Logo
 

Master Blanket Purchase Order AAGO16-146620

Header Information
Purchase Order Number: AAGO16-146620 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: $715,076.00
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 Intermountain Offer and Acceptance.pdf AAGO16-146620 Contract Extension Intermountain 08312017 Executed.pdf
Vendor Attachments: Transmittal Letter Attachment I Signed Offer and Acceptance Attachment I Program Details Attachment III Designation of Confidential Trade Secret Proprietary Information Arizona Substitute W9 Certificate of Insurance BAFO Attachment II Scope of Work Narrative BAFO Confirmation Letter Intermountain Offer and Acceptance.pdf
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000011535 - INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT, INC.
David K. Giles
P.O. Box 17749
Tucson, AZ 85731-7749
US
Email: RLopez@ichd.net
Phone: (520)721-1887
FAX: (520)721-0069
Alt. Reference: Z0001
Payment Terms: Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to RLopez@ichd.net at 08/25/2016 08:37:16 AM 08/31/2016 10:22:33 AM
Change Order 1 Emailed to RLopez@ichd.net at 09/05/2017 11:06:32 AM 09/11/2017 09:22:29 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000011535
PZ9000011535 INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT, INC. 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 $312,834.88 $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 #:  000039490-R1 / 10
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $250,059.00 EA - Each 0.00 $0.00 $0.00 $250,059.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 11.0, Item # 3:   Program 1.4.3 (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 / 11 Quote # / Quote Item #:  000039490-R1 / 11
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $62,775.00 EA - Each 0.00 $0.00 $0.00 $62,775.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 12.0, Item # 4:   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 #:  000039490-R1 / 12
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $308,967.00 EA - Each 0.00 $0.00 $0.00 $308,967.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 13.0, Item # 5:   Program 1.4.3 (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 / 13 Quote # / Quote Item #:  000039490-R1 / 13
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $93,275.00 EA - Each 0.00 $0.00 $0.00 $93,275.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Copyright © 2017 Periscope Holdings, Inc. - All Rights Reserved. AZ-PAS2