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Master Blanket Purchase Order ADCS14-074842

Header Information
Purchase Order Number: ADCS14-074842 Release Number: 0 Short Description: Community Education and Information Service - Child Abuse Prevention
Status: 3PS - Sent Purchaser: Jim Kennedy Receipt Method: Quantity
Fiscal Year: 2015 PO Type: Blanket Minor Status:
Organization: Arizona Department of Child Safety
Department: OP - Office of Procurement Location: OP - Contracts Type Code:
Alternate ID: Entered Date: 06/30/2014 01:17:41 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: Tax Rate: Actual Cost: $9,000.00
Master Blanket/Contract End Date (Maximum): 10/31/2019 12:50:00 PM
Project No.:
Special Purchase Types: Competition Impracticable
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type:
Agency Attachments: Uniform Terms and Conditions V8 (Rev 3-7-2011) DES STC Standard Auto Optional~7.pdf Scope of Work~48.pdf Price Sheet_ADES14-059601.pdf Signature Page~38.pdf Certification Regarding Lobbying~88.pdf Certification Regarding Debarment~84.pdf Exhibit A - Tax Check-Off Event 2013~7.doc Exhibit B - 2013 Resource Guide for April Child Abuse Prevention Event~8.pdf Exhibit C - CAP Fund logo~8.doc Exhibit D - Sample Invoice and Prgm Report_1~7.doc Exhibit E - Sample Invoice and Prgm Report_2~7.doc Instructions for Submittal - 2013~7.doc Qualified Provider Cover letter~7.doc Assignment Change Order Change Order 1 - Amendment 1 ADCS14-074842 Amendment 2 CO 2.pdf Contractor COI Exp 3-9-17.pdf Contractor WC COI Exp 4-1-17.pdf Contract Amendment 3 ADCS14-074842.pdf Contractors Workers Comp COI Exp 4-1-2018.pdf Contractors COI Exp 3-9-2018.pdf Contract Amendment 4 ADCS14-074842.pdf Contract Amendment 5~66.zip
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000002806 - PREVENT CHILD ABUSE ARIZONA
Rebecca Ruffner
P.O. Box 26495
Prescott Valley, AZ 86312
US
Email: claire@pcaaz.org
Phone: (928)445-5038
FAX: (928)778-5300
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to tina@pcaaz.org at 10/14/2014 07:55:20 PM
Change Order 1 Emailed to tina@pcaaz.org at 10/28/2014 01:49:27 PM 10/30/2014 11:48:58 AM
Change Order 2 Emailed to christine@pcaaz.org at 10/07/2015 12:22:38 PM 10/29/2015 02:20:00 PM
Change Order 3 Emailed to claire@pcaaz.org at 08/22/2017 03:34:14 PM 08/31/2017 12:12:40 PM
Change Order 4 Emailed to claire@pcaaz.org at 10/02/2017 01:43:16 PM 01/23/2018 12:47:39 PM
Change Order 5 Emailed to claire@pcaaz.org at 10/09/2018 12:54:32 PM 11/13/2018 08:54:36 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000002806
PZ9000002806 PREVENT CHILD ABUSE ARIZONA Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 10/16/2014 Master Blanket/Contract End Date: 10/31/2019
Cooperative Purchasing Allowed: Yes
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADCS - Arizona Department of Child Safety AGY - Agency Umbrella Master Control $0.00 $30,600.00 $0.00
ADES - Arizona Department of Economic Security AGY - Agency Umbrella Master Control $0.00 $0.00 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Community Education and Information:H011-CP 3PS - Sent
NIGP Code: 952-11
   Client Information : H011-00
  952-11-00
    AClient Information¬†: H011-00
  952-11-000000-2
    Community Education and Information:H011-CP
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $5,400.00 EA - Each 0.00 $0.00 $0.00 $5,400.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 2.0, Item # 2:   One (1) Completed Mandatory Annual Campaign - 40% of the payment is made upon submittal of the Program Report Two with the invoice 3PS - Sent
NIGP Code: 952-11
   Client Information : H011-00
  952-11-00
    AClient Information¬†: H011-00
  952-11-000000-2
    Community Education and Information:H011-CP
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $3,600.00 EA - Each 0.00 $0.00 $0.00 $3,600.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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