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Master Blanket Purchase Order ADCS14-074844

Header Information
Purchase Order Number: ADCS14-074844 Release Number: 0 Short Description: Child Abuse Prevention Council
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 01:20:51 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: $7,305.00
Master Blanket/Contract End Date (Maximum): 10/31/2019 07:46:00 AM
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)~11.pdf DES STC Standard Auto Optional~11.pdf Scope of Work~54.pdf Price Sheet_ADES14-059598.pdf Signature Page~41.pdf Facility Location and Staffing Chart~20.pdf Certification Regarding Lobbying~98.pdf Certification Regarding Debarment~94.pdf Exhibit A - Tax Check-Off Event 2013~11.doc Exhibit B - 2013 Resource Guide for April Child Abuse Prevention Event~12.pdf Exhibit C - CAP Fund logo~12.doc Exhibit D - Sample Invoice and Prgm Report_1~12.doc Exhibit E - Sample Invoice and Prgm Report_2~11.doc Instructions for Submittal - 2013~11.doc Qualified Provider Cover letter~11.doc Assignment Change Order Change Order 1 - Amendment 1 ADCS14-074844 Amendment 2 CO 2.pdf Contractor COI Exp 9-1-17~2.pdf Contract Amendment 3 ADCS14-074844.pdf Contractor COI Exp 11-30-2017~2.pdf Contract Amendment 4 ADCS14-074844~1.pdf Contract Amendment 5~69.zip
Vendor Attachments:
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 sylvia.rebozo@cplc.org at 10/13/2014 08:28:30 PM 10/25/2014 08:43:09 AM
Change Order 1 Emailed to sylvia.rebozo@cplc.org at 10/29/2014 07:49:53 AM 03/24/2015 09:54:36 AM
Change Order 2 Emailed to sylvia.rebozo@cplc.org at 09/14/2015 03:03:14 PM 10/01/2015 09:24:30 AM
Change Order 3 Emailed to sylvia.rebozo@cplc.org at 10/17/2016 09:57:46 AM 11/16/2016 09:11:10 AM
Change Order 4 Emailed to sylvia.rebozo@cplc.org at 10/18/2017 12:38:01 PM 11/01/2017 03:49:49 PM
Change Order 5 Emailed to sylvia.rebozo@cplc.org at 10/12/2018 08:09:26 AM 11/09/2018 09:19:40 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: 10/15/2014 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 $21,915.00 $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:   One (1) Completed Mandatory Annual Campaign - 60% of the payment is made upon submittal of the Program Report One with 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 $4,383.00 EA - Each 0.00 $0.00 $0.00 $4,383.00
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 $2,922.00 EA - Each 0.00 $0.00 $0.00 $2,922.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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