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Master Blanket Purchase Order AAGO16-156844
Header Information
Purchase Order Number: AAGO16-156844 Release Number: 0 Short Description: Homeless Housing Support
Status: 3PS - Sent Purchaser: Cindy Palmer Receipt Method: Quantity
Fiscal Year: 2017 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: 12/19/2016 04:14:26 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: $303,715.00
Master Blanket/Contract End Date (Maximum):
Project No.: AG16-0051
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 PHX-5104837-v1-1_AG16-0051_RFGA_Standard_and_Poor_s_Homeless_Support_Program_05242016.pdf PHX-5104838-v1-2_AG16-0051_Attachment_I_Standard_and_Poor_s_Homeless_Housing_Support_05172016.DOCX PHX-5104840-v1-3_AG16-0051_Attachment_II_Standard_and_Poor_s_Homeless_Housing_Support_05172016.DOCX PHX-5104841-v1-4_AG16-0051_Attachment_III_Designation_of_CTPI_Form_05172016.pdf PHX-5104842-v1-5_AG16-0051_Exhibit_A_Logic_Model_(Template)_05172016.DOCX PHX-5104845-v1-6_AG16-0051_Exhibit_B_Gantt_Chart_(Template)_05172016.XLS 7 AG16-0051 Logic Model and Gantt Chart Tutorial (Reference) 05172016.pptx AAGO16-00006395- Determination for Award 12192016.pdf AAGO16-00006395 Homeless Housing Evaluation Worksheet 12192016.pdf Interfaith Offer and Acceptance 12192016.pdf AG16-0051 Interfaith Amendment II 12142017 Executed.pdf
Vendor Attachments: Transmittal Letter Attachment I Attachment II Attachment III Certificate of Insurance
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000051340 - Interfaith Community Services
Daniel Stoltzfus
2820 W. Ina Road
Tucson, AZ 85741
US
Email: dstoltzfus@icstucson.org
Phone: (520)297-6049
Alt. Reference: Z0001 		Payment Terms: Net 30 Shipping Method:
Shipping Terms: As Specified Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to dstoltzfus@icstucson.org at 12/19/2016 05:00:14 PM 12/19/2016 05:01:05 PM
Change Order 1 Emailed to dstoltzfus@icstucson.org at 12/18/2017 08:35:26 AM 12/18/2017 09:28:47 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000051340
PZ000051340 Interfaith Community Services Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 12/19/2016 Master Blanket/Contract End Date: 12/31/2018
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 $303,728.89 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Totals from AAGO16-00006395 Request for Grant Application Attachment II, Section 2.3 Cost Sheet Form, should be matched to the corresponding line items below. 3PS - Sent
Bid # / Bid Item #:  AAGO16-00006395 / 1
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
This item is narrative
 
Print Sequence # 6.0, Item # 2:   Program 2 (Year One) - Administrative Expenses Total (Includes Personnel, Operating, and Other Expenses) 3PS - Sent
NIGP Code: 952-30
   Housing Support Services : H030-00
Bid # / Bid Item #:  AAGO16-00006395 / 6 Quote # / Quote Item #:  000040438 / 6
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $12,691.00 EA - Each 0.00 $0.00 $0.00 $12,691.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 7.0, Item # 3:   Program 2 (Year One) - Program Expenses Total (Expenses Not Included in Administrative Expenses) 3PS - Sent
NIGP Code: 952-30
   Housing Support Services : H030-00
Bid # / Bid Item #:  AAGO16-00006395 / 7 Quote # / Quote Item #:  000040438 / 7
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $139,126.00 EA - Each 0.00 $0.00 $0.00 $139,126.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 8.0, Item # 4:   Program 2 (Year Two) - Administrative Expenses Total (Includes Personnel, Operating, and Other Expenses) 3PS - Sent
NIGP Code: 952-30
   Housing Support Services : H030-00
Bid # / Bid Item #:  AAGO16-00006395 / 8 Quote # / Quote Item #:  000040438 / 8
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $11,989.00 EA - Each 0.00 $0.00 $0.00 $11,989.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 9.0, Item # 5:   Program 2 (Year Two) - Program Expenses Total (Expenses Not Included in Administrative Expenses) 3PS - Sent
NIGP Code: 952-30
   Housing Support Services : H030-00
Bid # / Bid Item #:  AAGO16-00006395 / 9 Quote # / Quote Item #:  000040438 / 9
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $139,909.00 EA - Each 0.00 $0.00 $0.00 $139,909.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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