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Master Blanket Purchase Order AAGO16-146614

Header Information
Purchase Order Number: AAGO16-146614 Release Number: 0 Short Description: Mental Health Illness & Disorders, Developmental Learning Disorders & Neurocognitive Disease Program
Status: 3PS - Sent Purchaser: Cindy Palmer Receipt Method: Quantity
Fiscal Year: 2016 PO Type: Blanket Minor Status:
Organization: Office of the Arizona Attorney General
Department: PAD - Civil Litigation Location: CPA - Consumer Protection & Advocacy Type Code:
Alternate ID: Entered Date: 08/24/2016 04:42:56 PM Control Code:
Days ARO: 0 Retainage %: 0.00% Discount %: 0.00%
Print Dest Detail: If Different
Catalog ID: Release Type: Direct Release Pcard Enabled: No
Contact Instructions: Contact Cindy Palmer 602-542-7986 Tax Rate: Actual Cost: $123,811.00
Master Blanket/Contract End Date (Maximum):
Project No.: AG16-0023
Special Purchase Types:
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type: None
Agency Attachments: Uniform Terms and Conditions V9_(Rev 7-1-2013)~19.pdf Uniform Instructions to Offerors (rev 9-2014)~7.pdf 1 AAGO16-00006015 RFGA 03092016.pdf 2 AAGO16-00006015 Attachment I 03092016.docx 3 AAGO16-00006015 Attachment II 03092016.docx 4 AAGO16-00006015 Attachment III Designation of Confidential Trade Secret Proprietary Information Form 03092016.pdf 5 AAGO16-00006015 Exhibit A Logic Model (Template) 03092016.docx 6 AAGO16-00006015 Exhibit B Gantt Chart (Template) 03092016.xls 7 AAGO16-00006015 Exhibit C AGO Janssen Consent Judgment (Reference).pdf 8 Logic Model and Gantt Chart Tutorial (Reference).pdf 9 Logic Model and Gantt Chart Tutorial (Reference).mp4 10 Logic Model and Gantt Chart Tutorial (Reference).pptx AAGO16-00006015 RFGA Amendment I 04222016.pdf AAGO16-00006015 Janssen Settlement Distribution Evaluation 08242016.pdf AAGO16-00006015- Determination for Award 08242016~1.pdf Foundation for Sr Living Offer and Acceptance.pdf AAGO16-146614 Contract Extension FSL 08312017 Executed.pdf
Vendor Attachments: Attachment I Offer and Acceptance with Signed.pdf Attachment I Qualifications and Experience of Key Personnel Additional Pages.pdf Attachment II AAGO16-00006015 - Narrative II - SOW MASTER 6-6-16 EDITED.pdf Transmittal Letter Signed.pdf 6 AAGO16-00006015 Exhibit B Gantt Chart - SAIL - MASTER.pdf 5 AAGO16-00006015 Exhibit A Logic Model - FINAL.pdf Gantt Chart Best and Final Foundation for Sr Living Offer and Acceptance.pdf
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000020917 - Foundation for Senior Living
Dorothy Kelly
1201 E. Thomas Road
Phoenix, AZ 85014
US
Email: dkelly@fsl.org
Phone: (602)285-1800
Alt. Reference: Z0001
Payment Terms: TBD Shipping Method: Best Way
Shipping Terms: TBD Freight Terms: Freight Prepaid
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to dkelly@fsl.org at 08/24/2016 04:56:28 PM
Change Order 1 Emailed to dkelly@fsl.org at 09/07/2017 01:32:25 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000020917
PZ000020917 Foundation for Senior Living Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 08/24/2016 Master Blanket/Contract End Date: 08/31/2018
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
AAGO - Office of the Arizona Attorney General PAD - Civil Litigation $0.00 $72,743.63 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Totals from AAGO16-00006015 Request for Grant Application Attachment II, Section 2.8 Cost Sheet Form, should be matched to the corresponding line items below. 3PS - Sent
Bid # / Bid Item #:  AAGO16-00006015 / 1
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
This item is narrative
 
Print Sequence # 2.0, Item # 2:   Program 1.4.4 (Year One) - Administrative Expenses Total (Includes Personnel, Operating, and Other Expenses) 3PS - Sent
NIGP Code: 952-13
   Community Services : H013-00
Bid # / Bid Item #:  AAGO16-00006015 / 2 Quote # / Quote Item #:  000039537-R4 / 2
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $64,431.00 EA - Each 0.00 $0.00 $0.00 $64,431.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 3.0, Item # 3:   Program 1.4.4 (Year One) - Program Expenses Total (Expenses Not Included in Administrative Expenses) 3PS - Sent
NIGP Code: 952-13
   Community Services : H013-00
Bid # / Bid Item #:  AAGO16-00006015 / 3 Quote # / Quote Item #:  000039537-R4 / 3
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $8,312.00 EA - Each 0.00 $0.00 $0.00 $8,312.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 4.0, Item # 4:   Program 1.4.4 (Year Two) - Administrative Expenses Total (Includes Personnel, Operating, and Other Expenses) 3PS - Sent
NIGP Code: 952-13
   Community Services : H013-00
Bid # / Bid Item #:  AAGO16-00006015 / 4 Quote # / Quote Item #:  000039537-R4 / 4
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $45,233.00 EA - Each 0.00 $0.00 $0.00 $45,233.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 5.0, Item # 5:   Program 1.4.4 (Year Two) - Program Expenses Total (Expenses Not Included in Administrative Expenses) 3PS - Sent
NIGP Code: 952-13
   Community Services : H013-00
Bid # / Bid Item #:  AAGO16-00006015 / 5 Quote # / Quote Item #:  000039537-R4 / 5
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $5,835.00 EA - Each 0.00 $0.00 $0.00 $5,835.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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