Logo
 

Master Blanket Purchase Order AAGO16-146619

Header Information
Purchase Order Number: AAGO16-146619 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: $150,000.00
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 West Yavapai Guidance Offer and Acceptance.pdf
Vendor Attachments: 2ndpageforQualifications Key Personnel From WYGCSPPP.docx 3 AAGO16-00006015 Attachment II COST SHEET ONLY From WYGCSPPP.docx 3rdpageforQualifications Key Personnel From WYGCSPPP.docx 5 AAGO16-00006015 Exhibit A Logic Model From WYGCSPPP.docx 6 AAGO16-00006015 Exhibit B Gantt Chart From WYGCSPPP.xls AttachmentIIIforAGgrant From WYGCSPPP.pdf AttchmtIOfferandAcceptanceAGgrant From WYGCSPPP.pdf Budget Narrative to go w Attachment II COST SHEET For WYGCSPPP.docx transmittalletterPDFforAGgrant From WYGCSPPP.pdf WYGC - State of Arizona Insurance From WYGCSPPP.pdf NarrativeAAGO16-00006015 From WYGCSPPP.pdf 2 AAGO16-00006015 Attachment I From WYGCSPPP.docx letterofclarificationBESTANDFINAL081516.pdf West Yavapai Guidance Offer and Acceptance.pdf
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000005745 - WEST YAVAPAI GUIDANCE CLINIC
Laura Norman
3343 N Windsong Dr
Prescott Valley, AZ 86314
US
Email: l.norman@wygc.org
Phone: (928)445-5211 Ext. 3615
FAX: (928)775-6926
Alt. Reference: Z0402
Payment Terms: Net 30 Shipping Method: Best Way
Shipping Terms: F.O.B., Origin Freight Terms: Freight Allowed
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to l.norman@wygc.org at 08/25/2016 09:14:25 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000005745
PZ9000005745 WEST YAVAPAI GUIDANCE CLINIC Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 08/24/2016 Master Blanket/Contract End Date: 08/31/2017
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 $75,003.00 $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 # 2.0, Item # 2:   Program 1.4.2 (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 #:  000039502-R1 / 2
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $75,000.00 EA - Each 0.00 $0.00 $0.00 $75,000.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 4.0, Item # 3:   Program 1.4.2 (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 #:  000039502-R1 / 4
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $75,000.00 EA - Each 0.00 $0.00 $0.00 $75,000.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Copyright © 2017 Periscope Holdings, Inc. - All Rights Reserved. AZ-PAS4