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLE HOOD,NO DNR LOGO

1,111 99,999,999.00 EA 110.0000000000000100255665 IDNR-ALL, RAIN COAT, UNISEX, SIZE XL, BLACK, TRU-SPEC

H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLE HOOD, NO DNRLOGO

1,112 99,999,999.00 EA 112.0000000000000100255666 IDNR-ALL, RAIN COAT, UNISEX, SIZE 2XL, BLACK,

TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLE HOOD,NO DNR LOGO

1,113 99,999,999.00 EA 112.0000000000000100255667 IDNR-ALL, RAIN COAT, UNISEX, SIZE 3XL, BLACK,

TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLE HOOD,NO DNR LOGO

1,114 99,999,999.00 EA 110.0000000000000100255668 IDNR-ALL, RAIN COAT, UNISEX, SIZE SMALL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLEHOOD, NO DNR LOGO

1,115 99,999,999.00 EA 110.0000000000000100255669 IDNR-ALL, RAIN COAT, UNISEX, SIZE MEDIUM, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLEHOOD, NO DNR LOGO

1,116 99,999,999.00 EA 110.0000000000000100255670 IDNR-ALL, RAIN COAT, UNISEX, SIZE LARGE, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLEHOOD, NO DNR LOGO

1,117 99,999,999.00 EA 110.0000000000000100255671 IDNR-ALL, RAIN COAT, UNISEX, SIZE XL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLEHOOD, NO DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page76 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 77: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,118 99,999,999.00 EA 112.0000000000000100255672 IDNR-ALL, RAIN COAT, UNISEX, SIZE 2XL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLEHOOD, NO DNR LOGO

1,119 99,999,999.00 EA 112.0000000000000100255673 IDNR-ALL, RAIN COAT, UNISEX, SIZE 3XL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, 2-WAY ZIP FRONT, STAND-UP COLLAR, STOWABLEHOOD, NO DNR LOGO

1,120 99,999,999.00 EA 92.0000000000000100255674 IDNR-ALL, RAIN PANT, UNISEX, SIZE SMALL, BLACK,

TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEG OPENINGS,HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,121 99,999,999.00 EA 92.0000000000000100255675 IDNR-ALL, RAIN PANT, UNISEX, SIZE MEDIUM, BLACK,

TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEG OPENINGS,HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,122 99,999,999.00 EA 92.0000000000000100255676 IDNR-ALL, RAIN PANT, UNISEX, SIZE LARGE, BLACK,

TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEG OPENINGS,HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,123 99,999,999.00 EA 92.0000000000000100255677 IDNR-ALL, RAIN PANT, UNISEX, SIZE XL, BLACK, TRU-SPEC

H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEG OPENINGS, HOOK/LOOPANKLE ADJUST, NO DNR LOGO

1,124 99,999,999.00 EA 92.0000000000000100255678 IDNR-ALL, RAIN PANT, UNISEX, SIZE 2XL, BLACK,

TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEG OPENINGS,HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,125 99,999,999.00 EA 92.0000000000000100255679 IDNR-ALL, RAIN PANT, UNISEX, SIZE 3XL, BLACK,

TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEG OPENINGS,HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,126 99,999,999.00 EA 92.0000000000000100255680 IDNR-ALL, RAIN PANT, UNISEX, SIZE SMALL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEGOPENINGS, HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,127 99,999,999.00 EA 92.0000000000000100255681 IDNR-ALL, RAIN PANT, UNISEX, SIZE MEDIUM, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEGOPENINGS, HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,128 99,999,999.00 EA 92.0000000000000100255682 IDNR-ALL, RAIN PANT, UNISEX, SIZE LARGE, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEGOPENINGS, HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,129 99,999,999.00 EA 92.0000000000000100255683 IDNR-ALL, RAIN PANT, UNISEX, SIZE XL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEGOPENINGS, HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,130 99,999,999.00 EA 92.0000000000000100255684 IDNR-ALL, RAIN PANT, UNISEX, SIZE 2XL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEGOPENINGS, HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

1,131 99,999,999.00 EA 92.0000000000000100255685 IDNR-ALL, RAIN PANT, UNISEX, SIZE 3XL, OLIVE DRAB

GREEN, TRU-SPEC H2O-PROOF GEN 2, DRAWSTRING WAIST, ZIP FLY, ZIP LEGOPENINGS, HOOK/LOOP ANKLE ADJUST, NO DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page77 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 78: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,132 99,999,999.00 EA 30.1300000000000100255686 IDNR-PROPERTY, COVERALLS, UNISEX, NON-INSULATED, SIZE

XSMALL (34" CHEST, 32" REGULAR INSEAM), DARK BROWN TWILL, ACTION BACK,LONG-SLEEVES, COMES WITH DNR AND DIVISION BAR PATCHES

1,133 99,999,999.00 EA 130.0000000000000100255687 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE SMALL,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UPCOLLAR, SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BARPATCHES

1,134 99,999,999.00 EA 130.0000000000000100255688 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE MEDIUM,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UPCOLLAR, SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BARPATCHES

1,135 99,999,999.00 EA 130.0000000000000100255689 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE LARGE,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UPCOLLAR, SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BARPATCHES

1,136 99,999,999.00 EA 130.0000000000000100255690 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE XL, OLIVE

DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UP COLLAR,SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,137 99,999,999.00 EA 130.0000000000000100255691 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE 2XL, OLIVE

DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UP COLLAR,SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,138 99,999,999.00 EA 130.0000000000000100255692 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE 3XL, OLIVE

DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UP COLLAR,SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,139 99,999,999.00 EA 130.0000000000000100255693 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE 4XL, OLIVE

DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UP COLLAR,SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,140 99,999,999.00 EA 145.0000000000000100255694 IDNR-PROPERTY, JACKET, DUTY, UNISEX, SIZE 5XL, OLIVE

DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT, ZIP AIR VENTS, STAND-UP COLLAR,SOFTSHELL CAN BE USED AS LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,141 99,999,999.00 EA 98.0000000000000100255695 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE SMALL,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,142 99,999,999.00 EA 98.0000000000000100255696 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE

MEDIUM, OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CANDOUBLE AS DUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,143 99,999,999.00 EA 98.0000000000000100255697 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE LARGE,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,144 99,999,999.00 EA 98.0000000000000100255698 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE XL,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

Quantity Purchase AgreementWith The State Of Indiana

Page78 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 79: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,145 99,999,999.00 EA 105.0000000000000100255699 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE 2XL,OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,146 99,999,999.00 EA 105.0000000000000100255700 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE 3XL,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,147 99,999,999.00 EA 105.0000000000000100255701 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE 4XL,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,148 99,999,999.00 EA 130.0000000000000100255702 IDNR-PROPERTY, JACKET, SOFTSHELL, UNISEX, SIZE 5XL,

OLIVE DRAB GREEN, SPIEWAK WEATHERTECH, ZIP-FRONT TO COLLAR, CAN DOUBLE ASDUTY JACKET LINER, COMES WITH DNR AND DIVISION BAR PATCHES

1,149 99,999,999.00 EA 69.9500000000000100255703 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

MEDIUM (40-42" CHEST, 34-36" WAIST), TALL (34" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,150 99,999,999.00 EA 69.9500000000000100255704 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE

LARGE (44-46" CHEST, 38-40" WAIST), TALL (34" INSEAM), BROWN DUCK, NOSLEEVES, ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,151 99,999,999.00 EA 69.9500000000000100255705 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE XL

(48-50" CHEST, 42-44" WAIST), TALL (34" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,152 99,999,999.00 EA 69.9500000000000100255706 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 2XL

(52-54" CHEST, 46-48" WAIST), TALL (34" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,153 99,999,999.00 EA 69.9500000000000100255707 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 3XL

(56-58" CHEST, 50-52" WAIST), TALL (34" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,154 99,999,999.00 EA 69.9500000000000100255708 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 4XL

(60-62" CHEST, 54-56" WAIST), TALL (34" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,155 99,999,999.00 EA 79.9500000000000100255709 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 5XL

(64-66" CHEST, 58-60" WAIST), TALL (34" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,156 99,999,999.00 EA 79.9500000000000100255710 IDNR-PROPERTY, OVERALLS, UNISEX, INSULATED, SIZE 6XL

(68-70" CHEST, 62-64" WAIST), TALL (34" INSEAM), BROWN DUCK, NO SLEEVES,ADJUSTABLE OVER-SHOULDER STRAPS, NO DNR LOGO

1,157 99,999,999.00 EA 23.9500000000000100255711 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE LARGE

TALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,158 99,999,999.00 EA 24.9500000000000100255712 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE XL TALL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page79 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 80: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,159 99,999,999.00 EA 23.9500000000000100255713 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 2XLTALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,160 99,999,999.00 EA 23.9500000000000100255714 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 3XL

TALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,161 99,999,999.00 EA 23.9500000000000100255715 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 4XL

TALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,162 99,999,999.00 EA 25.9500000000000100255716 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 5XL

TALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,163 99,999,999.00 EA 25.9500000000000100255717 IDNR-PROPERTY, SHIRT, POLO STYLE, MENS, SIZE 6XL

TALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,164 99,999,999.00 EA 18.0000000000000100255718 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE SMALL,

BLACK, SCREENPRINTED TRI-COLOR DNR LOGO 1,165 99,999,999.00 EA 18.0000000000000100255719 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE MEDIUM,

BLACK, SCREENPRINTED TRI-COLOR DNR LOGO 1,166 99,999,999.00 EA 18.0000000000000100255720 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE LARGE,

BLACK, SCREENPRINTED TRI-COLOR DNR LOGO 1,167 99,999,999.00 EA 18.0000000000000100255721 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE XL, BLACK,

SCREENPRINTED TRI-COLOR DNR LOGO 1,168 99,999,999.00 EA 18.0000000000000100255722 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 2XL,

BLACK, SCREENPRINTED TRI-COLOR DNR LOGO 1,169 99,999,999.00 EA 18.0000000000000100255723 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 3XL,

BLACK, SCREENPRINTED TRI-COLOR DNR LOGO 1,170 99,999,999.00 EA 18.0000000000000100255724 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE SMALL,

CHARCOAL GRAY, SCREENPRINTED TRI-COLOR DNR LOGO 1,171 99,999,999.00 EA 18.0000000000000100255725 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE MEDIUM,

CHARCOAL GRAY, SCREENPRINTED TRI-COLOR DNR LOGO 1,172 99,999,999.00 EA 18.0000000000000100255726 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE LARGE,

CHARCOAL GRAY, SCREENPRINTED TRI-COLOR DNR LOGO 1,173 99,999,999.00 EA 18.0000000000000100255727 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE XL,

CHARCOAL GRAY, SCREENPRINTED TRI-COLOR DNR LOGO 1,174 99,999,999.00 EA 18.0000000000000100255728 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 2XL,

CHARCOAL GRAY, SCREENPRINTED TRI-COLOR DNR LOGO 1,175 99,999,999.00 EA 18.0000000000000100255729 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 3XL,

CHARCOAL GRAY, SCREENPRINTED TRI-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page80 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 81: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,176 99,999,999.00 EA 18.0000000000000100255730 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE SMALL,GREEN, SCREENPRINTED TRI-COLOR DNR LOGO

1,177 99,999,999.00 EA 18.0000000000000100255731 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE MEDIUM,

GREEN, SCREENPRINTED TRI-COLOR DNR LOGO 1,178 99,999,999.00 EA 18.0000000000000100255732 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE LARGE,

GREEN, SCREENPRINTED TRI-COLOR DNR LOGO 1,179 99,999,999.00 EA 18.0000000000000100255733 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE XL, GREEN,

SCREENPRINTED TRI-COLOR DNR LOGO 1,180 99,999,999.00 EA 18.0000000000000100255734 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 2XL,

GREEN, SCREENPRINTED TRI-COLOR DNR LOGO 1,181 99,999,999.00 EA 18.0000000000000100255735 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 3XL,

GREEN, SCREENPRINTED TRI-COLOR DNR LOGO 1,182 99,999,999.00 EA 18.0000000000000100255736 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE SMALL,

ROYAL, SCREENPRINTED TRI-COLOR DNR LOGO 1,183 99,999,999.00 EA 18.0000000000000100255737 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE MEDIUM,

ROYAL, SCREENPRINTED TRI-COLOR DNR LOGO 1,184 99,999,999.00 EA 18.0000000000000100255738 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE LARGE,

ROYAL, SCREENPRINTED TRI-COLOR DNR LOGO 1,185 99,999,999.00 EA 18.0000000000000100255739 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE XL, ROYAL,

SCREENPRINTED TRI-COLOR DNR LOGO 1,186 99,999,999.00 EA 18.0000000000000100255740 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 2XL,

ROYAL, SCREENPRINTED TRI-COLOR DNR LOGO 1,187 99,999,999.00 EA 18.0000000000000100255741 IDNR-PROPERTY, SWEATSHIRT, CREW NECK, SIZE 3XL,

ROYAL, SCREENPRINTED TRI-COLOR DNR LOGO 1,188 99,999,999.00 EA 41.0000000000000100255742 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE 5XL, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 1,189 99,999,999.00 EA 41.0000000000000100255743 IDNR-PROPERTY, VEST, ZIP FRONT, SIZE 6XL, BLACK

FLEECE, SIDE POCKETS, EMBROIDERED TRI-COLOR DNR LOGO 1,190 99,999,999.00 EA 38.0000000000000100255744 IDNR-PROPERTY, WINDSHIRT, SIZE XSMALL, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 1,191 99,999,999.00 EA 38.0000000000000100255745 IDNR-PROPERTY, WINDSHIRT, SIZE SMALL, BLACK, V-NECK,

PULLOVER STYLE, LONG-SLEEVES, EMBROIDERED TRI-COLOR DNR LOGO 1,192 99,999,999.00 EA 32.0000000000000100255746 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,193 99,999,999.00 EA 32.0000000000000100255747 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page81 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 82: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,194 99,999,999.00 EA 32.0000000000000100255748 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZEMEDIUM, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,195 99,999,999.00 EA 32.0000000000000100255749 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,196 99,999,999.00 EA 32.0000000000000100255750 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,197 99,999,999.00 EA 32.0000000000000100255751 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,198 99,999,999.00 EA 32.0000000000000100255752 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,199 99,999,999.00 EA 32.0000000000000100255753 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,200 99,999,999.00 EA 34.5000000000000100255754 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,201 99,999,999.00 EA 34.5000000000000100255755 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,202 99,999,999.00 EA 32.0000000000000100255756 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,203 99,999,999.00 EA 32.0000000000000100255757 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,204 99,999,999.00 EA 32.0000000000000100255758 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,205 99,999,999.00 EA 32.0000000000000100255759 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,206 99,999,999.00 EA 32.0000000000000100255760 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,207 99,999,999.00 EA 32.0000000000000100255761 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page82 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 83: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,208 99,999,999.00 EA 32.0000000000000100255762 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,209 99,999,999.00 EA 32.0000000000000100255763 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,210 99,999,999.00 EA 34.5000000000000100255764 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,211 99,999,999.00 EA 34.5000000000000100255765 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,212 99,999,999.00 EA 32.0000000000000100255766 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,213 99,999,999.00 EA 32.0000000000000100255767 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,214 99,999,999.00 EA 32.0000000000000100255768 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,215 99,999,999.00 EA 32.0000000000000100255769 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,216 99,999,999.00 EA 32.0000000000000100255770 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,217 99,999,999.00 EA 32.0000000000000100255771 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,218 99,999,999.00 EA 32.0000000000000100255772 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,219 99,999,999.00 EA 32.0000000000000100255773 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,220 99,999,999.00 EA 34.5000000000000100255774 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,221 99,999,999.00 EA 34.5000000000000100255775 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page83 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 84: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,222 99,999,999.00 EA 32.0000000000000100255776 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZEXSMALL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,223 99,999,999.00 EA 32.0000000000000100255777 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,224 99,999,999.00 EA 32.0000000000000100255778 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,225 99,999,999.00 EA 32.0000000000000100255779 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,226 99,999,999.00 EA 32.0000000000000100255780 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,227 99,999,999.00 EA 32.0000000000000100255781 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,228 99,999,999.00 EA 32.0000000000000100255782 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,229 99,999,999.00 EA 32.0000000000000100255783 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,230 99,999,999.00 EA 34.5000000000000100255784 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,231 99,999,999.00 EA 34.5000000000000100255785 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,232 99,999,999.00 EA 32.0000000000000100255786 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,233 99,999,999.00 EA 32.0000000000000100255787 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,234 99,999,999.00 EA 32.0000000000000100255788 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,235 99,999,999.00 EA 32.0000000000000100255789 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page84 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 85: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,236 99,999,999.00 EA 32.0000000000000100255790 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,237 99,999,999.00 EA 32.0000000000000100255791 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,238 99,999,999.00 EA 32.0000000000000100255792 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,239 99,999,999.00 EA 32.0000000000000100255793 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,240 99,999,999.00 EA 34.5000000000000100255794 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,241 99,999,999.00 EA 34.5000000000000100255795 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,242 99,999,999.00 EA 32.0000000000000100255796 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,243 99,999,999.00 EA 32.0000000000000100255797 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,244 99,999,999.00 EA 32.0000000000000100255798 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,245 99,999,999.00 EA 32.0000000000000100255799 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,246 99,999,999.00 EA 32.0000000000000100255800 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR,NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,247 99,999,999.00 EA 32.0000000000000100255801 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,248 99,999,999.00 EA 32.0000000000000100255802 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,249 99,999,999.00 EA 32.0000000000000100255803 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page85 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 86: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,250 99,999,999.00 EA 34.5000000000000100255804 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE5XL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,251 99,999,999.00 EA 34.5000000000000100255805 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, BLACK, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,252 99,999,999.00 EA 32.0000000000000100255806 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,253 99,999,999.00 EA 32.0000000000000100255807 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,254 99,999,999.00 EA 32.0000000000000100255808 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,255 99,999,999.00 EA 32.0000000000000100255809 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,256 99,999,999.00 EA 32.0000000000000100255810 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR,NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,257 99,999,999.00 EA 32.0000000000000100255811 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,258 99,999,999.00 EA 34.5000000000000100255812 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,259 99,999,999.00 EA 34.5000000000000100255813 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,260 99,999,999.00 EA 34.5000000000000100255814 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,261 99,999,999.00 EA 34.5000000000000100255815 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, ROYAL, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,262 99,999,999.00 EA 32.0000000000000100255816 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,263 99,999,999.00 EA 32.0000000000000100255817 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page86 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 87: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,264 99,999,999.00 EA 32.0000000000000100255818 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZEMEDIUM, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,265 99,999,999.00 EA 32.0000000000000100255819 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,266 99,999,999.00 EA 32.0000000000000100255820 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR,NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,267 99,999,999.00 EA 32.0000000000000100255821 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,268 99,999,999.00 EA 32.0000000000000100255822 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,269 99,999,999.00 EA 32.0000000000000100255823 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,270 99,999,999.00 EA 34.5000000000000100255824 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,271 99,999,999.00 EA 34.5000000000000100255825 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, STONE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,272 99,999,999.00 EA 32.0000000000000100255826 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,273 99,999,999.00 EA 32.0000000000000100255827 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,274 99,999,999.00 EA 32.0000000000000100255828 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,275 99,999,999.00 EA 32.0000000000000100255829 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,276 99,999,999.00 EA 32.0000000000000100255830 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR,NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,277 99,999,999.00 EA 32.0000000000000100255831 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page87 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 88: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,278 99,999,999.00 EA 32.0000000000000100255832 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE3XL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,279 99,999,999.00 EA 32.0000000000000100255833 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,280 99,999,999.00 EA 34.5000000000000100255834 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,281 99,999,999.00 EA 34.5000000000000100255835 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, WHITE, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,282 99,999,999.00 EA 32.0000000000000100255836 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,283 99,999,999.00 EA 32.0000000000000100255837 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,284 99,999,999.00 EA 32.0000000000000100255838 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,285 99,999,999.00 EA 32.0000000000000100255839 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,286 99,999,999.00 EA 32.0000000000000100255840 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,287 99,999,999.00 EA 32.0000000000000100255841 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,288 99,999,999.00 EA 32.0000000000000100255842 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,289 99,999,999.00 EA 32.0000000000000100255843 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,290 99,999,999.00 EA 34.5000000000000100255844 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,291 99,999,999.00 EA 34.5000000000000100255845 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, CLOVER GREEN, SHORT-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page88 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 89: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,292 99,999,999.00 EA 37.0000000000000100255846 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZEXSMALL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,293 99,999,999.00 EA 37.0000000000000100255847 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,294 99,999,999.00 EA 37.0000000000000100255848 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,295 99,999,999.00 EA 37.0000000000000100255849 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,296 99,999,999.00 EA 37.0000000000000100255850 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,297 99,999,999.00 EA 37.0000000000000100255851 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,298 99,999,999.00 EA 37.0000000000000100255852 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,299 99,999,999.00 EA 37.0000000000000100255853 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,300 99,999,999.00 EA 37.0000000000000100255854 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,301 99,999,999.00 EA 39.1000000000000100255855 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,302 99,999,999.00 EA 37.0000000000000100255856 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,303 99,999,999.00 EA 37.0000000000000100255857 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,304 99,999,999.00 EA 37.0000000000000100255858 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,305 99,999,999.00 EA 37.0000000000000100255859 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page89 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 90: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,306 99,999,999.00 EA 37.0000000000000100255860 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,307 99,999,999.00 EA 37.0000000000000100255861 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,308 99,999,999.00 EA 37.0000000000000100255862 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,309 99,999,999.00 EA 37.0000000000000100255863 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,310 99,999,999.00 EA 39.1000000000000100255864 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,311 99,999,999.00 EA 39.1000000000000100255865 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,312 99,999,999.00 EA 37.0000000000000100255866 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,313 99,999,999.00 EA 37.0000000000000100255867 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,314 99,999,999.00 EA 37.0000000000000100255868 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,315 99,999,999.00 EA 37.0000000000000100255869 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,316 99,999,999.00 EA 37.0000000000000100255870 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,317 99,999,999.00 EA 37.0000000000000100255871 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,318 99,999,999.00 EA 37.0000000000000100255872 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,319 99,999,999.00 EA 37.0000000000000100255873 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page90 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 91: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,320 99,999,999.00 EA 39.1000000000000100255874 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,321 99,999,999.00 EA 39.1000000000000100255875 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,322 99,999,999.00 EA 37.0000000000000100255876 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,323 99,999,999.00 EA 37.0000000000000100255877 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,324 99,999,999.00 EA 37.0000000000000100255878 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

MEDIUM, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,325 99,999,999.00 EA 37.0000000000000100255879 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,326 99,999,999.00 EA 37.0000000000000100255880 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,327 99,999,999.00 EA 37.0000000000000100255881 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,328 99,999,999.00 EA 37.0000000000000100255882 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,329 99,999,999.00 EA 37.0000000000000100255883 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,330 99,999,999.00 EA 39.1000000000000100255884 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,331 99,999,999.00 EA 39.1000000000000100255885 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, BUTTON-DOWNCOLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,332 99,999,999.00 EA 37.0000000000000100255886 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

XSMALL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,333 99,999,999.00 EA 37.0000000000000100255887 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

SMALL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page91 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 92: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,334 99,999,999.00 EA 37.0000000000000100255888 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZEMEDIUM, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,335 99,999,999.00 EA 37.0000000000000100255889 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE

LARGE, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,336 99,999,999.00 EA 37.0000000000000100255890 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,337 99,999,999.00 EA 37.0000000000000100255891 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 2XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,338 99,999,999.00 EA 37.0000000000000100255892 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 3XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,339 99,999,999.00 EA 37.0000000000000100255893 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 4XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,340 99,999,999.00 EA 39.1000000000000100255894 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 5XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,341 99,999,999.00 EA 39.1000000000000100255895 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, MENS, SIZE 6XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,BUTTON-DOWN COLLAR, CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,342 99,999,999.00 EA 37.0000000000000100255896 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,343 99,999,999.00 EA 37.0000000000000100255897 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,344 99,999,999.00 EA 37.0000000000000100255898 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,345 99,999,999.00 EA 37.0000000000000100255899 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,346 99,999,999.00 EA 37.0000000000000100255900 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR, NOCHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,347 99,999,999.00 EA 37.0000000000000100255901 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page92 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 93: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,348 99,999,999.00 EA 37.0000000000000100255902 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE3XL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,349 99,999,999.00 EA 37.0000000000000100255903 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,350 99,999,999.00 EA 39.1000000000000100255904 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,351 99,999,999.00 EA 39.1000000000000100255905 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, BLACK, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,352 99,999,999.00 EA 37.0000000000000100255906 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,353 99,999,999.00 EA 37.0000000000000100255907 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,354 99,999,999.00 EA 37.0000000000000100255908 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,355 99,999,999.00 EA 37.0000000000000100255909 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,356 99,999,999.00 EA 37.0000000000000100255910 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR, NOCHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,357 99,999,999.00 EA 37.0000000000000100255911 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,358 99,999,999.00 EA 37.0000000000000100255912 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,359 99,999,999.00 EA 37.0000000000000100255913 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,360 99,999,999.00 EA 39.1000000000000100255914 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,361 99,999,999.00 EA 39.1000000000000100255915 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, ROYAL, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page93 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 94: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,362 99,999,999.00 EA 37.0000000000000100255916 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZEXSMALL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,363 99,999,999.00 EA 37.0000000000000100255917 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,364 99,999,999.00 EA 37.0000000000000100255918 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,365 99,999,999.00 EA 37.0000000000000100255919 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,366 99,999,999.00 EA 37.0000000000000100255920 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR, NOCHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,367 99,999,999.00 EA 37.0000000000000100255921 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,368 99,999,999.00 EA 37.0000000000000100255922 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,369 99,999,999.00 EA 37.0000000000000100255923 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,370 99,999,999.00 EA 39.1000000000000100255924 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,371 99,999,999.00 EA 39.1000000000000100255925 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, STONE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,372 99,999,999.00 EA 37.0000000000000100255926 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,373 99,999,999.00 EA 37.0000000000000100255927 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,374 99,999,999.00 EA 37.0000000000000100255928 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,375 99,999,999.00 EA 37.0000000000000100255929 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page94 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 95: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,376 99,999,999.00 EA 37.0000000000000100255930 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPEN COLLAR, NOCHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,377 99,999,999.00 EA 37.0000000000000100255931 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,378 99,999,999.00 EA 37.0000000000000100255932 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,379 99,999,999.00 EA 37.0000000000000100255933 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,380 99,999,999.00 EA 39.1000000000000100255934 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

5XL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,381 99,999,999.00 EA 39.1000000000000100255935 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, WHITE, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,382 99,999,999.00 EA 37.0000000000000100255936 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

XSMALL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,383 99,999,999.00 EA 37.0000000000000100255937 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

SMALL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,384 99,999,999.00 EA 37.0000000000000100255938 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

MEDIUM, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,385 99,999,999.00 EA 37.0000000000000100255939 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

LARGE, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,386 99,999,999.00 EA 37.0000000000000100255940 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE XL,

CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT, OPENCOLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,387 99,999,999.00 EA 37.0000000000000100255941 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

2XL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,388 99,999,999.00 EA 37.0000000000000100255942 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

3XL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,389 99,999,999.00 EA 37.0000000000000100255943 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

4XL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page95 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 96: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,390 99,999,999.00 EA 39.1000000000000100255944 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE5XL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,391 99,999,999.00 EA 39.1000000000000100255945 IDNR-ALL, SHIRT, BUTTON-FRONT STYLE, LADIES, SIZE

6XL, CLOVER GREEN, LONG-SLEEVES, COTTON-POLY BLEND, WRINKLE -RESISTANT,OPEN COLLAR, NO CHEST POCKET, EMBROIDERED ONE-COLOR DNR LOGO

1,392 99,999,999.00 EA 24.0000000000000100255946 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE XSMALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,393 99,999,999.00 EA 24.0000000000000100255947 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE SMALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,394 99,999,999.00 EA 24.0000000000000100255948 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE MEDIUM, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,395 99,999,999.00 EA 24.0000000000000100255949 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE LARGE, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,396 99,999,999.00 EA 26.0000000000000100255950 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE LARGE TALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,397 99,999,999.00 EA 24.0000000000000100255951 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,398 99,999,999.00 EA 26.0000000000000100255952 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE XL TALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,399 99,999,999.00 EA 24.0000000000000100255953 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 2XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,400 99,999,999.00 EA 26.0000000000000100255954 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 2XL TALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,401 99,999,999.00 EA 24.0000000000000100255955 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 3XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,402 99,999,999.00 EA 26.0000000000000100255956 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 3XL TALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,403 99,999,999.00 EA 24.0000000000000100255957 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 4XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,404 99,999,999.00 EA 26.0000000000000100255958 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 4XL TALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,405 99,999,999.00 EA 24.0000000000000100255959 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE XSMALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,406 99,999,999.00 EA 24.0000000000000100255960 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE SMALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,407 99,999,999.00 EA 24.0000000000000100255961 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE MEDIUM, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR

Quantity Purchase AgreementWith The State Of Indiana

Page96 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 97: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

LOGO 1,408 99,999,999.00 EA 24.0000000000000100255962 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE LARGE, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,409 99,999,999.00 EA 26.0000000000000100255963 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE LARGE TALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,410 99,999,999.00 EA 24.0000000000000100255964 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,411 99,999,999.00 EA 26.0000000000000100255965 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE XL TALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,412 99,999,999.00 EA 24.0000000000000100255966 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 2XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,413 99,999,999.00 EA 26.0000000000000100255967 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 2XL TALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,414 99,999,999.00 EA 24.0000000000000100255968 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 3XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,415 99,999,999.00 EA 26.0000000000000100255969 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 3XL TALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,416 99,999,999.00 EA 24.0000000000000100255970 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 4XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,417 99,999,999.00 EA 26.0000000000000100255971 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 4XL TALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,418 99,999,999.00 EA 24.0000000000000100255972 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE XSMALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,419 99,999,999.00 EA 24.0000000000000100255973 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE SMALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,420 99,999,999.00 EA 24.0000000000000100255974 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE MEDIUM, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,421 99,999,999.00 EA 24.0000000000000100255975 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE LARGE, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,422 99,999,999.00 EA 26.0000000000000100255976 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE LARGE TALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,423 99,999,999.00 EA 24.0000000000000100255977 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,424 99,999,999.00 EA 26.0000000000000100255978 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE XL TALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page97 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 98: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,425 99,999,999.00 EA 24.0000000000000100255979 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 2XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,426 99,999,999.00 EA 26.0000000000000100255980 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 2XL TALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,427 99,999,999.00 EA 24.0000000000000100255981 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 3XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,428 99,999,999.00 EA 26.0000000000000100255982 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 3XL TALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,429 99,999,999.00 EA 24.0000000000000100255983 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

MENS, SIZE 4XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,430 99,999,999.00 EA 26.0000000000000100255984 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC, MENS

TALL, SIZE 4XL TALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,431 99,999,999.00 EA 24.0000000000000100255985 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE XSMALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,432 99,999,999.00 EA 24.0000000000000100255986 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE SMALL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,433 99,999,999.00 EA 24.0000000000000100255987 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE MEDIUM, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,434 99,999,999.00 EA 24.0000000000000100255988 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE LARGE, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,435 99,999,999.00 EA 24.0000000000000100255989 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,436 99,999,999.00 EA 24.0000000000000100255990 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 2XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,437 99,999,999.00 EA 24.0000000000000100255991 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 3XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,438 99,999,999.00 EA 24.0000000000000100255992 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 4XL, BLACK, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,439 99,999,999.00 EA 24.0000000000000100255993 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE XSMALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,440 99,999,999.00 EA 24.0000000000000100255994 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE SMALL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,441 99,999,999.00 EA 24.0000000000000100255995 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE MEDIUM, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,442 99,999,999.00 EA 24.0000000000000100255996 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

Quantity Purchase AgreementWith The State Of Indiana

Page98 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 99: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

LADIES, SIZE LARGE, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNRLOGO

1,443 99,999,999.00 EA 24.0000000000000100255997 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,444 99,999,999.00 EA 24.0000000000000100255998 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 2XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,445 99,999,999.00 EA 24.0000000000000100255999 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 3XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,446 99,999,999.00 EA 24.0000000000000100256000 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 4XL, DARK GREEN, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,447 99,999,999.00 EA 24.0000000000000100256001 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE XSMALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,448 99,999,999.00 EA 24.0000000000000100256002 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE SMALL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,449 99,999,999.00 EA 24.0000000000000100256003 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE MEDIUM, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,450 99,999,999.00 EA 24.0000000000000100256004 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE LARGE, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,451 99,999,999.00 EA 24.0000000000000100256005 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,452 99,999,999.00 EA 24.0000000000000100256006 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 2XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,453 99,999,999.00 EA 24.0000000000000100256007 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 3XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,454 99,999,999.00 EA 24.0000000000000100256008 IDNR-ALL, SHIRT, POLO STYLE, PERFORMANCE FABRIC,

LADIES, SIZE 4XL, ROYAL, SHORT-SLEEVES, EMBROIDERED ONE-COLOR DNR LOGO 1,455 99,999,999.00 EA 40.0000000000000100256009 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

XSMALL, BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,456 99,999,999.00 EA 40.0000000000000100256010 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

SMALL, BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,457 99,999,999.00 EA 40.0000000000000100256011 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

MEDIUM, BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,458 99,999,999.00 EA 40.0000000000000100256012 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

LARGE, BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,459 99,999,999.00 EA 40.0000000000000100256013 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE XL,

BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORM

Quantity Purchase AgreementWith The State Of Indiana

Page99 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 100: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

STYLING, EMBROIDERED ONE-COLOR DNR LOGO 1,460 99,999,999.00 EA 42.0000000000000100256014 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 2XL,

BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,461 99,999,999.00 EA 42.0000000000000100256015 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 3XL,

BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,462 99,999,999.00 EA 42.0000000000000100256016 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 4XL,

BLACK, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,463 99,999,999.00 EA 40.0000000000000100256017 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

XSMALL, CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,464 99,999,999.00 EA 40.0000000000000100256018 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

SMALL, CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,465 99,999,999.00 EA 40.0000000000000100256019 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

MEDIUM, CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,466 99,999,999.00 EA 40.0000000000000100256020 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

LARGE, CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,467 99,999,999.00 EA 40.0000000000000100256021 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE XL,

CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,468 99,999,999.00 EA 42.0000000000000100256022 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 2XL,

CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,469 99,999,999.00 EA 42.0000000000000100256023 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 3XL,

CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,470 99,999,999.00 EA 42.0000000000000100256024 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 4XL,

CHARCOAL GREY, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,471 99,999,999.00 EA 40.0000000000000100256025 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

XSMALL, FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,472 99,999,999.00 EA 40.0000000000000100256026 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

SMALL, FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,473 99,999,999.00 EA 40.0000000000000100256027 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

MEDIUM, FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page100 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 101: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,474 99,999,999.00 EA 40.0000000000000100256028 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE

LARGE, FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM,DRESSIER/NON-UNIFORM STYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,475 99,999,999.00 EA 40.0000000000000100256029 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE XL,

FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,476 99,999,999.00 EA 42.0000000000000100256030 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 2XL,

FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,477 99,999,999.00 EA 42.0000000000000100256031 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 3XL,

FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,478 99,999,999.00 EA 42.0000000000000100256032 IDNR-ALL, SWEATER, V-NECK PULLOVER, UNISEX, SIZE 4XL,

FOREST GREEN, LONG-SLEEVES, ACRYLIC, RIBBED CUFFS/HEM, DRESSIER/NON-UNIFORMSTYLING, EMBROIDERED ONE-COLOR DNR LOGO

1,479 99,999,999.00 EA 18.0000000000000100256033 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

XSMALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,480 99,999,999.00 EA 18.0000000000000100256034 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

SMALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,481 99,999,999.00 EA 18.0000000000000100256035 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

MEDIUM, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,482 99,999,999.00 EA 18.0000000000000100256036 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

LARGE, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,483 99,999,999.00 EA 19.5000000000000100256037 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE LARGE TALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,484 99,999,999.00 EA 18.0000000000000100256038 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE XL,

BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,485 99,999,999.00 EA 19.5000000000000100256039 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE XL TALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,486 99,999,999.00 EA 18.0000000000000100256040 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

2XL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,487 99,999,999.00 EA 19.5000000000000100256041 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 2XL TALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,488 99,999,999.00 EA 18.0000000000000100256042 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

3XL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,489 99,999,999.00 EA 19.5000000000000100256043 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 3XL TALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR

Quantity Purchase AgreementWith The State Of Indiana

Page101 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 102: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

LOGO 1,490 99,999,999.00 EA 18.0000000000000100256044 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

4XL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,491 99,999,999.00 EA 19.5000000000000100256045 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 4XL TALL, BLACK, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,492 99,999,999.00 EA 18.0000000000000100256046 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

XSMALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,493 99,999,999.00 EA 18.0000000000000100256047 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

SMALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,494 99,999,999.00 EA 18.0000000000000100256048 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

MEDIUM, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,495 99,999,999.00 EA 18.0000000000000100256049 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

LARGE, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,496 99,999,999.00 EA 19.5000000000000100256050 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE LARGE TALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDEREDONE-COLOR DNR LOGO

1,497 99,999,999.00 EA 18.0000000000000100256051 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE XL,

FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,498 99,999,999.00 EA 19.5000000000000100256052 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE XL TALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,499 99,999,999.00 EA 18.0000000000000100256053 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

2XL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,500 99,999,999.00 EA 19.5000000000000100256054 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 2XL TALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,501 99,999,999.00 EA 18.0000000000000100256055 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

3XL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,502 99,999,999.00 EA 19.5000000000000100256056 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 3XL TALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,503 99,999,999.00 EA 18.0000000000000100256057 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

4XL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,504 99,999,999.00 EA 19.5000000000000100256058 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 4XL TALL, FOREST GREEN, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page102 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 103: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,505 99,999,999.00 EA 18.0000000000000100256059 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZEXSMALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO

1,506 99,999,999.00 EA 18.0000000000000100256060 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

SMALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,507 99,999,999.00 EA 18.0000000000000100256061 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

MEDIUM, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,508 99,999,999.00 EA 18.0000000000000100256062 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

LARGE, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,509 99,999,999.00 EA 19.5000000000000100256063 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE LARGE TALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,510 99,999,999.00 EA 18.0000000000000100256064 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE XL,

TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,511 99,999,999.00 EA 19.5000000000000100256065 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE XL TALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,512 99,999,999.00 EA 18.0000000000000100256066 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

2XL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,513 99,999,999.00 EA 19.5000000000000100256067 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 2XL TALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,514 99,999,999.00 EA 18.0000000000000100256068 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

3XL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,515 99,999,999.00 EA 19.5000000000000100256069 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 3XL TALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,516 99,999,999.00 EA 18.0000000000000100256070 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

4XL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,517 99,999,999.00 EA 19.5000000000000100256071 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 4XL TALL, TRUE ROYAL, SHORT-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,518 99,999,999.00 EA 18.0000000000000100256072 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XSMALL, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,519 99,999,999.00 EA 18.0000000000000100256073 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

SMALL, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,520 99,999,999.00 EA 18.0000000000000100256074 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

MEDIUM, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

Quantity Purchase AgreementWith The State Of Indiana

Page103 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 104: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,521 99,999,999.00 EA 18.0000000000000100256075 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZELARGE, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,522 99,999,999.00 EA 18.0000000000000100256076 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XL, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,523 99,999,999.00 EA 18.0000000000000100256077 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

2XL, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,524 99,999,999.00 EA 18.0000000000000100256078 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

3XL, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,525 99,999,999.00 EA 18.0000000000000100256079 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

4XL, BLACK, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,526 99,999,999.00 EA 18.0000000000000100256080 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XSMALL, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDEREDONE-COLOR DNR LOGO

1,527 99,999,999.00 EA 18.0000000000000100256081 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

SMALL, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDEREDONE-COLOR DNR LOGO

1,528 99,999,999.00 EA 18.0000000000000100256082 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

MEDIUM, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDEREDONE-COLOR DNR LOGO

1,529 99,999,999.00 EA 18.0000000000000100256083 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

LARGE, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDEREDONE-COLOR DNR LOGO

1,530 99,999,999.00 EA 18.0000000000000100256084 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XL, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,531 99,999,999.00 EA 18.0000000000000100256085 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

2XL, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,532 99,999,999.00 EA 18.0000000000000100256086 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

3XL, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,533 99,999,999.00 EA 18.0000000000000100256087 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

4XL, FOREST GREEN, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,534 99,999,999.00 EA 18.0000000000000100256088 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XSMALL, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,535 99,999,999.00 EA 18.0000000000000100256089 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

Quantity Purchase AgreementWith The State Of Indiana

Page104 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 105: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

SMALL, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,536 99,999,999.00 EA 18.0000000000000100256090 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

MEDIUM, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,537 99,999,999.00 EA 18.0000000000000100256091 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

LARGE, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,538 99,999,999.00 EA 18.0000000000000100256092 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XL, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,539 99,999,999.00 EA 18.0000000000000100256093 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

2XL, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,540 99,999,999.00 EA 18.0000000000000100256094 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

3XL, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,541 99,999,999.00 EA 18.0000000000000100256095 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

4XL, TRUE ROYAL, SHORT-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,542 99,999,999.00 EA 24.0000000000000100256096 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

XSMALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,543 99,999,999.00 EA 24.0000000000000100256097 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

SMALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,544 99,999,999.00 EA 24.0000000000000100256098 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

MEDIUM, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,545 99,999,999.00 EA 24.0000000000000100256099 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

LARGE, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,546 99,999,999.00 EA 27.5000000000000100256100 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE LARGE TALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,547 99,999,999.00 EA 24.0000000000000100256101 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE XL,

BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,548 99,999,999.00 EA 27.5000000000000100256102 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE XL TALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,549 99,999,999.00 EA 24.0000000000000100256103 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

2XL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,550 99,999,999.00 EA 27.5000000000000100256104 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 2XL TALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,551 99,999,999.00 EA 24.0000000000000100256105 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

Quantity Purchase AgreementWith The State Of Indiana

Page105 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 106: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

3XL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,552 99,999,999.00 EA 27.5000000000000100256106 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 3XL TALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,553 99,999,999.00 EA 24.0000000000000100256107 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

4XL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,554 99,999,999.00 EA 27.5000000000000100256108 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 4XL TALL, BLACK, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,555 99,999,999.00 EA 24.0000000000000100256109 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

XSMALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,556 99,999,999.00 EA 24.0000000000000100256110 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

SMALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,557 99,999,999.00 EA 24.0000000000000100256111 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

MEDIUM, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,558 99,999,999.00 EA 24.0000000000000100256112 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

LARGE, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,559 99,999,999.00 EA 27.5000000000000100256113 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE LARGE TALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDEREDONE-COLOR DNR LOGO

1,560 99,999,999.00 EA 24.0000000000000100256114 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE XL,

FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,561 99,999,999.00 EA 27.5000000000000100256115 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE XL TALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,562 99,999,999.00 EA 24.0000000000000100256116 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

2XL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,563 99,999,999.00 EA 27.5000000000000100256117 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 2XL TALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,564 99,999,999.00 EA 24.0000000000000100256118 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

3XL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,565 99,999,999.00 EA 27.5000000000000100256119 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 3XL TALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,566 99,999,999.00 EA 24.0000000000000100256120 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

4XL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,567 99,999,999.00 EA 27.5000000000000100256121 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 4XL TALL, FOREST GREEN, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR

Quantity Purchase AgreementWith The State Of Indiana

Page106 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 107: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

DNR LOGO 1,568 99,999,999.00 EA 24.0000000000000100256122 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

XSMALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,569 99,999,999.00 EA 24.0000000000000100256123 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

SMALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,570 99,999,999.00 EA 24.0000000000000100256124 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

MEDIUM, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,571 99,999,999.00 EA 24.0000000000000100256125 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

LARGE, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,572 99,999,999.00 EA 27.5000000000000100256126 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE LARGE TALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,573 99,999,999.00 EA 24.0000000000000100256127 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE XL,

TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,574 99,999,999.00 EA 27.5000000000000100256128 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE XL TALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNRLOGO

1,575 99,999,999.00 EA 24.0000000000000100256129 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

2XL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,576 99,999,999.00 EA 27.5000000000000100256130 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 2XL TALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,577 99,999,999.00 EA 24.0000000000000100256131 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

3XL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,578 99,999,999.00 EA 27.5000000000000100256132 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 3XL TALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,579 99,999,999.00 EA 24.0000000000000100256133 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS, SIZE

4XL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLOR DNR LOGO 1,580 99,999,999.00 EA 27.5000000000000100256134 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, MENS TALL,

SIZE 4XL TALL, TRUE ROYAL, LONG-SLEEVES, CREWNECK, EMBROIDERED ONE-COLORDNR LOGO

1,581 99,999,999.00 EA 24.0000000000000100256135 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XSMALL, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,582 99,999,999.00 EA 24.0000000000000100256136 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

SMALL, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,583 99,999,999.00 EA 24.0000000000000100256137 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

MEDIUM, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

Quantity Purchase AgreementWith The State Of Indiana

Page107 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 108: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,584 99,999,999.00 EA 24.0000000000000100256138 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

LARGE, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNRLOGO

1,585 99,999,999.00 EA 24.0000000000000100256139 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XL, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,586 99,999,999.00 EA 24.0000000000000100256140 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

2XL, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,587 99,999,999.00 EA 24.0000000000000100256141 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

3XL, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,588 99,999,999.00 EA 24.0000000000000100256142 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

4XL, BLACK, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,589 99,999,999.00 EA 24.0000000000000100256143 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XSMALL, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDEREDONE-COLOR DNR LOGO

1,590 99,999,999.00 EA 24.0000000000000100256144 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

SMALL, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,591 99,999,999.00 EA 24.0000000000000100256145 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

MEDIUM, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDEREDONE-COLOR DNR LOGO

1,592 99,999,999.00 EA 24.0000000000000100256146 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

LARGE, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,593 99,999,999.00 EA 24.0000000000000100256147 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XL, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,594 99,999,999.00 EA 24.0000000000000100256148 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

2XL, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,595 99,999,999.00 EA 24.0000000000000100256149 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

3XL, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,596 99,999,999.00 EA 24.0000000000000100256150 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

4XL, FOREST GREEN, LONG-SLEEVES, SLIGHT SCOOP NECK, EMBROIDERED ONE-COLORDNR LOGO

1,597 99,999,999.00 EA 24.0000000000000100256151 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XSMALL, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,598 99,999,999.00 EA 24.0000000000000100256152 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

SMALL, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,599 99,999,999.00 EA 24.0000000000000100256153 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

Quantity Purchase AgreementWith The State Of Indiana

Page108 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 109: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

MEDIUM, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,600 99,999,999.00 EA 24.0000000000000100256154 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

LARGE, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,601 99,999,999.00 EA 24.0000000000000100256155 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

XL, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,602 99,999,999.00 EA 24.0000000000000100256156 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

2XL, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,603 99,999,999.00 EA 24.0000000000000100256157 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

3XL, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,604 99,999,999.00 EA 24.0000000000000100256158 IDNR-ALL, T-SHIRT, PERFORMANCE FABRIC, LADIES, SIZE

4XL, TRUE ROYAL, LONG-SLEEVES, V-NECK, EMBROIDERED ONE-COLOR DNR LOGO 1,605 99,999,999.00 EA 35.0000000000000100256159 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE SMALL, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,606 99,999,999.00 EA 35.0000000000000100256160 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE MEDIUM, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,607 99,999,999.00 EA 35.0000000000000100256161 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE LARGE, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,608 99,999,999.00 EA 35.0000000000000100256162 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE XL, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,609 99,999,999.00 EA 40.0000000000000100256163 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE 2XL, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,610 99,999,999.00 EA 40.0000000000000100256164 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE 3XL, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,611 99,999,999.00 EA 40.0000000000000100256165 IDNR-PROPERTY, SHIRT, HEAVYWEIGHT RED KAP, MENS,

"MECHANICS" COTTON TWILL BUTTON-FRONT, SIZE 4XL, KHAKI, LONG-SLEEVES,EMBROIDERED TRI-COLOR DNR LOGO

1,612 99,999,999.00 EA 18.9500000000000100256166 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE

XSMALL, KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,613 99,999,999.00 EA 18.9500000000000100256167 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE SMALL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,614 99,999,999.00 EA 18.9500000000000100256168 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE

MEDIUM, KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page109 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 110: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,615 99,999,999.00 EA 18.9500000000000100256169 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE LARGE,KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,616 99,999,999.00 EA 18.9500000000000100256170 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,617 99,999,999.00 EA 18.9500000000000100256171 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE 2XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,618 99,999,999.00 EA 18.9500000000000100256172 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE 3XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,619 99,999,999.00 EA 18.9500000000000100256173 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE 4XL,

KHAKI, SHORT-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,620 99,999,999.00 EA 23.9500000000000100256174 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE

XSMALL, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,621 99,999,999.00 EA 23.9500000000000100256175 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE SMALL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,622 99,999,999.00 EA 23.9500000000000100256176 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE

MEDIUM, KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTEDTRI-COLOR DNR LOGO

1,623 99,999,999.00 EA 23.9500000000000100256177 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE LARGE,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,624 99,999,999.00 EA 23.9500000000000100256178 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,625 99,999,999.00 EA 23.9500000000000100256179 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE 2XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,626 99,999,999.00 EA 23.9500000000000100256180 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE 3XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,627 99,999,999.00 EA 23.9500000000000100256181 IDNR-PROPERTY, SHIRT, POLO STYLE, LADIES, SIZE 4XL,

KHAKI, LONG-SLEEVES, COTTON-POLY BLEND, NO POCKET, SCREENPRINTED TRI-COLORDNR LOGO

1,628 99,999,999.00 EA 25.0000000000000100256182 IDNR-PROPERTY, SWEATSHIRT, PULLOVER, HOODED, SIZE

5XL, SAND, FRONT HAND WARMER POCKET, DRAW STRING HOOD, SCREENPRINTEDTRI-COLOR DNR LOGO

Quantity Purchase AgreementWith The State Of Indiana

Page110 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 111: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,629 99,999,999.00 EA 13.7500000000000100197761 IDNR-LE, BADGE CLIP, BLACK LEATHER, BELT CLIP-ONATTACHMENT, STANDARD SIZE

1,630 99,999,999.00 EA 13.7500000000000100197762 IDNR-LE, CREDENTIAL CASE, BADGE AND ID HOLDER, BLACK

LEATHER, SPRING METAL CLIP-ON BACK W/BEADED CHAIN, POCKET HOLDS CHAIN WHENNO IN USE, EMBOSSED ICO-DNR LOGO

1,631 99,999,999.00 EA 20.0000000000000100274197 Shirt,S/S,X-Small,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,632 99,999,999.00 EA 20.0000000000000100274198 Shirt,S/S,Small,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,633 99,999,999.00 EA 20.0000000000000100274199 Shirt,S/S,Medium,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,634 99,999,999.00 EA 21.5000000000000100274200 Shirt,S/S,Large,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,635 99,999,999.00 EA 21.5000000000000100274201 Shirt,S/S,XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,636 99,999,999.00 EA 21.5000000000000100274202 Shirt,S/S2X,Large,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,637 99,999,999.00 EA 21.5000000000000100274203 Shirt,S/S3X,Large,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,638 99,999,999.00 EA 21.5000000000000100274204 Shirt,S/S,4XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,639 99,999,999.00 EA 21.5000000000000100274205 Shirt,S/S,5XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,640 99,999,999.00 EA 21.5000000000000100274206 Shirt,S/S,6XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,641 99,999,999.00 EA 21.5000000000000100274207 Shirt,S/S,SPECIAL,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,642 99,999,999.00 EA 23.5000000000000100274208 Shirt,L/S,X-Small,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,643 99,999,999.00 EA 23.5000000000000100274209 Shirt,L/S,Small,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,644 99,999,999.00 EA 23.5000000000000100274210 Shirt,L/S,Medium,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,645 99,999,999.00 EA 23.5000000000000100274211 Shirt,L/S,Large,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,646 99,999,999.00 EA 23.5000000000000100274212 Shirt,L/S,XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,647 99,999,999.00 EA 23.5000000000000100274213 Shirt,L/S2X,Large,Nickel Grey,LAPD epaulets/pocket

Quantity Purchase AgreementWith The State Of Indiana

Page111 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 112: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

cover,zipper front,Uniform,Military Style. 1,648 99,999,999.00 EA 23.5000000000000100274214 Shirt,L/S3X,Large,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,649 99,999,999.00 EA 23.5000000000000100274215 Shirt,L/S,4XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,650 99,999,999.00 EA 23.5000000000000100274216 Shirt,L/S,5XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,651 99,999,999.00 EA 23.5000000000000100274217 Shirt,L/S,6XLarge,Nickel Grey,LAPD epaulets/pocket

cover,zipper front,Uniform,Military Style. 1,652 99,999,999.00 EA 85.1000000000000100197361 IDNR-LE, HAT, "SMOKEY BEAR" CAMPAIGN STYLE, FELT,

OLIVE DRAB, SIZE CUSTOM ORDERED 1,653 99,999,999.00 PR 56.5000000000000100197961 Boot, ISP ~ IDNR-LE, Male/Female (Unisex style), Size

7EW, 5" Lace-Up Chukka, Black, full-grain water-resistant leather,polishable, durable Goodyear welt, insole has EVA cushioned filler, blownrubber oil-resistant outsole

1,654 99,999,999.00 PR 109.0000000000000100197889 Boot, ISP, Duty, Size 7EW, Black, Male, 8" Lace-up,

Full Grain Leather Upper w/Denier Nylon, Breathable Gore-Tex Lining, SlipResistant Rubber Outsole, Goodyear Welt Construction

1,655 99,999,999.00 EA 7.0000000000000100197369 Tie, Uniform, Federal Blue, ISP - CPS - Size Med 18" 1,656 99,999,999.00 EA 80.0000000000000100309737 Boots, IDOC, Reg, 8" Size 2,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,657 99,999,999.00 EA 80.0000000000000100309738 Boots, IDOC, Reg. 8" Size 2.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,658 99,999,999.00 EA 80.0000000000000100309739 Boots, IDOC, Reg. 8" Size 3,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,659 99,999,999.00 EA 80.0000000000000100309740 Boots, IDOC, Reg. 8" Size 3.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,660 99,999,999.00 EA 80.0000000000000100309741 Boots, IDOC, Reg. 8" Size 4,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,661 99,999,999.00 EA 80.0000000000000100309742 Boots, IDOC, Reg. 8" Size 4.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

Quantity Purchase AgreementWith The State Of Indiana

Page112 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 113: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,662 99,999,999.00 EA 80.0000000000000100309743 Boots, IDOC, Reg. 8" Size 5,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,663 99,999,999.00 EA 80.0000000000000100309744 Boots, IDOC, Reg. 8" Size 5.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,664 99,999,999.00 EA 80.0000000000000100309745 Boots, IDOC, Reg. 8" Size 6,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,665 99,999,999.00 EA 80.0000000000000100309746 Boots, IDOC, Reg. 8" Size 6.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,666 99,999,999.00 EA 80.0000000000000100309747 Boots, IDOC, Reg. 8" Size 7,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,667 99,999,999.00 EA 80.0000000000000100309748 Boots, IDOC, Reg. 8" Size 7.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,668 99,999,999.00 EA 80.0000000000000100309749 Boots, IDOC, Reg. 8" Size 8,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,669 99,999,999.00 EA 80.0000000000000100309750 Boots, IDOC, Reg. 8" Size 8.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,670 99,999,999.00 EA 80.0000000000000100309751 Boots, IDOC, Reg. 8" Size 9,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,671 99,999,999.00 EA 80.0000000000000100309752 Boots, IDOC, Reg. 8" Size 9.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,672 99,999,999.00 EA 80.0000000000000100309753 Boots, IDOC, Reg. 8" Size 10,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

Quantity Purchase AgreementWith The State Of Indiana

Page113 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 114: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,673 99,999,999.00 EA 80.0000000000000100309754 Boots, IDOC, Reg. 8" Size 10.5,Coyote Color,Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,674 99,999,999.00 EA 80.0000000000000100309755 Boots, IDOC, Reg. 8" Size 11,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,675 99,999,999.00 EA 80.0000000000000100309756 Boots, IDOC, Reg. 8" Size 11.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,676 99,999,999.00 EA 80.0000000000000100309757 Boots, IDOC, Reg. 8" Size 12,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,677 99,999,999.00 EA 80.0000000000000100309758 Boots, IDOC, Reg. 8" Size 13,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,678 99,999,999.00 EA 80.0000000000000100309759 Boots, IDOC, Reg. 8" Size 14,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,679 99,999,999.00 EA 80.0000000000000100309760 Boots, IDOC, Reg. 8" Size 15,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,680 99,999,999.00 EA 80.0000000000000100309761 Boots, IDOC, Reg. 8" Size 16,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,681 99,999,999.00 EA 80.0000000000000100309762 Boots, IDOC, Reg. 8" Size 17,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,682 99,999,999.00 EA 80.0000000000000100309763 Boots, IDOC, XW, 8" Size 2,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale comp

1,683 99,999,999.00 EA 80.0000000000000100309764 Boots, IDOC, XW, 8" Size 2.5,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,684 99,999,999.00 EA 80.0000000000000100309765 Boots, IDOC, XW 8" Size 3,Coyote Color, Waterproof

Quantity Purchase AgreementWith The State Of Indiana

Page114 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 115: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale compo

1,685 99,999,999.00 EA 80.0000000000000100309766 Boots, IDOC, XW. 8" Size 3.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,686 99,999,999.00 EA 80.0000000000000100309767 Boots, IDOC, XW. 8" Size 4,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,687 99,999,999.00 EA 80.0000000000000100309768 Boots, IDOC, XW. 8" Size 4.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,688 99,999,999.00 EA 80.0000000000000100309769 Boots, IDOC, XW. 8" Size 5,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,689 99,999,999.00 EA 80.0000000000000100309770 Boots, IDOC, XW. 8" Size 5.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,690 99,999,999.00 EA 80.0000000000000100309771 Boots, IDOC, XW. 8" Size 6,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,691 99,999,999.00 EA 80.0000000000000100309772 Boots, IDOC, XW. 8" Size .56,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,692 99,999,999.00 EA 80.0000000000000100309773 Boots, IDOC, XW,. 8" Size 7,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,693 99,999,999.00 EA 80.0000000000000100309774 Boots, IDOC, XW. 8" Size 7.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,694 99,999,999.00 EA 80.0000000000000100309775 Boots, IDOC, XW. 8" Size 8,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,695 99,999,999.00 EA 80.0000000000000100309776 Boots, IDOC, XW. 8" Size 8.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. Extra

Quantity Purchase AgreementWith The State Of Indiana

Page115 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 116: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

Gusset, triple density, rubber foundation, arch made from durale c 1,696 99,999,999.00 EA 80.0000000000000100309777 Boots, IDOC, XW. 8" Size 9,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale com

1,697 99,999,999.00 EA 80.0000000000000100309778 Boots, IDOC, XW. 8" Size 9.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,698 99,999,999.00 EA 80.0000000000000100309779 Boots, IDOC, XW. 8" Size 10,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,699 99,999,999.00 EA 80.0000000000000100309780 Boots, IDOC, XW. 8" Size 10.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,700 99,999,999.00 EA 80.0000000000000100309781 Boots, IDOC, XW. 8" Size 11,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,701 99,999,999.00 EA 80.0000000000000100309782 Boots, IDOC, XW. 8" Size 11.5,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale

1,702 99,999,999.00 EA 80.0000000000000100309783 Boots, IDOC, XW. 8" Size 12,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,703 99,999,999.00 EA 80.0000000000000100309784 Boots, IDOC, XW. 8" Size 13,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,704 99,999,999.00 EA 80.0000000000000100309785 Boots, IDOC, XW. 8" Size 14,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,705 99,999,999.00 EA 80.0000000000000100309786 Boots, IDOC, XW. 8" Size 15,Coyote Color, Waterproof

leather and 1000D Cordura upper of the AR-670-1 compliant Series, pulledsnug with the quick and easy NATO speed lace system. Extra Gusset, tripledensity, rubber foundation, arch made from durale co

1,706 99,999,999.00 EA 80.0000000000000100309787 Boots, IDOC, Reg. 8" Size 16,Coyote Color,

Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

Quantity Purchase AgreementWith The State Of Indiana

Page116 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008

Page 117: Quantity Purchase Agreement With The State Of Indiana ... · Leather Toe & Side,Black Tri-Density Polyurethane Sole, Ballistic Cloth Cordura Nylon Full Waterproof Liner,Removable

1,707 99,999,999.00 EA 80.0000000000000100309788 Boots, IDOC, Reg. 8" Size 17,Coyote Color,Waterproof leather and 1000D Cordura upper of the AR-670-1 compliantSeries, pulled snug with the quick and easy NATO speed lace system. ExtraGusset, triple density, rubber foundation, arch made from durale c

1,708 99,999,999.00 PR 71.0000000000000100198627 Boot,10M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

1,709 99,999,999.00 PR 71.0000000000000100198628 Boot,10W, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

1,710 99,999,999.00 PR 71.0000000000000100198629 Boot,10.5M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

1,711 99,999,999.00 PR 71.0000000000000100198630 Boot,10.5W, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

1,712 99,999,999.00 PR 71.0000000000000100198631 Boot,11M, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

1,713 99,999,999.00 PR 71.0000000000000100198632 Boot,11W, 6'' Lace-up Chukka,IDOC,Black,Female,full

grain #1 grade cowhide leather,padded collar,fiberglass shank,removablecushioned & moisture wicking insole. Black slip resistant,high traction lugthread design sole

The following UN/CEFACT Unit of MeasureCommon Codes are used in this document:EA EachPR PairSET Set

Signature of Purchasing Officer Typed Name Signature Of ApprovalOffice Of theState Attorney General

Date Signed Typed Name Date Signed

Authorized Signature Indiana Department Of AdministrationProcurement Division402 West Washington Street, Rm W468Indianapolis, Indiana 46204Telephone: (317) 232-3150

Quantity Purchase AgreementWith The State Of Indiana

Page117 of 117

Requisition Nbr.: Uniforms and Related Items

Qty Purchase Agreement QPA Number0000000000000000000013038

Agency Number:Facility: ASA-RFP-13-21

Effective Date: 08/05/2013Expiration Date: 02/28/2020

Vendor ID:

VendorRemit to:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

0000062282

Name andAddressof Vendor:

BLACKJACK UNIFORMS7242 KENNEDY AVE.HAMMOND IN 46323

Vendor Telephone Nbr: 219/844-2870--Name Of Contact Pers: JUDITH CROWELLContact Email:FAX Number: 219/844-3511--

Line Number Quantity UNIT Article and Description Unit Price

In accordance with your bid, submitted in response to the above referenced solicitation, the Vendor agrees that the Indiana Department of Administration, ProcurementDivision, has the option to purchase the items listed below under the terms of this agreement.The Vendor agrees to charge these prices for any products ordered on any QPA release received after the expiration of the QPA but issued prior to the expiration date.The quantity listed herein is an estimate of the requirements. The state may order substantially more or substantially less pursuant to the terms of this agreement.Orders are to be delivered only upon receipt of properly approved Quantity Purchase Award Release.

State Form 9955(R10/7-08)-Electronic Version-Approved by State Board Of Accounts, 2008