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Master Blanket Purchase Order ADCS14-074848

Header Information
Purchase Order Number: ADCS14-074848 Release Number: 0 Short Description: Child Abuse Prevention Council
Status: 3PS - Sent Purchaser: Megan Adams 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 01:26:00 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 08:19:00 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)~2.pdf DES STC Standard Auto Optional~2.pdf Scope of Work~43.pdf Price Sheet_Community Education~1.pdf Signature Sheet~3.pdf Facility Location and Staffing Chart~12.pdf Certification Regarding Lobbying~82.pdf Certification Regarding Debarment~79.pdf Exhibit A - Tax Check-Off Event 2013~2.doc Exhibit B - 2013 Resource Guide for April Child Abuse Prevention Event~2.pdf Exhibit C - CAP Fund logo~3.doc Exhibit D - Sample Invoice and Prgm Report_1~2.doc Exhibit E - Sample Invoice and Prgm Report_2~2.doc Instructions for Submittal - 2013~2.doc Qualified Provider Cover letter~2.doc Assignment Change Order Change Order 1 - Amendment 1 ADCS14-074848 Amendment 2 CO 2.pdf Contractor COI Exp 9-1-17~3.pdf Contract Amendment 3 ADCS14-074848.pdf Contractor COI Exp 11-30-2017~3.pdf Contract Amendment 3 ADCS14-074848~1.pdf Contract Amendment 5~70.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 07:41:59 PM 10/27/2014 10:54:41 AM
Change Order 1 Emailed to sylvia.rebozo@cplc.org at 10/27/2014 12:06:20 PM 03/24/2015 09:46:14 AM
Change Order 2 Emailed to sylvia.rebozo@cplc.org at 09/11/2015 12:52:08 PM 10/01/2015 09:25:12 AM
Change Order 3 Emailed to sylvia.rebozo@cplc.org at 10/17/2016 10:02:02 AM 11/16/2016 09:11:31 AM
Change Order 4 Emailed to sylvia.rebozo@cplc.org at 10/18/2017 12:38:19 PM 11/01/2017 03:49:30 PM
Change Order 5 Emailed to sylvia.rebozo@cplc.org at 10/12/2018 08:52:30 AM 11/09/2018 09:19:07 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 $24,837.00 $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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