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Master Blanket Purchase Order AAGO16-146618

Header Information
Purchase Order Number: AAGO16-146618 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: $785,000.00
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 SW Human Development Offer and Acceptance.pdf AAGO16-146618 Contract Extension SWHD 08312017 Executed.pdf
Vendor Attachments: Transmittal Letter Attachment I Attachment 2 Proposal Narrative Attachment 2 Cost Sheet and Budget Insurance Attachment 2-Logic Model Attachment 2-Gantt Chart Attachment 3 SWHD Best and Final Offer Letter, Program 1.3 Clarifications Response 7.18.16 Clarification Response-Revised Cost Sheet 7.22.16 SW Human Development Offer and Acceptance.pdf
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000005101 - SOUTHWEST HUMAN DEVELOPMENT
Kyle Bogdon
2850 N. 24th Street
Phoenix, AZ 85008
US
Email: swhdprocure@swhd.org
Phone: (602)266-5976
FAX: (602)468-3405
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method: Best Way
Shipping Terms: N/A Freight Terms: Freight Prepaid
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to swhdprocure@swhd.org at 08/24/2016 05:13:00 PM 08/26/2016 10:10:47 AM
Change Order 1 Emailed to swhdprocure@swhd.org at 09/05/2017 10:59:46 AM 09/05/2017 12:18:14 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000005101
PZ9000005101 SOUTHWEST HUMAN DEVELOPMENT 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 $375,230.00 $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 # 10.0, Item # 2:   Program 1.4.3 (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 / 10 Quote # / Quote Item #:  000039486-R1 / 10
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $375,000.00 EA - Each 0.00 $0.00 $0.00 $375,000.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 12.0, Item # 3:   Program 1.4.3 (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 / 12 Quote # / Quote Item #:  000039486-R1 / 12
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $410,000.00 EA - Each 0.00 $0.00 $0.00 $410,000.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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