county of kane and... · 2017-10-08 · this is a two (2) year contract. the kane county board...

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Christopher J Lauzen Kane County Board Chairman COUNTY OF KANE DOCUMENT VET SHEET for Christopher J. Lauzen Chairman, Kane County Board Kane County Government Center 719 South Batavia Avenue Ge ne va, fL 60 134 P: (630) 232-5930 F: (630)232-9 188 clauzen@kanecoboard .org www.countyofkane .org Name of Document: NCR Printing Service Resolution No.: 14-127 Submitted by: Date Submitted: Approved by : (Legality) Chris Rossman (Print name) (Signature) (Date) Dept. Head Signature & , (Subject Matter Sign-off) Legal Review of Contract Terms (Atty. Sign-off): ------ - --- - __ ________ Comments: The County of Kane requires this contract for (NCR) Form Printing Services (five cases or more) to LRD Systems and Forms, of Woodstock, I L. This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify the Purchasing Office when Offer to Contract is ready to be picked up or requires additional information. Attachments: Resolution 14-127, Purchasing Synopsis and Offer to Contract Chairman signed: YES ____ _ NO _____ _ (Date) Document returned to: --- ----- ---- --------- (Name/Department) Re v. 3/ 2014

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Page 1: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Christopher J Lauzen Kane County Board Chairman

COUNTY OF KANE

DOCUMENT VET SHEET for

Christopher J. Lauzen Chairman, Kane County Board

Kane County Government Center 719 South Batavia Avenue

Geneva, fL 60 134 P: (630) 232-5930 F: (630)232-9 188

clauzen@kanecoboard .org www.countyofkane.org

Name of Document: NCR Printing Service Resolution No.: 14-127

Submitted by:

Date Submitted:

Approved by: (Legality)

Chris Rossman

(Print name)

(Signature)

(Date)

Dept. Head Signature & Date:~ , -= .)~).?~IV (Subject Matter Sign-off)

Legal Review of Contract Terms (Atty. Sign-off): ------- ----

~P~o~st~o~n~th~e~VV~e~b~: __ Y~E~S~--------~N~O~--------~A~-~·~ln~it~ia~ls ________ ~

Comments:

The County of Kane requires this contract for (NCR) Form Printing Services (five cases or more) to LRD Systems and Forms, of Woodstock, I L. This is a two (2) year contract.

The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127.

Please notify the Purchasing Office when Offer to Contract is ready to be picked up or requires additional information.

Attachments: Resolution 14-127, Purchasing Synopsis and Offer to Contract

Chairman signed: YES ____ _ NO _____ _

(Date)

Document returned to: ---------------------(Name/Department)

Rev. 3/ 2014

Page 2: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

STATE OF ILLINOIS

COUNTY OF KANE

RESOLUTION NO. 14-127

AUTHORIZING A CONTRACT FOR PRINTED NCR FORMS WITH PRINTING SERVICES

WHEREAS, bids were solicited and received for printed NCR forms for fiscal year 2014; and

WHEREAS, LRD Systems & Forms has been selected for Printing services for a two year contract of printed forms of five Boxes or more; and

WHEREAS, LRD Systems & Forms, 666 Russell Court, Woodstock, Illinois was the lowest responsible bidder at an average cost of $27,501.00 for printing of the NCR Forms cost.

NOW, THEREFORE, BE IT RESOLVED By the Kane County Board that the Chairman of the Board is authorized to enter into a contract with LRD Forms, 666 Russell Court, Woodstock, Illinois for the printing NCR forms at an average cost of Twenty-Seven Thousand, Five Hundred and One Dollars ($27,501.00). Said expenditures paid out of the General Fund 001-080-080-60110, Printing-General line item.

Line Item Line Item Description Was Are funds currently personnel/item/service available for this

approved in original personnel/item/service in budget or a subsequent the specific line item?

budget revision? 001-080-0B0-6011 0 Contractual Services - Yes Yes

Printing General

Passed by the Kane County Board on May 13, 2014.

john A Cunningham /Clerk, County Board

Kane County, Illinois

Vote: Yes No Voice Abstentions 5PrintForms

Christopher J. Lauzen Chairman, County Board Kane County, Illinois

If funds are not currently available in

the specified line item, where are the funds

available? N/A

Page 3: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

County of Kane PURCHASING DEPARTMENT

KANE COUNTY GOVERNMENT CENTER

719 S. Batavia Avenue, Bldg. A. Geneva, Illinois 60134

April3, 2014

Telephone: (630) 232-5929 Fax: (630) 208-51 07

PROCUREMENT SYNOPSIS

Requesting Department: Procurement Name: Recommended Vendor: Amount of Award:

NOTIFICATION AND RESPONSE Public Notices:

• County of Kane's Web site

Building Management 25-013 NCR Forms Printing Service LRD SYSTEMS & FORMS

Variable per Form Type - See Exhibit- A

• The CHRONICLE

Notices sent: 43 Bids Received: 7

PURPOSE: This contract will provide the County with non-carbon required (NCR) forms printing service and delivery at the lowest competitive bids.

BID TABULATION· VENDORS Total Estimated Cost- Annually

OFFICE DEPOT- Carol Stream, IL $22,466.05 (1} LRD SYSTEMS -Woodstock, IL $27,501.85 GARVEY'S OFFICE - Niles, IL $28,090.00 UNLIMITED GRAPHIX- Lockport, IL $28,353.00 MPE BUSINESS- DeKalb, IL $30,917.80 CPR PRINTING- St. Charles, IL $36,323.00 AUTOMATED FORMS- Clarendon Hill, IL $58,661.65

See exhibit A- Ordering Increments/Cost Comparison.

(1) Building Management Department evaluates all bids and determined that Office Depot's bid is not in compliance with County's specified printing procedure. Office Depot will make copy of the required NCR forms. All specified NCR form will not be printed per bid specification.

Based on Building Management's evaluation, Office Depot is neither a responsive nor the apparent low bidder. The next responsive bidder per bid specification is LRD Systems and Form.

Staff recommends awarding LRD Systems and Form of Woodstock, IL for this service contract pending Building Management Department approval.

Submitted By: TimKeovongsak, Buyer Purchasing Department

Page 4: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

KANE COUNTY OFFER TO CONTRACT FORM

For .• 25-013 NCR Form Printing

Sealed Bid 25-013 NCR Form Printing Offer to Contract Fonn, Pages 1-5

Bid Due Time & Date: 4 p.m .. Wednesday. October 2. 2013

To: County of Kane (Purchasing Department) Kane County Government Center, Bldg. A 719 S. Batavia Ave. Geneva, IL 60134

The following offer is hereby made to the County of Kane, Illinois, h~reafter called the Owner.

Submitted By: LRDSystems & Fonns 1

i I. The unde~igned Contractor proposes and agrees, after having examined the specifications,

quantities and other contract documents, to irrevocably ~ffer to furnish the materials, equipment and services in compliance with all terms, '?Onditions, specifications and amendments contained in the bid solicitation documents. Th$ items in this Invitation to Bid, including, but not limib:!d to, all required certificates, are fully incorporated herein as a material and necessary part of the contract.

A The Contractor shall also include with his bid any necessarY literature, samples, etc., as r~uired within the Invitation to Bid, Instruction to Bidders and specifications.

1. The Contractor has examined the Contractor Disclosure section of the Instruction to Bidders, and has included or provided a notarized d:ocument listing all cumulative campaign contributions made within the past twel~e months, to any current or countywide elected officer, and ownership interest in entity greater than five percent

B. For purposes of this offer, the terms Offerer, Bidder, Contr~or, and Vendor are used interchangeably. I

II. In submitting this Offer, the Contractor acknowledges:

A. All bid documents have been examined: Instructions to Bidder, Statement of Wor1<, NCR form samples (see Attachment), Including the following addenda:

No. ___ , No .. ___ , No. __ _, {Contractor to acknowledge addenda here.)

B. To be prepared to execute a contract with the County wit~in ten (10) calendar days after acceptance of the bid by the County.

Page 5: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Prices jshown are based on ~arton quantity Coulnty requested.

Page 6: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Ill. Base Bid

Sealed Bid 25-013 NCR Fonn Printing Offer to Contract Fonn, Pages 2-5

All carbonless (NCR) paper is standard #16 white first page and #16 subsequence color pages. Pricing is based on a per case increment and form quantity as specified in statement of work. The per case cost shall be based on County's case counts.

A- Single Side

DESCRIPTION 1-5CASES CARBONLESS (NCR) FORM

SPECIFICAnON- FULL PAGE 1 2 3 4 5 8.5 X 11 SINGLE SIDE

2-Parts - 1 side printed, black ink $ .Jtok_:oo $1 (, 1. I 'f $/3 '-1. J 5 $111. gl $ ; 0 7.'1' 3-Parts- 1 side printed, black ink $ 3o5.5 I $/~8.1'3 $ I 1.113. 'f~ $ /J.'I. '15 $1/1.11 4-Parts- 1 side printed, black ink $ 3'1~. go $~01. 35 $l~~.d.l $ 13'f. (, "0 Sld.IP. oCJ 5-Parts- 1 side printed, black ink s 3ao. (p~ $ J.J(,, 8'1 st-t'f. ~5 $/50. D~ $/311. ftJ5

I

DESCRIPTION 6-10ICASES CARBONLESS (NCR) FORM I

SPECIFICAnON- FULL PAGE 6 7 ~8 9 10 8.5 X 11 SINGLE SIDE

2-Parts - 1 side printed, black ink $101. 3?> $ 'f(Q." J. $ q~,01 $ '11.5!1_ $ gq_c1J. 3-Parts - 1 side printed, black ink $ ID!L ~~ $ IOLI.J.~ s lob. to s 9S,oa $ '15. ~~ 4-Parts- 1 side printed, black ink $ 1//. Ofo $ {/ o. (p0 slol5.11 $ I 0 3._cilO $ 100.05 5-Parts- 1 side printed, black ink $l(}lf.til $ 117.01 $ I 1/ 5 q $/0~-5J s lo4. 'IS

DESCRIPTION I

11·1~CASES CARBONLESS (NCR) FORM ~3 SPECIFICAnON- FULL PAGE 11 12 14 15

8.5 X 11 SINGLE SIDE

2-Parts - 1 side printed, black ink $ ~7.31 $ ~5.1'-1 s tnt. 'I.J. $ ~-=>-~g SY>J.oHS 3-Parts- 1 side printed, black ink $ '13.0(p $ _5_1. Jo $ %'I.S7 $ 3<6.~fJ $81.12 4-Parts- 1 side printed, black ink $ Cf1. 5;). $ q5, .3~ $ '"11>. q ~ $ '1d 40 $q/.03 5-Parts - 1 side printed, black ink s /O~.o1 $ Cf'i.&1 $ qg,o4 $ '1h. ~1 $~f. 73

'

DESCRIPTION 16-20CASES CARBONLESS (NCR) FORM

SPECIFICAnON- FULL PAGE 16 17 18 19 20 8.5 X 11 SINGLE SIDE

2-Parts - 1 side printed, black ink $ '6/. 40 s 'K o.q/ $ g()..;} 5 $ 7'1. fcl/ s7q.o7 3-Parts - 1 side printed, black ink $~b. 0~ $ 'S5,51 $ ~(Sf/ .fo <g $ <&3. 't t.J $ ~?>. J') 4-Parts - 1 side printed, black ink $ ?J'I. ~ l.f s SB. 80 $ ~1- ~5 $ B/.00 $ Sb-~5 5-Parts- 1 side printed, black ink $ q3. 38 $ 9~. I 9 $ 'II!. I 3 s qo. 1 'I $~1.33

Page 7: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

B - Double Sides

' 0ESCRJPnON

!

CARBONLESS (NCR) FORM I

I SPECIFICATION- FULL PAGE ! 1

8.5 X 11 DoUBLE SIDES I 2-Parts- 2 sides printed, black irlk $ 318. 0«"1 3-Parts- 2 sides printed, black irlk $ 35f>}i 1 4-Parts- 2 sides printed, black i~k $ 39fo. ~I 5-Parts- 2 sides printed, black i~k $ '13'/. 3'

I

DESCRIPTION !

CARBONLESS (NCR) FORM I

SPECIFICATION- FULL PAGE

I 6

8.5 X 11 DoUBLE SIDES

2-Parts - 2 sides printed, black ink $110.37 3-Parts - 2 sides printed, black ink suq.o& 4-Parts - 2 sides printed, black in~ $ IJ(.o. 35 5-Parts - 2 sides printed, black in~ $133.75

DESCRIPTION ;

CARBONLESS (NCR) FORM I SPECIFICATION- FULL PAGE 11

8.5 X 11 DoUBLE SIDES I 2-Parts- 2 sides printed, black ink $ q;J, c..J5 3-Parts- 2 sides printed, black in I\ s qB. J'f 4-Parts- 2 sides printed, black inl\ $/OJ. 7g 5-Parts- 2 sides printed, black in I\ $101. 1./ I

DESCRIPTION CARBONLESS (NCR) FORM

SPECIFICATION- FULL PAGE 16 8.5 X 11 DouBLE SIDES

2-Parts - 2 sides printed, black ink s ~5' ,Oto 3-Parts - 2 sides printed, black in~ $ ·~8. g~ 4-Parts- 2 sides printed, black in~ $ q 3. b I 5-Parts- 2 sides printed, black in~ $Cf1,1&

Sealed Bid 25-013 NCR Fonn Printing Offer to Contract Fonn, Pages 3-5

1·5CASES

2 3 4 5

$/~~.'tlo $15/.qJ.. $ l?l}.llo $/J g. '10 $J)q.15

$ l "'"· 'lh $ Jt./ ?>. 0~ $/ID.Iofo Scl34.J'1 sJgD.33 $ 153.33 $131. 13 $ J.SLJ.o_D S/lJ3.8S $/" ~.3J. $145-18

6-10CASES

7 8 9 10

$ /Oi/.43 $ Cf9. qq $Cj7, 11 $'II/. R ?> $ I/.J.cl3 S/07./~ $ 104. 3_2_ $JDI. DD $1/g. (p.3 $1J:J. ~h $/09.5to $105. 8'.;1. $/JLJ.IJ5 $/18.1'3 SJ/i.J,qo $//0.78

11·15CASES

12 13 14 15

$ '10. '15 S83.fsl $ ~7. 40 s<gb.l1 $ 9to. 0 ?J $ qtj, 05 $'1d.c.!_K $ 91. D 8 $ /00. ~b $ qg,53 $ q~p, fo5 $95.0:3 $/D4.5g $/OJ.~/ $/00.54 $ qcg, 15

16-20CASES

17 18 19 20

$ ?Jl/.4'5 $ g3,57 $ ~~.80 $ 3~ .10 $ ~'t. ot.J s g~, ol/ $ 87. 17 $~~. 37 $ q~, 37 $ ql. ;tb s Cfo.J.'5 $ gq. 38 $ 'i5. so $ Cfl./.57 $ Gf3. 4fo $''1~.47

Page 8: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Sealed Bid 25-013 NCR Fonn Printing Offer to Contract Fonn, Pages 4-5

C - Half Sheet (two up)

DESCRIPTION 1-51CASES

CARBONLESS (NCR) FORM

SPEQFICAnON- HALF PAGE (TWO UP) 1 2 3 4 5 8.5 X 5.5 SINGLE SIDE

2-Parts -1 side printed, black ink $ Jl./4. fpJ. $/~0·~~ $ i/17. 7 '5 $ /D3. 0'1 $q3, ~K 3-Parts - 1 side printed, black ink $_J1q.~s $ /~S.o5 $ w 30. '11 $}/J..tllo $lot. 3 3 4-Parts- 1 side printed, black ink $311.13 $/<6 8. 30 $ 1YS. 35 $ ta3.88 $/II. 00 5-Parts - 1 side printed, black ink $ 35J. 7 L/ s dos. tt'l $15_7. '/_)._ $J33. lJ,_ $ 11~.55

DESCRIPTION 1-5~ASES CARBONLESS (NCR) FORM i

SPECIACA110N- HALF PAGE (lWO UP) 1 2 ' 3 4 5 I

8.5 X 5.5 DoUBLE SIDES I

2-Parts - 2 sides printed, black ink $ d.CJ4. 70 $15'1.'/lo $ JJs. os $ ID7 'II $/D4.5t/ 3-Parts - 2 sides printed, black ink $ 3.;J.tt_q·7 $ /Cf3. (p~ Slt..J<J,/5 $ }c}.S. 1/5" $ 1//. 80 4-Parts - 2 sides printed, black ink $ 3~g.51 $ cJitf,d.D $}(p~.7b s 137. oc.J $ I.J.I. ~~ 5-Parts- 2 sides printed, black ink $ lf03. t.J I $«~d. os $ 11'1. 9 do. $ JLt "· 3h $/~/1. J. ~

Guarantee completion and delivery of printed (NCR) forms! within __ business days after receipt of purchase order.

This printing contract shall allow the County to order NCR fortns base on an as per needs basis. Vendor shall indicates if small order increments of diffkrent form numbers or types can be combined, allowing the County an option for a price break by ordering at higher total cases quantities.

~ou offer an option for the County to combined smal orders for a price break?

~ NO (CircleOne) I

OPTION-A:

Blank carbonless (NCR) paper requirement: #20 front page and #20 subsequence colors pages.

NCR FORM SHEETS PER CASE SET OF ~ORMS PER COST PER CASE C~E

2-Parts Carbonless (NCR) Form 5000 2500 ! $ 7(p.DS i

~b."' 7 3-Parts Carbonless (NCR) Form 5000 1666 l $

4-Parts Carbonless (NCR) Form 5000 1250 $ q(o, ~ ~

5-Parts Carbonless (NCR) Form 5000 1000 $ (03. 71

Minimum order quantity for price break: ___ '±.__ __ case (s)

Page 9: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Sealed Bid 25-013 NCR Form Printing Offer to Contract Form, Pages 5-5

By signing this Bid, the Off~ror hereby certifies that they are not barred from bidding on this contract as a result of a violation of either Section 33E-3 or 33E-4 of the Illinois Criminal Code of 1961, as amended. The awclrding of any contract resulting from this Bid will be based upon the funding available to Kane Co~nty, which may award all or part of this project. The terms of the Bid and the response shall be incorporated by this reference as though fully set forth into the Contract not withstanding an~_ language in the contract to the contrary. In the event of any conflict between the terms of the Contract and the terms of the Bid and the response, the terms of the Bid and the response shall gov~rn. Every element or item of the Bid and the response shall be deemed a material and sever~ble item or element of the contract This is a two (2} years contract with an option to extend for tWo (2) additional one ( 1) year renewal period, if mutually agreed upon by both parties. THIS SECTI,bN MUST BE SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY OR ENTITY RESPONDING TO THE BID AND THE RESPONSE.

Signature Ot~\ Typad Signature Darwin J. Shepley Jr.

Company~ Address 666 ~rt, Suite 1 OJ

! City/State/Zip Woodstock~ II. 60098

Phone# 815-338-6620 I I

Fax#_~s~l~5-~J~3~S--6~7~3~~~-----------

Federal I. D./Social Security #i:--3;:;.;6:;...-...;;3~3..;.4-....;5;..:1:..;:1:..;;;1 ____ Date ---=1-=-0-....;0:;.:::;2:;...--=1=-3--------

I ACCEPTANCE

The Offer is hereby accept~d for: NCR Form Printing I

The Contractor is bound to sell the materials and services listed in the attached contract and based upon the lnvjtation to Bid, including all terms, conditions, specification, amendments, and the Contractor's offer is accepted by the County of Kane.

I

I

This contract shall henceforth be referred to as Contract Number 25-013. The Contractor has been cautioned not td commence any billable work or to provide any materials or services until this Contractor receives a purchase order and or notice to proceed.

I

Christopher J. Lauzen Chairman, County Board Kane County, Illinois

Date

Page 10: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

INSTRUCTIONS TO BIDDERS COUNTY OF KANE

Sealed Bid 25-013 NCR Form Printing Tenns and Conditions, Page 1

COMPETITIVE SELECnON PROCEDURE - BID TERMS AND CONDITIONS i

1. AUTHORITY. This Invitation for Bid is issued pursuant to appl\cable provisions of the Kane County Purchasing Ordinance. ·

2. BID OPENING. Sealed bids will be received at the Kane County Purchasing Department until the date and time specified at which time they shall be opened in public. Late bids shall be rejected and returned unopened to the sender. Kane County does not pres~ribe the method by which bids are to be transmitted; therefore, it cannot be held responsible for any delay, regardless of the reason, in transmission of the bids. 1

3. BID PREPARATION. Bids must be submitted on this form and all information and certifications called for must be furnished. Bids submitted in any other mannbr, or which fail to furnish all information or certificates required, may be summarily rejected. Bids may be modified or withdrawn prior to the time specified for the opening of bids. Bids shall be filled out legibly in ink or type-written with all erasures, strike overs and corrections initialed ih ink by the person signing the bid. The bid shall include the legal name of the bidder, the complete mailing address, and be signed in ink by a person or persons legally authorized to bind the' bidder to a contract. Name of person signing should be typed or printed below the signature. ·

I

4. BID ENVELOPES. Envelopes containing bids must be sealed and addressed to the County of Kane Purchasing Department. The name and address of the bidder and the Invitation Number must be shown in the upper left comer of the envelope. ·

5. ERRORS IN BIDS. Bidders are cautioned to verify their bids befqre submission. Negligence on the part of the bidder in preparing the bid confers no right for withdtawal or modification of the bid after it has been opened. In case or error in the extension of price~ in the bid, the unit prices will

I govern.

6. RESERVED RIGHTS. The County of Kane reserves the right at any time and for any reason to cancel this Invitation for Bids, accept or reject any or all bids or any portion thereof, or accept an alternate bid. The County reserves the right to waive any immaterial defect in any bid. Unless otherwise specified by the bidder or the County, the County has ninety (90) days to accept. The County may seek clarification from any bidder at any time and failure to respond promptly is cause for rejection. · ·

I 7. INCURRED COSTS. The County will not be liable for any costs incurred by bidders in replying to

this Invitation for Bids.

8. AWARD. It is the intent of the County to award a contract to the ~<>west responsive responsible bidder meeting specifications. The County reserves the right to determine the lowest responsive responsible bidder on the basis of an individual item, groups of items, or in any way determined to be in the best interests of the County. Award will be based on~ the following factors (where applicable): (a) adherence to all conditions and requirements of th~ bid specifications; (b) price; (c) qualifications of the bidder, including past performance, financial responsibility, general reputation, experience, service capabilities, and facilities; (d) delivery or completion date; (e) product appearance, workmanship, finish, taste, feel, overall quality, and results of product testing; (f) maintenance costs and warranty provisions; and (g) repufchase or residual value.

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Sealed Bid 25-013 NCR FOilll Printing Tenns and Conditions, Page 2

PAYMENT. The County of ~ne requests all payments being made to vendors be done as direct deposits through an Automa~ed Clearing House (ACH). All vendors being awarded a contract shall complete an authorizatiOn agreement form prior to award. The ACH form and information on this program can be lo~ted on the County's Web site under Vendor Information on the Finance Department page.

PRICING. The price quoted for each item is the full purchase price, including delivery to destination, and includes all t~ansportation and handling charges, premiums on bonds, material or service costs, patent royaltie$ and all other overhead charges of every kind and nature. Unless otherwise specified, prices shall remain firm for the contract period.

I

DISCOUNTS. Prices quoted tnust be net after deducting all trade and quantity discounts. Where cash discounts for prompt payment are offered, the discount period shall begin with the date of receipt of a correct invoice or receipt or final acceptance of goods, whichever is later.

TAXES. Kane County is not ~ubject to Federal Excise Tax. Per Illinois Revised Statutes, Chapter 120, Paragraph 441: Kane Co~nty is exempt from state and local taxes.

SPECIFICATIONS. ReferenJ to brand names and numbers is descriptive, but not restrictive, unless otherwise specified. Bids on equivalent items will be considered, provided the bidder clearly states exactly what is proposed to be furnished, including complete specifications. Unless the bidder specified otherwi~. it is understood the bidder is offering a referenced brand item as specified or is bidding as spedmed when no brand is referenced, and does not propose to furnish an "equal." The County reser..J-es the right to determine whether a substitute offer is equivalent to and meets the standard of qu~lity indicated by the brand name and number referenced.

I

SAMPLES. Samples of itemJ, when called for, must be furnished free of expense and, if not destroyed in the evaluation process, will, upon request, be returned at the bidder's expense. Request for the return of samples must accompany the sample and include UPS Pickup Slip, postage or other acceptable tnode of return. Individual samples must be labeled with bidder's name, invitation number, item teference, manufacturer's brand name and number.

I INTERPRETATION OR CORRECTION OF BIDDING DOCUMENTS. Bidders shall promptly notify the County of any artJbiguity, inconsistency of error which they may discover upon examination of the bidding d~uments. Interpretations, corrections and changes will be made by addendum. Each bidder shall ascertain prior to submitting a bid that all addenda have been received and acknowledged inlthe bid.

VARIANCES. State or list by reference on the reverse side of this form any variations to specifications, terms and/or copditions.

I

INDEMNIFICATION. The Sel1

1er shall indemnify and hold harmless the County, its agents, officials, and employees, from I and against all injuries, losses, claims, suits, costs and expenses which may accrue against the County as a consequence of granting the Contract.

Contractor and/or Servicer's and/or Seller (as case may be), agrees to save, hold harmless, defend and indemnify the Cou~ty of Kane and its Officers, Agents, and Employees, from any and all liability or loss incurred by lthe County of Kane resulting from Contractor's and/or Servicer's ancllor Seller's noncompliance lwith any laws or regulations of any governmental authority having jurisdiction over Contractor's ancllor Servicer's and /or Seller's performance of this contract and Contractor's and/or Seller's vi6lation of any of the terms and conditions of this Agreement, and from the Contractor's and/or Servicer's and/or Seller's negligence arising from, in any manner and in any way connected with, t~e terms and conditions of this Agreement and arising from the Contractor's and/or Servicer's and/or Seller's performance thereunder.

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Sealed Bid 25-013 NCR Form Printing Tenns and Conditions, Page 3

DEFAULT. Time is of the essence of this contract and if delivery of acceptable items or rendering of services is not completed by the time promised, the County res~rves the right, without liability, in addition to its other rights and remedies, to terminate the co~tract by notice effective when received by Seller, as to stated items not yet shipped or servjces not yet rendered and to purchase substitute items or services elsewhere and charge the Seller with any or all losses incurred.

INSPECTION. Materials or equipment purchased are subject to i'nspection and approval at the County's destination. The County reserves the right to reject a~d refuse acceptance of items which are not in accordance with the instructions, specification~. drawings or data of Seller's warranty (express or implied). Rejected materials or equipment shall be removed by, or at the expense of, the Seller promptly after rejection. ;

WARRANTY. Seller warrants that all goods and services furnish~ hereunder will conform in all respects to the terms of the solicitation, including any drawings, specifications or standards incorporated herein, and that they will be free from latent an~ patent defects in materials, workmanship and title, and will be free from such defects in design. In addition, Seller warrants that said goods and services are suitable for, and will perform in rccordance with, the purposes for which they are purchased, fabricated, manufactured and desig[ed or for such other purposes as are expressly specified in this solicitation. The County may return any nonconforming or defective items to the Seller or require correction or replacement o the item at the time the defect is discovered, all at the Seller's risk and expense. Acceptance s all not relieve the Seller of its responsibility. l

i

Contractor and/or Seller (as case may be) expressly warrants th~t all goods and services (real property and all structures thereon) will conform to the drawings, materials, performance and any other specifiCations, samples or other description furnished by ttil~1

e County, and will be fit and sufficient for the purpose intended, merchantable, of good material and workmanship. Contractor and/or Seller (as case may be) agrees that these warranties hall run to Kane County, its successor, assigns, customers and users of the products or services and that these warranties shall survive acceptance of the goods or performance of the servic$s.

REGULA TORY COMPLIANCE. Seller represents and warrant~ that the goods or services furnished hereunder (including all labels, packages and container! for said good) comply with all applicable standards, rules and regulations in effect under the requirements of all Federal, State and local laws, rules and regulations as applicable, including the Occupational Safety and Health Act as amended, with respect to design, construction, manufacture or use for their intended purpose of said goods or services. Seller shall furnish "Material Safety Data Sheet'' in compliance with the Illinois Toxic Substances Disclosure to Employees Act. I

! EQUAL EMPLOYMENT OPPORTUNITY. The equal employment 1opportunity clause required by the Illinois Human Rights Act is hereby incorporated by referenCe in all contract made by the county of and in all bid specifications therefore furnished by the county to all Vendors, contractors and subcontractors. I

The County of Kane, State of Illinois, represents that it and the em~loying agencies responsible to it, conform to the following: I

We do not discriminate against any employee or applicant for employment because of race, creed, color, age, disability, religion, sex, national origin/ances(ry, sexual orientation, marital status, veteran status, political affiliation, or any other legally pl-otected status. We will take whatever action is necessary to ensure that applicants and empiQyees are treated appropriately regarding all terms and conditions of employment. 1

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Sealed Bid 25-013 NCR Fonn Printing Terms and Conditions, Page 4

We will post in conspicuou~ places, available to employees and applicants for employment, notices setting forth the provi~ions of this nondiscrimination clause.

I

We will, in all solicitations or advertisements for employees placed by or on behalf of the employing agencies, state that all qualified applicants will receive consideration for employment without regard to race, cr~d. age, disability, religion, sex, national origin/ancestry, sexual orientation, marital status, veteran status, political affiliation, or any other legally protected status. (Res.No. 82-90, 6-10-80)

State law references-Illinois Human Rights Act, 7751LCS 5/1-101 et seq.

23. PREVAILING WAGE RATESi

24.

25.

26.

27.

WHEREAS, it is the policy df the State of Illinois as declared in "An ACT regulating wages of laborers, mechanics and oth~r workman employed in any public works by the State, County, City or any political subdivision or by any work under construction for public works" approved June 26, 1941, that a wage of no less lthan the general prevailing hourly rate as paid for work of a similar character in a locality in whiph work is performed, shall be paid to all laborers, workmen and mechanics employed by and on behalf of any and all public body engaged in public works, exclusive of maintenance work.

i Responsive Bidders must include with their bid a separate sheet showing trades to be employed and wage rates to be paid. I

!

The current Illinois Departm~nt of Labor Prevailing Wage Rates for the County of Kane are available at their website http:l//w.vw.state.il.us/agency/idol . Prevailing wage rates are subject to revision monthly. Copies of the current prevailing wage ranges are also available at the Kane County Purchasing Departmeht, 719 Batavia Avenue, Geneva, Illinois.

ROYAL TIES AND PATENTSJ Seller shall pay all royalties and license fees. Seller shall defend all suits or claims for infringeml:mt of any patent or trademark rights and shall hold the County harmless from loss on accoun~ thereof.

LAW GOVERNING. This co~tract shall be governed by and construed according to the laws of the State of Illinois. i

I ELIGIBILITY. By signing this bid, the bidder hereby certifies that they are not barred from bidding on this contract as a result of a violation of Article 33E, Public Contracts of the Illinois Criminal Code of 1961, as amended (Illinois Compiled Statutes, 720 ILCS 5/33E-1 ).

I

CERTIFICATE OF INSURANCE REQUIRED BY KANE COUNTY Contractor to furnish and deliver prior to commencement of work, a completed Certificate of Insurance satisfactory to the r~uirements of County of Kane containing:

a) The Contractor and all Jubcontractors shall provide a Certificate of Insurance naming the Owner (Kane County) as certificate holder and as additional insured. The certificate shall contain a 30-day notification provision to the owner (Kane County) prior to cancellation or modification of the policy. :

Page 14: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Sealed Bid 25-013 NCR Fonn Printing Tenns and Conditions, Page 5

b) Commercial General Liability insurance including Products/Cpmpleted Operations, Owners and Contractor Protective liability and Broad Form Contractual liability. The exclusion pertaining to Explosion, Collapse and Underground Property! Damage hazards eliminated. The limit of liability shall not be less than the following: I General Aggregate $2,000,000 Products and Completed Operations $2,000,000 Personal and Advertising Injury $1,000,000 Each Occurrence $1,000,000

i) Products and Completed Operation coverage is to remain in force for a period of two years after the completion of project.

1

c) Business Automotive Liability Insurance including owned, hirecf and non-owned automobiles, and/or trailer and other equipment required to be licensed, With limits of not less than the following:

1

Each Person for Bodily Injury $1,000,000 Each Occurrence for Bodily Injury $1,000,000 Each Occurrence for Property Damage $1,000,000 Or- Combined Single Limit $1,000,000

d) Statutory Worker's Compensation insurance shall be in accordance with the provisions of the laws of the State of Illinois, including Occupational Disease AGt provisions, for employees at the site of the project, and in case work is sublet, the Contractor shall require each Subcontractor similarly to provide this insurance. In case employees are engaged in work under this contract and are not protected under the Workers cdmpensation and Occupational Disease Act, the Contractor shall provide, and shall cau~e Subcontractor to provide, adequate and suitable insurance for the protection of employees not otherwise provided.

I e) Umbrella Liability:

Aggregate limits $5,000,000

Vendor to furnish a copy of the Endorsement showing KJne County, as an additional named insured on the General Liability, Auto, and Excess ~olicies.

The Contractor shall cease operations on the project if the ins~rance is cancelled or reduced below the required amount of coverage. I

I I

28. CONTRACTOR DISCLOSURE A Prior to award, every contractor or vendor who is seeking or ~o has obtained contracts or

change orders to contracts or two (2) or more individual contraqts with Kane County resulting in an amount greater than Fifteen Thousand Dollars ($15,000) shall disclose to the Kane County Purchasing Department, in writing all cumulative campaign contributions, (which includes multiple candidates) made within the previous twelve (12) months of awarding of the contract made by that contractor, union, or vendor to any curreni officer or countywide elected officer whose office the contract to be awarded will benefit. ! Disclosure shall be updated annually during the term of a multi-year contract and prior to ~ny change order or renewal requiring Board level approval. For purposes of this disclosu~e requirement, "contractor or vendor" shall include owners, officers, managers, insurance brokers, lobbyists, agents, consultants, bond counsel and underwriters counsel, ~ubcontractors corporations, partnerships, associations, business trusts, estates, trustees, and/or beneficiaries under the control of the contracting person, and political action committees to which the contracting person has made contributions. ·

Page 15: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Sealed Bid 25-013 NCR Form Printing Terms and Conditions, Page 5

B. All contractors and vendors who have obtained or are seeking contracts with Kane County must disclose the following information which shall be certified and attached to the application or document. Penalties fdr knowingly violating disclosure requirements will potentially result in immediate cancellation of ~he contract, and possible disbarment from future County contracts:

i

(a) Name, address and ~rcentage of ownership interest of each individual or entity having a legal or a beneficial interest of more than five percent (5%) in the applicant. Any entity required by law to file ~ statement providing substantially the information required by this paragraph with any oth~r government agency may file a duplicate of such statement;

I

(b) Names and contact ihformation of their lobbyists, agents and representatives and all individuals who are or ~II be having contact with County employees or officials in relation to the contract or bid. !This information disclosure must be updated when any changes to the information occurs. !

(c) Whenever any interest ~equired to be disclosed in paragraph (a) above is held by an agent or agents, or a nomin$e or nominees, the principals for whom such agents or nominees hold such interest shan I also be disclosed. The application of a spouse or any other party, if constructively controlle<:t by another person, or legal entity as set forth above, shall state the name and addres~ and percentage of beneficial interest of such person or entity possessing such consttuctive control and the relationship under which such control is being or may be exercised. !Whenever a stock or beneficial interest is held by a corporation or other legal entity, such shareholder or benefiCiary shall also make disclosure as required by paragraph (a) above. I

(d) A statement under oa~h that the applicant has withheld no disclosures as to economic interests in the unde~king nor reserved any information, data or plan as to the intended use or purpose for whidh it seeks County Board or other county agency action.

I C. All disclosures and inforrrlation shall be current as of the date upon which the application is

presented and shall be m~intained current until such time as Kane County shall take action on the application. Furthenhore, this information shall be maintained in a database by the Purchasing Department, a

1

hd made available for public viewing.

D. Notwithstanding any of th~ above provisions, the County Purchasing Department with respect to contracts awarded mayJ require any such additional information from any applicant which is reasonably intended to aphieve full disclosure relevant to the application for action by the County Board or any other County agency.

E. Any failure to comply withlthe provisions of this section shall render any ordinance, ordinance amendment, County Board approval or other County action in behalf of the applicant failing to comply voidable at the option of the County Board or other County agency involved upon the recommendation of the cdunty Board Chairman or the majority of the County Board.

Page 16: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

REFERENCES

NCR Form Printing For '

KANE COUNTY, Geneva, lllino~s i

Sealed Bid 25-013 NCR Form Printing References

I List below businesses or other organizations for whom you: have provided comparable electrical/plumbing services within the last three years: :

Offeror's Name: lRrJ5)s+~~ ~ ~S I

1. Organization: LttiLt.. CouY1fj Tr~sure (s offi(Q. Address: rg N. Cou(Jfj St. City, State, Zip Code: {A) l)u 't~f/<0 II..- c't?OO& €t

I I

Telephone Number: g47- "?:> 11- dl LJ 1'1 I Contact Person: Rob a+ 5 ~- d m o t'"e... Date of Project: 5 -15 - . 00 -In /0 · ,25 - I '3 I

I

2. Organization: mGHf cry Gwo f-1 1Ce.a~urer''S 0 ffite Address: dlOO tJ . SWni aary Ave· City,State,ZipCode: Woods.tocl'-

1 IL laOOCfti

Telephone Number: 81 5 ... 3 3q ~ 4~5 ~ I Contact Person: LU I \I j (J m L.e feu._; Date of Project: Y-3n- qB to 4 · 30- I~

3. Organization: ~ne. Covt1.f."' T(ea.suce('C:> Office Address: 1 14 S . tsata vitA. A-ve · City,State,ZipCode: 6e-neva, /L hOJ3l.J Telephone Number: (e 30 - J. 3~ - 3 5 f.p 5 Contact Person: Da v I()_ I<. i U~...U-1-Date of Project: Y-3D~ 00 +v IO-3- 1"3>

4. organization: Kafle.. Co..J"'bf As.se..ssor Address: 1\9 & . f:ntq\dtt Ave· City, State, Zip Code: Gw-e~q

1 IL laOl~q

Telephone Number: (o &0- ;;2.0 8- J. l I 8 Contact Person: JeQ()\ tex fie 0 €. Date of Project: lo I oS +o '6/ I 3

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Sealed Bid 25-013 NCR Form Printing Statement of Work. Page 1

I. OVERVIEW I

STATEMENT OF WORK For

NCR Fonn Printing

The County of Kane is seel<ing to retain services from a qualified and experienced Vendor for the complete printing ~nd delivery of printed Carbonless or No Carbon Required (NCR) Forms.

II. INTENT OF SPECI~ICATIONS I

It is the intent and purpose bf these specifications that all labor, transportation, equipment and materials necessary ar~ provided for completion of all work by the Contractor. The delivery and service shall ~ complete in all details, including all minor items and accessories or devices n~ssary for completion of the project.

I

Ill. GENERAL INSTRUtTION & REQUIREMENT

Attached are samples of ~he ten (10) most printed ·carbonless (NCR) forms for the County. Vendors shall reference to the "Attachment" for artwork, type-set, layout and design. Actual sample of fdrms will be provided to the awarded contractor.

1

A. ATTACHMENT: ftlCR FORM SAMPLES

fORM NUMBERS ' DESCRIPTIONS EsTIMATE ORDER QUANTITY ' OF

I CoMPLETE FoRM N/A 2 Parts Forln 25,000 P2-MISC-29 3 Parts Fortn - Motion to Form 25,000 P2-MISC-6 3 Parts Form - Appearance Form 15,000 P2-MISC-25 3 Parts Forln- Notice of Motion 25,000 P2-SC-001P 3 Parts Fortn - Order Form 35,000

4 Parts Forin - Order Remaining Custody Form, P1-TR-03(A) printed on both sides, different print copy on front and 15,000

seauence daae P1-CF-001 4 Parts Fo~ - Order Form 100,000 P1-CR-001 5 Parts Forin - Plea of Guilty Form 15,000 P1-CR-002 5 Parts Fo~ - Sentencing Order Form 10,000 Form 166-A (no 4 Parts Forf1- Summon Form, printed on both sides, 10,000 sample) different print copy of front and sequence pa~e

P1-MISC-055 5 Parts Fo'fl- Summon Form, printed on both sides, different orint coov of front and seauence _page

20,000

Page 18: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

B. NCR Forms Printing Requirement:

Sealed Bid 25-013 NCR Fonn Printing Statement of Work, Page 2

a. Standard straight sequence full page form 8.5 X 11 or 11 X 8.5 b. Standard straight sequence half page (two-up) fo~ 8.5 x 5.5 or 5.5 x 8.5 c. Standard #16 white first page and standard #16 sui:)sequent color pages d. Pad glued on top edge of page, collated with :two round holes punched

(centered), top page location of all parts or as sam~les provided e. Black ink, single side, and identical print copy on eJch sheet (front of page) f. Black ink, double sides, with different print copy orl each sheet (front and back

of page) g. Case quantity of complete NCR forms count shall be based on County

requirement as stated below (Complete NCR forms I per case quantity}

C. Page and color sequences are as follow:

CB - Carbon Back, CF- Carbon Front,

2 Part: CB ( 1" page White), CFB (2"d page Canary),

!

I I

CFB - Carbon Front and Back

3 Part: CB (1 .. page White), CFB (2""page Canary}, CF {3rdpage Pin~) 4 Part: CB {1" page White}, CFB (~page Canary), CFB {:rpage Pink), CF {4111 page Goldenrod) 5 Part: CB (1• page White), CFB {2"" page Green), CFB (3 .. page Canary), CFB (4"'page Pink), CF (s'"page Goldenrod} 1

D. Compete NCR forms per case quantity:

1 case of 2 parts = 2500 forms 1 case of 3 parts = 1666 forms 1 case of 4 parts = 1250 forms 1 case of 5 parts = 1 000 forms

I Total case count of completed NCR forms shall be base on above case quantity. Vendor shall indicate the proposed NCR paper weight if other thah the standard NCR paper requirements and total complete forms counts if other than mentioned above.

I

I I

All NCR forms shall be proof read and approved before mJss print runs. Quality is to meet the highest industry stands in term of readability and o~erall appearance. Rejected and damaged form will be returned to Vendor and shall be reprinted at no additional cost to County. :

Deliveries of orders are to be Best Method- F.O.B. destinatidn, inside delivery to various County offices, located in Geneva, Elgin, Aurora, and St. I Charles, IL. Pricing shall include the complete printing and delivery of all forms on a? as per-needed basis, and remain firm for two-year contract period. Vendor shall indicate days of delivery after receiving of purchase order. Kane County will not pay for anylfreight or fuel surcharges.

Page 19: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

Sealed Bid 25-013 NCR Form Printing Statement of Work, Page 3

Vendor shall provide pricing by using the Offer to Contract Form pages 1-6 for the complete printing and deliVery of NCR forms. Pricing is per case increment of each form as specified per NCR pa~r weight, type-set, layout, design, and construction per attach samples as provided. 1

Orders will be placed as ~eeded, with quantities specified at time of order placement. Vendor shall indicate if miljlimum order is required. Vendor shall advise of any quantity price breaks. · . I

I Cost saving and delivery of complete form is the essence of this contract; Vendors shall denote appropriate price breaks for ordering quantities, propose an alternate for cost saving and pricing options, ~r programs as available that are imperative to the County.

I E. Award

I

It is the intent of the CountY to award the entire NCR forms printing contract to the lowest responsible responsive bidder meeting specifications, based on groups of NCR forms or quantities brackets, howev~r the County may award a separate contract for each group and quantity separately. lit is recommended that vendors quote the required case increments in its entirety. I

i

Determination of the respopsive and successful bidder will be based upon the selection and evaluation of pricing based upon the 1-5, 6-10, and 11-15 cases quantity brackets. Kane County reserves the ?ght to increase or decrease, and place orders at any quantity listed or as deem necessary and in the best interest of the County.

I

The estimated NCR forms quantities and cases listed in this bid document are estimated for quantity evaluation p~rposes only. The County does not guarantee purchase quantities. !

F. Contract Terms

This contract will be on an bs per needs basis for two (2) years with an option to extend for two (2) additional 1 ye~r renewal period, if mutually agreed upon by both parties. Kane County reserves the !right to renegotiate the scope of work to meet its budgetary demands and cost saving. !

! I

G. Optional - Blank NCR Forms !

Vendor to provide pricing ahd delivery of #20 front page and #20 subsequence colors for pages of blank NCR paper, lno padding, indicate sheet quantity per case, and total sets of forms per case if different tHan specified.

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H. Instruction i

Sealed Bid 25-013 NCR F01111 Printing Statement of WOO<, Page 4

An original BID response, marked as "original" (with submittl~l requirements) and one (1) paper copy, and one (1) PDF eledronic copy on CD sh~ll be returned in a sealed package or envelope bearing the name and address of the jrespondent, and be labeled "25..013 NCR Form Printing." Your Bid may be mailed or haljld delivered to:

I

COUNTY OF KANE Purchasing Department, Building (A) 719 South Batavia Ave., Geneva, IL 60134

i

ALL QUESTIONS PERTAINING TO THIS REQUEST AND/OR THE SCQPE OF SERVICES SHOULD BE DIRECTED TO THE PURCHASING OFFICE AS LISTED ON THE COVEa SHEET. NO LATER THAN SEPTEMBER 25,2013. FAX AND E-MAILED ACCEPTED.

FAX to (630) 208-5107 or

I

[email protected] I

PROPOSALS MAY NOT BE SUBMITTED ELECTRONICALLY.

Page 21: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT ,KANE COUNTY, ILLINOIS ; Case No

Plaintiff(s) ;l)efendant(s)

' Plaintiff(s) Atty. iDefendant(s) Atty.

Judae I Court Reporter I 0 None (NCRP)J : t Deputy Clerk

A c:opy of this order 0 should be sent to: 0 has been sent to: I

0 Plaintiff Atty. 0 Defense Atty. 0 Oth~ File Stamp

I ORDER

0 Defendant is present in Open Court (DPOC)

0 Defendant is present via Closed Circuit TY (CCTV) 0 Defendant bas been advised of his rights and penalties (DFRPE) 0 Inabsentia explained (IAE)

0 Defendant did not appear (DNAOC) ·

0 Interpreter present (INTPR) 0 Defendant remanded for transport by sheriff(OROT)

0 Defendant remanded for CC'IV appearance (0RC1V) 0 Other __________ +---- 0 Defendant to appear in street clothes and bring lunch (DFASC)

0 CASE CONTINUED TO ____ -+-___ at ____ m. room----

0 By agreement (MAGRE)

0 On Motion of State (MPROS)

0 On Motion of Defendant (MDEFN) 1

0 On Motion of Court (MCORT)

!

0 Pre-trial/status ____________ _

0 Bench trial 0 Jury trial D Attorney 0 VOP Hearing 0 Hearing on Motion for _________ _ o ______________________ __

THE CLERK IS ORDERED TO: i 0 RecaU o.Utaadiq warn.atl 011 thiS file only (WRNTC) D Send bail forfeiture notice returnable at m. room (BN)

0 lssue summons returnable I at m. room (OISUM)

0 Take Judgment on forfeiture I 0 Send failure to pay notice returnable ' at m. room----0 Send failure to pay notice and close uPon non-payment 0 Send final notice returnable I at m. room ___ _ 0 Issue warrant forthwith (OIWAR)(So4). Geographical limitations to apply as set by General Order, unless ordered

as follows:-------+--::=~----==----==-------:::::---­Bail set at-------- 0 JO% to apply 0 Full Cash 0 Hold Without Bond 0 No Rccog.

0 Strike coon date of (OCDST) 0 Vacate all other court dates

0 Other

~~--------------- Judge----------------

Pt-CF-001 107/13) White- Clerk Yellow- Sheriff or P.O. Pink • l>cknd8nt Gold-SAO

Page 22: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

f!iiD IN THE CIRCUIT COURT OF THE SIXTEENTH JVI)ICIAL CIRCUIT

KANE COUNTY, ILLINOIS Case No

0 People of the State of Illinois Defendant(s) ! :

0 City or Village of: Name:

Address:

City, State & Zip:

Social Security Number (Required) 0 Check box if this is a new address

Defendaat to Appar: Date: rune: Room:

Court Location: I

File Stamp

BAILBOND I Bail Set At: Amount ofBond POSted: ___________ _

' I Bond Type: 0 CASH BOND (BAIL} 0 l(r'Al 0 FuJI Bond ~tved at: (pea)t/Other)=:-----------

0 PERSONALRECOGNIZANCE(RECOG) BY:0 DEFENDANT0 SURETY Offense: Chapter and Section:! ___________ _

Certificate of Defendant 1

1, the defendant named above, do hereby state that I know and understand the tenns and C?nditions of this bail bond as shown on tbe front and back o£1attached to this bail bond form. I acknowledge that I have received a ccm' of this bail bond. I understand further that if at any time prior to the final disposition of the charge(s) I escape or am released on boad, and fail to appear in court when required by the Court. the result will be as follows: I waive my right to confront the witnessts against me; the trial can proceed in my absence; I forfeit the security money posted; judgment will be entered against me for the fuJ.l1amount of this bond, plus costs; a warrant may be issued for my arrest, in which events additional bond may be required.

I, the undersigned defendant do hereby a<:knowledge myself to be indebted to the People oflllinois or the City or Village set forth as a municipal corporation in the sum indicated as bail. I have deposited the amount set ford:l herein, and I, the undersigned defendant, acknowledge the conditions of this bail that follow. :

Sipature ofDefendaat: ---"'""""-------------Coaditioas of BaH ~ Appear to answer the charge in cow1 until discharge or final order of court. ; 181 Obey all cowt orders and process; not leave this State without permission of court and report changes of address to the Clerk

within 24 hours. !

I Not commit any criminal offcnses while awaiting final order in this case. i If on appeal. prosecute the appeal, and surrender to custody if the judgment is affinned o~ a new trial is ordered. Surrender (725 ILCS S/110-lO(aXS)) OR not possess any firearms or dangerous weapons! until final order in this case. Not contact or oommunicate with any complaining witnesses or members of his/her immtdiate families or:

I

0 Not go to the premises of: ______________________________ _

Undergo alooholism or drug addiction treatment as ordered by the Court. Undergo medical or psycbiatric treatment as ordered by the Court. ~ Not to indulge in intoxicating liquors or certain drugs:

If the aJI~ed victim is a family/household member, as defined by 720 n.cs S/112A-l et.~ .• you must refrain from contact and/or c00ununication with alleged v1ctim and refrain from entering or remaining at alleged vicdm s residence for a minimium of72 h011n following your release. : . 0 Reside Wltb parents or in a foster home, attend school or nonresidential program for youths, contribute to his or her support at home or in a foster home, observe curfew set by the Court at: :

0 Report to and remain under the prdrial supervision of such agency or third party custodi ... as ordered by the Court.

0 Have no direct or indirect contact with any gang membei'S. o~r __________________________________________________________ __

Assipment of B•U Bond by tbe Defendant I understand that this bail has been posted by a person other than myself. I authorize the return of the money posted as bond herein to the person who has provided those funds. I understand and agree that the Rfund of this bond is to be made as provided by law after all conditions of said bond have been met.

Signature of Defendant:---------Clerk's Initials

Issued Sipd before me and security received

Judge Peace Officer Circuit Clerk

PI-MISC-'l!IS (OS/10) While-Cliirk Yellow-Defendant Pink - Police Dept. Gold-SAO

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NOTICE

When 10% bail (but not less than $25.00) has been deposited and the principal discharged from all obligations in this cause, then 90% shall be returned to the principal and 10% retained as bail bond costs; but in no event shall the amount retained by the Clerk be less than $5.00.

Tbe Defendaut is bereby advised:

I. You are entitled to be informed of the charges against you, and that you will be provided with a copy ofthe charges.

2. You have a right to have counsel !md, if you are indigent, a licensed attorney of this state will be appointed to represent you in accordance with the provisions of72S ILCS 5/113·3.

I 3. You have a right to demand aj~ trial on all charges.

I . 4. You are entitled to bail in accordance with the provisions of725 ILCS S/1 10.

5. That an Order of Protection may Je issued against you by an alleged victim of abuse in accordance with the provisions of725 ILCS S/111-8.1

6. You have a right to confront and cross-examine the State's witnesses and to present you own witnesses subject to the conditions ofthis t>Ji1 bond under the heading of Certificate ofDefendant.

·I 7. You have the right to remain silent. You may plead not guilty to the offense. You are presumed iMocent of

all charges. The State is required to prove that you are guilty beyond a reasonable doubt.

8. You understand that even if you rluow ALL Court Orders, th~t the posted money or property can still be ordered by the Judge to be applied t9wards Court costs, fmes, fees and/or restitution to the victim or for attorney fees for this charge or ant other outstanding Court obligation per Oeneral Order 02-19.

PI-MlSC.{)SSblc (OS/10) · While • Clerk

I I

: Grw~ • Clerk Al:alUDling Yellow· Defcndanl Pink • Police Dept Gold-SAO

Page 24: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

I

IN THE CIRCUIT COURT OF THE SIXTEENTH .nJDICIAL CIRCUIT KANE COUNTY, ILLINOIS

Case No

Plaintiff(s) Defcndant(s) I I I

' Plaintiflls) Atty. Dcfcndant(s} Atn'-

Judge I Court Reporter I Deputy Clerk A copy of this order 0 should be sent 0 bas been sent to: I

' 0 Plaintiff Atty. 0 Defense Atty. 0 Other ! File Stamp I

ORDER REMANDING CUSTODY I r-De-fe_n_d_an_t_: ________ __::.=;;..:;:;;;;;:.:;.:=;...;;;;..;;;;, THIS MATTER being before the Ccurt on a sworn ·

complaint in writing tilbi herein; and, Name . I

0 It appearing to the ~ourt that there is probable cause to Address hold the defendant for trial on such charge,

'-C_i..;..ty_, _sta_t_e_, Z_i~p _____________ __, 0 The said examinatidn having been continued by the Court 0 Check here if this is a new address. until the date, placeJ and time set forth herein;

0 The Defendant has 6een arrested without a warrant, has been afforded a bona call and the Court fmds probable cause for the arrest 8nd detention.

To Appear: Date Time Room No. Judge Location

Offense:

Chapter and Section:

Bail set at:

0 The Defendant has ~en arrested on an outstanding warrant and has ~afforded a bond call.

0 No probable cause ik found in this matter.

0 Rizbt, penalties an~ trial ia absentia bave been explained to the defendant.

And, the defendant having failed to give bail for his/her appearance before the €ourt at that time;

IT IS ORDERED Jat the defendant be remanded to the custody of: :

0 The Sheriff of Kane~ County I

Defendant must . p ost I 0% of bail amount for release unless

D The keeper of the cc:lmmon jail of the City or Village herein above set forih, there to be safely kept until discharged by due process of law; and that the Sheriff or other keeper of the common jail have the defendant before th1s Court at the time and place set forth herein.

real estate 1s the surety· see 725 ILCS 5/1 1 o-s (a) (2). Bond is the actual amount posted.

Date: _____ _

NOTICE THIS IS THE COMMAND OF THE

CIRCUlT COURT AND VIOLATION THEREOF IS SUBJECT TO TilE

PENALTY OF THE LAW

Judge: _______ ..__ __________ _

PI·TR-OOJ(A)(II/12) White • Clerk Ydlow ·Service Pink • Sheriff or P.O.

Page 25: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

I

IN THE CIRCUIT C()URT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS

Case No.

Plainti

Jud e Clerk A copy of chis order

0 Plaintiff Atty. 0 Defense Atty. 0 other FileStam

r------------fO:..:RD=.:E:;::R.=-:RE=MAN~DING CUSTODY Defendant: THIS MA TI'ER being before the Court on a sworn Name complaint in writing filed herein; and,

Address D It appearing to the Court that there is probable cause to hold the defendant for trial on such charge,

.... c_i~ty_, _sta_te_, Z_t..;..'p _______ __,_ _____ ___.O The said examination having been continued by the Court D Check here if this is a new address. · until the date, place, and time set forth herein;

To Appear: Date Time Room No. Judge Location

Offense:

Chapter and Section:

Bail set at: Defendant must t 10% of bail amoun for release unless pos t real estate is the surety· see 725 ILCS 51110..8 (a) (2). Bond is the actual amount posted.

0 The Defendant has been arrested without a warrant, bas been afforded a bond call and the Court finds probable cause for the arrest and detention.

0 The Defendant has been arrested on an outstanding warrant and has been afforded a bond call.

0 No probable cause is found in this matter.

0 Right, penalties and trial in absentia have been explained to the defendant

And, the defendant having failed to give bail for his/her appearance before the Court at that time;

IT IS ORDERED that the defendant be remanded to the custody of:

0 The Sheriff of Kane County

0 The keeper of the common jail ofthe City or Village herein above set forth, there to be safely kept until discharged by due process of law; and that the Sheriff or. other keeper of the common jail have the defendant before this Court at the time and place set forth herein.

Date:--------Judge: ________________ _

NOTICE . I

THIS IS THE COMMAND OF THE CIRCUIT COURT AND VIOLA 'tJON

THEREOF IS SUBJECT TO THE PENALTY OF TilE LAW I

PJ-TR.()()3(B) (II till White· Clerk YeUow- Service

A true copy of the original is on file in my office.

Attested to this--==---""'="".-:::~~=-----­Thomas M. HartweD

Clerk of the Circuit Clerk Kane County, Illinois

By: _________ ~De~p-.uty~C~le~~-----------

Pink. Sheriff or P.D. Gold· Defendant

Page 26: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

By virtue of the within Order Remanding Custody I have taken the body of the wi~n named defendant and have delivered him/her to the keeper of the common jail of

Dare: _________________ __

Fees- Service and Return

Miles

Total

Pl·TR.003(C)bk (11112) White - Clerk:

0 Kane County, Illinois,

0 The City or Village of ------------• Illinois,

Pink· Sheriff or P.D.

Page 27: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT CQURT OF THE SIXTEENTH JUDICIAL CIRCUIT .KANE COUNTY, ILLINOIS

Plaintiff/Petitioner

APPEARANCE TYPE

0Futl

0 Limited

D Special

0 Court Appointed I

0 Other

Party for whom appearance is being entered:

Name:

Address:

Ci~, State, Zip: I

D THIS IS A NEW ADDRESS

Case No

Defendant/Respondent File Stamp

APPEARANCE

As Attorney for the within named party or parties, I hereby enter

my Appearance and the Appearance oftbe within named.

Attorney As Aforesaid

Date ________________ _

Finn Name

Attorney Registration Number

Additional party for whom appearance is ~ing entered:

Name:

Addn:ss:

City, State, Zip:

Attorney:

Name:

Addms:

City, State, Zip:

Phone:

P2-MISC.(K)6 (0&'11) White - Clerk

I

I

'

! i !

I I I

NOTICE TO ATI'ORNEY

You must enter your individual Attorney Registration

number above.

Y c:llow - Plaintiffs Attorney Pinlr. - Defendan~s Attorney

Page 28: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT

Plaintifti'Petitioner

To:

Name

Address

City, State, Zip

I

KANE COUNTY, ILLINOIS .

Case No

I I I

' i

:

Defendant/ResDOndent i File Stamp

NOTICE OF MOTION

On at m. in courtroom of the

D Kane County Judicial Center, 37W777 Rt. 38, St. Charles, IL 60174 0 Kane County Court House, 100 S. 3rd Street, Geneva, IL 60134 0 Kane County Branch Court, 530 S. Randall Rd., St. Charles, IL 0 Aurora Branch Court, 1200 E. Indian Trail. Aurora IL 60S05 0 Carpentersville Branch Court, 1200 L.W. Besinger Dr., Cville, IL 60110 0 Elgin Branch Court, ISO Dexter Ct., Elgin IL 60120 1

before hislher Honor, Judge or in his/her absence, before ahy other Judge that may be presiding, I

and shall then and there present a Motion to--------------------------

SignatUre

AFFIDAVIT OF SERVICE

I, on oath state that on---!------------1 served this Notice by 0 mailing 0 personally serving a copy to each person trl whom it is directed.

Subscribed and Sworn to before me on ______________________ (~) Notary Public/Clerk of the Circuit Court

(Seal)

P2·MISC~25 (OS/! I) White • Clerk Yellow· Party

Signature

Pink- Party

Page 29: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS

Case No .

I

Plaintiff/Petitioner i Defendant/Respondent File Stamp MOTI?NTO __________________________________ _

Now Comes the 0 Plaintiff/Petitioner 0 Defendant/Respondent

ProSe, and in his/her motion to __ -+-1

-------------------------

states as follows:

1>--------------------~-----------------------------------------

2>--------------------~-----------------------------------------

3) __ ~---------------+-----------------------------------------

Therefore, 0 Plaintiff/Petitioner 0 Defendant/Respondent requests the court to grant the motion to I

Signature Subscribed and sworn to before me on

---------------------~~-----~~) Notary Public/Clerk of the Circuit Court

(Seal) :

I White • Clerk :Yellow • Plaintiff/ Attorney Pink • Defendant P2-MJSC..()29 (IIIII)

Page 30: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT COURT OF THE SIXTEENTH Jl)DICIAL CIRCUIT KANE COUNTY, ILLINOIS

CaseNo ' .. !

Plaintiff{s) Defendant(s}

Plaintiff(s) Attv. Defendant(s)_Atty.

Judae I Court Reoorter I Deputy Clerk A copy of this order 0 should be sent 0 has been sent

0 Plaintiff Atty. 0 Defense Atty. 0 Other I File Stamp

Plaintiff present in Open Court 0 Yes 0 No

ORDER Defendant presert in Open Court 0 Yes 0 No

I

0 CONTINUANCE 0 JUDGMENT THE COURT BEING FULLY ADVISED IN TilE PREMISES:

pMisc. I

It is ordered: On motion of ______________ that

this cause be continued to------------at m.inroom _______ _

0 Kane County Judicial Center, 37W777 Rt. 38, St. Charles, IL 0 Kane County Courthouse, 100 S. Third St,. Gcncva.IL O~her ____________________________ _

bdOreJooge __________________ __

0 ------------MUST APPEAR

For: 0 Hearing on Motion/Petition Forffo:

It is ordered as follows: I 0 Dismissed withoht prejudice and strike pending dates.

0 Dismissed with Jrejudi~ and strike pending dates. 0 Judgment to ent~:

0 By default 1 0 Upon trial or! hearing 0 Defendant hJving admitted liability

D Proof of cianJages made

0 Proof of reasbnable attorney's fees made

0 Strike pending 'tes 0 Discharge Rule to Show Cause 0 Dismiss citation i 0 Alias ___ .._ _________ to issue

---------------- In favorof ____ -+--------------0 Default/Judgment and against ___ --1------------0 Dismiss/setting 0 Proof of damages in the amount of:::.S _ _,_ _________ , costs of

0 Trial S and Attorney's fees of

0 Other (describe) S

0 Misc. Orders:

Date:--------Judge: ______________ _

P2-SC-001p (03110) White-Clerk RE~ACKNO~ED: ____ ~------------------------

y dlow - PlaiDtiff Pink ~ Oefcodlmt

Page 31: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS

Case No

Plaintiff(s) ·Defendant( s)

Plaintiffls) Atty. Defendant(s) Atty.

Judge I court Rcwo~ I Deputy Clerk A copy of this order 0 should be sent 0 has been sent

0 Plaintiff Atty. 0 Defense Any. 0 Other File Stamp

PLEA OF GUILTY THE COURT HAVING ADDRESSED 11iE DEFENDANT IN OPEN COURT FINDS:

That the defendant was advised of and understands that the state has the burden of proving himlhcr guilty beyond a reasonable doubt; that be/she is presumed innocent until I proven guilty, the nature of the charge(s) and the possible punishment that might be imposed by the Court, including, if applicabl~ extended term or consecutive sentences and the right:

(A) To plead not guilty or to persist in ~at plea if already made. (B) To present evidence in bis/ber own tlefense (C) To use the subpoena power of the ~ourt. (D) To a jury trial or a trial before the jUdge without a jury.

(E) To conftont the witnesses against h~er. (F) To counsel and if indigent, to appoi~ted counsel. (G) To pursue an appeal within 30 days] and if indigent, to a transcript of all the proceedings in his/her case without charge to

assist in the appeal process. '

0 That the defendant has waived right to cdunsel. 0 That the defendant understands that ifhefsbe is not a U.S. citizen that this plea could result in his/her deportation. 0 That a plea agreement as stated to the Coi.ut was voluntarily arrived at: The defendant has stipulated that if wiiDesscs were called

tbat they would testifY competently to suk.cient fadS to support a finding of guilty to the offense(s) of: --------------------~---+1--~-------CJ~ S~wre ____________________________ __ Count 0 Origibal 0 Amended

I 0 That the defendant pleads guilty to tbe offensc(s) stated above, and waives his/her rights as stated in (A) thru (E) above. 0 That the defendant agrees to the impositihn of a specific sentence and waives the right to a pre-sentence investigation or an

aggravation and mitigation hearing. I 0 That the defendant makes an unconditional (COLD) plea(s) to the charge(s) and asserts the right to a pre-sentence and

aggravation and mitigation hearing. I 0 That the probation office of this Court is ~irected to conduct a pre-sentence investigation. A written copy is to be furnished to

the Court, the defendant and the State's Attorney not less than three (3) Court days befeft the date set herein for sentencing. 0 Sentencing hearing is continued to at m., in Room __ of the

§ Kane County Judicial Center, 37W"rit7 Rt. 38, St Charles, IL B Elgin Branch Court, ISO Dexter Ct., Elgin, IL Aurora Branch Court, 1200 E. lndill!ITrail, Aurora, IL C'Ville Bl'llllCh Court, 1500 L.W. Besineer Dr., C'Ville, JL Kane County Branch Court, 530 S. Randall Rd., St. Charles, IL .

I Date: Defendant's Signature ____________________ _

PI-CR-001 (OSIII) Page I of:Z (PICROO:Z, PICR019 ftlJI ot PICFOOS)

Page 32: COUNTY OF KANE and... · 2017-10-08 · This is a two (2) year contract. The Kane County Board authorized the Chairman to enter into a contract per Resolution 14-127. Please notify

IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILUNOIS ~

Case No

0 People of Illinois 0 City or village of

Plaintiff{s) Defcndant(s)

I Plaintifllsl Ajty. Defendant(s) Attv. I

Judge !court Reporter I Deputy Clerk A copy of this order 0 should be sent 0 has been sent

D Plaintiff Atty. D Defense Atty. D Other I

File Stamp SENTENCING ORDER (SNT)

0 The Court/Jury having found tbe defendant guilty of: ______________________ _

0 Original 0 Lesser/Incl. 0 Amended Statute=---------.....-----------8 Judgment is entered on conviction

Nolle Prosequi Count(s) 1

IT IS THEREFORE ORDERED THAT THE DEFENDANT: 0 This is an Illinois Dottaestic Violence Related Case (IDVCR) 0 Is placed on 0 Court Supervision (201) 0 Conditional Discharge (206) 0 Protk.tion (204) through Report te 0 Judge 0 Court Services 0 Judge and Court Services 0 Non Rcpo~ng 0 Shall perfonn hours of Community Service (209), to be completed by i . Defendant shall pay $SO

for six months, S25 per month thereafter 0 fee waived 0 Defendant exempt ! 0 Shall serve days of Electronic Home Monitoring (213) fee of$ fCr day, $ Total. 0 fee waived 0 Shall serve 0 Days D Months in the County Jail {202) 0 Good tire to apply D No good time to apply commencing at 6 p.m. on with credit for days served. (250) o~ ! D Shall sucx:essfully complete a 26 week ILDHS approved Domestic Violence Counsel~g Program, and follow all treatment

recommendations. commencing immediately at:

ILDHS Provider Name: Town:-~' ------------Phone Number: Provider COde: 0 Case is continued to at m., in Room __ at~ 0 -K-an_e_Coun--ty-Jlld_,.,.k:...,.ia_,.I...,.Ce_n_ter __ _

0 Aurora Branch Coun D Elgin Branch Court 0 C'ville for I 0 Fine: S 0 Costs: S D Transfer Bond From-----__,.J,---o=Se-x-:Assa~-:ul:-:-:t F=-ee--=-s::-::10~0--0 Crime Lab Fee $100 0 Statutory Drug Assess Fee: $ 0 Drug Fine$ : 0 Drug Testing Fee$ D Lab/Drug Fee waived if Defendant attends: 0 Trauma Center Fee $100 0 Spinal Cord Injury$---0 Dom. Violence Fine: $1000 Dom. Batt. Fee: $100 PubDef. Fee of$ I 0 Reserved0 AbuserServ-:-Feei20 0 Shall pay Conditional Oixharge Fee of$100 per year or 0 per year. 0 fee is waived 0 Other:-----0 Shall pay Probation fee. $50 per month or 0 per month 0 fee waived OJ Other.

0 Shall make restitution in the amount of$ , payable through the Cirwit Clerks Office to-;: 0;::=;--=R-es_erv_ed-:-------1 (Name ancl Address)

THE DEFENDANT SHALL PAY FINES, COSTS, AND FEES, tetaling (induding probatien, c:onditiooal discharge, and supervised community service) S in montllly payments or S per moatb, with the first pa)'Dient due

• Monthly payment does Dot iaducle weekend fees or any feel assessed prior to or post disposition. T=::-::H=E=D=E""'FE=N=D=-ANT--=,.-s=H:--ALL COMPLY WITH THE FOLLOWING CONDITIONS: j 0 Shall have no contact/abusive contact with the complainant/victim (OPCOM) 0 Shall have no further criminal violations (NOCO) 0 Shall ~frain from entering the premises of(NEAS • .t\) : 0 Shall Follow all Rules of 0 Conditional Discharge D;=::;-o:::C:-om_m_un~ity--:S:-erv--=-ice--::O~Pro~b:-at""':~-on-r=O=r-:=Eiectmn:-:----:-ic-:H~o-m-e~M~on~ito-n"'!'. n-g--0 Waives personal service of Petition to Revoke. (WPSOP) 1

IN MA TIERS OF DOMESTIC VIOLENCE THE DEFENDANT MUST SIGN THE BELOW WAIVER l hereby waive any confidentiality and authorize tbe counseling agency (previously stated) to ~lease to the Court and the Kane County State's Attorney's OffiCe copies of any and all evaluations and ~ports concerning my counseling.

Date: Defendant's Signature: --------------------------------

Date: ----------------Judge: _ _..;. _______________ __

PI.CR-002(07110) Pqc 2of2 •Page 1- Pl..CR-001) White-Cleric Gn:cn-Probation Yellow-SAO Pink-Deft. Gold..COunsclinsSetYiee