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Master Blanket Purchase Order AAGO18-205294

Header Information
Purchase Order Number: AAGO18-205294 Release Number: 0 Short Description: Opioid Misuse and Abuse - Education and Prevention Programs
Status: 3PS - Sent Purchaser: Cindy Palmer Receipt Method: Quantity
Fiscal Year: 2018 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: 06/08/2018 04:50:17 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: Cindy Palmer, 602-542-7986 Tax Rate: Actual Cost: $133,411.04
Master Blanket/Contract End Date (Maximum): 06/30/2020 05:00:00 PM
Project No.: AG18-0039
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 Chicanos Offer and Acceptance.pdf AAGO18-00008041 Opioid Evaluation Worksheet 06072018.pdf AAGO18-00008041- Determination for Award 06072018.pdf 8_AAGO18-00008041 Logic Model and Gantt Chart Tutorial (Reference) 03122018.pptx 7_AAGO18-00008041 Exhibit B Gantt Chart (Template) 03122018.XLS 6_AAGO18-00008041 Exhibit A Logic Model (Template) 03122018.DOCX 5_AAGO18-00008041 Attachment IV Israel Boycott Form 03122018.pdf 4_AAGO18-00008041 Attachment III Opioid Misuse and Abuse 03122018.pdf 3_AAGO18-00008041 Attachment II Opioid Misuse and Abuse 03122018.docx 2_AAGO18-00008041 Attachment I Opioid Misuse and Abuse 03122018.docx 1_AAGO18-00008041 RFGA Opioid Misuse and Abuse 03122018.pdf
Vendor Attachments: Letter of Transmittal Attachment II Narrative Attachment II Budget Attachment III Attachment IV Exhibit A Logic Model Exhibit B Gantt Chart Attachment I CPLC Signed Letter Chicanos Attachment II Cost Sheet Form Revision Final May 25 2018.pdf
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000011027 - CHICANOS POR LA CAUSA INC
Sylvia Rebozo
1112 East Buckeye Road
Phoenix, AZ 85034-4043
US
Email: amanda.bernal@cplc.org
Phone: (602)257-5522
FAX: (602)307-9752
Alt. Reference: Z0001
Payment Terms: Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to amanda.bernal@cplc.org at 06/08/2018 05:06:04 PM 06/11/2018 07:29:51 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000011027
PZ9000011027 CHICANOS POR LA CAUSA INC Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 07/01/2018 Master Blanket/Contract End Date: 06/30/2019
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 $17,562.81 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Ongoing administrative and program expenses, including salaries and ERE, will be invoiced and paid by the AGO on a quarterly basis. Invoices shall be in accordance with the accepted Cost Sheet. (Attachment II - Cost Sheet Form). Enter cost information in the line items below as described in your Cost Sheet Form. Year 1 and Year 2 program costs shall be divided in 4 equal quarterly payments for each year. 3PS - Sent
Bid # / Bid Item #:  AAGO18-00008041 / 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:   Year One (1) - Direct Program Costs 3PS - Sent
NIGP Code: 952-56
   Community Action Services Program : HP01-00
Bid # / Bid Item #:  AAGO18-00008041 / 2 Quote # / Quote Item #:  000050082-R1 / 2
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 4.0 $15,966.19 EA - Each 0.00 $0.00 $0.00 $63,864.76
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 3.0, Item # 3:   Year One (1) - Indirect Costs (Not to Exceed 10%) 3PS - Sent
NIGP Code: 952-56
   Community Action Services Program : HP01-00
Bid # / Bid Item #:  AAGO18-00008041 / 3 Quote # / Quote Item #:  000050082-R1 / 3
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 4.0 $1,596.62 EA - Each 0.00 $0.00 $0.00 $6,386.48
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 4.0, Item # 4:   Year Two (2) - Direct Program Costs 3PS - Sent
NIGP Code: 952-56
   Community Action Services Program : HP01-00
Bid # / Bid Item #:  AAGO18-00008041 / 4 Quote # / Quote Item #:  000050082-R1 / 4
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 4.0 $14,354.50 EA - Each 0.00 $0.00 $0.00 $57,418.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 5.0, Item # 5:   Year Two (2) - Indirect Costs (Not to Exceed 10%) 3PS - Sent
NIGP Code: 952-56
   Community Action Services Program : HP01-00
Bid # / Bid Item #:  AAGO18-00008041 / 5 Quote # / Quote Item #:  000050082-R1 / 5
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 4.0 $1,435.45 EA - Each 0.00 $0.00 $0.00 $5,741.80
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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