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Master Blanket Purchase Order ADCS14-074846

Header Information
Purchase Order Number: ADCS14-074846 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 01:23:26 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: Tax Rate: Actual Cost: $9,000.00
Master Blanket/Contract End Date (Maximum): 10/31/2019 08:10:00 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)~5.pdf DES STC Standard Auto Optional~5.pdf Scope of Work~46.pdf Price Sheet_ADES14-059596.pdf Signature Page~36.pdf Facility Location and Staffing Chart~15.pdf Certification Regarding Lobbying~86.pdf Certification Regarding Debarment~82.pdf Exhibit A - Tax Check-Off Event 2013~5.doc Exhibit B - 2013 Resource Guide for April Child Abuse Prevention Event~5.pdf Exhibit C - CAP Fund logo~6.doc Exhibit D - Sample Invoice and Prgm Report_1~5.doc Exhibit E - Sample Invoice and Prgm Report_2~5.doc Instructions for Submittal - 2013~5.doc Qualified Provider Cover letter~5.doc Assignment Change Order Change Order 1 - Amendment 1 ADCS14-074846 Amendment 2 CO 2.pdf Contractor COI Exp 1-19-17.pdf Contractor WC COI Exp 12-1-16.pdf Contract Amendment 3 ADCS14-074846.pdf Contractor COI Exp 1-19-18.pdf Contract Amendment 4 ADCS14-074846.pdf Contract Amendment 5~60.zip
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000002025 - H A V E N FAMILY RESOURCE CENTER INC
Mary Lou O'Connell
2174 McCulloch Blvd. N.
Lake Havasu City, AZ 86403
US
Email: havencenter@frontiernet.net
Phone: (928)505-3153
FAX: (928)854-6381
Alt. Reference: Z0001
Payment Terms: Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to havencenter@frontiernet.net at 10/13/2014 07:58:12 PM 10/30/2014 08:52:13 AM
Change Order 1 Emailed to havencenter@frontiernet.net at 10/30/2014 08:56:32 AM 01/30/2015 12:36:50 PM
Change Order 2 Emailed to havencenter@frontiernet.net at 09/09/2015 05:21:18 PM 10/20/2015 11:29:48 AM
Change Order 3 Emailed to havencenter@frontiernet.net at 10/20/2016 07:05:59 AM
Change Order 4 Emailed to havencenter@frontiernet.net at 08/28/2017 01:41:46 PM 01/25/2018 10:13:32 AM
Change Order 5 Emailed to havencenter@frontiernet.net at 10/09/2018 09:35:11 AM 10/17/2018 09:38:57 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000002025
PZ000002025 H A V E N FAMILY RESOURCE CENTER 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 $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:   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 $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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