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Master Blanket Purchase Order ADCS15-075180

Header Information
Purchase Order Number: ADCS15-075180 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: 07/03/2014 03:43:57 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 09:48:00 AM
Project No.:
Special Purchase Types: Competition Impracticable
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type:
Agency Attachments: Offer and Acceptance.pdf Uniform Terms and Conditions V9 (Rev 7-1-2013).pdf DCS STC Standard Auto.pdf Certification Regarding Debarment.pdf Certification Regarding Lobbying.pdf SOW Regional Prevention Council.pdf Price Sheet.pdf Exhibit A - Tax Check-Off Event 2013.doc Exhibit B - 2013 Resource Guide for April Child Abuse Prevention Event.pdf Exhibit C - CAP Fund logo.doc Exhibit D - Sample Invoice and Prgm Report_1.doc Exhibit E - Sample Invoice and Prgm Report_2.doc Attachment - Facility Location and Staffing Chart.pdf Change Order 1 - Amendment 1 ADCS15-075180 Amendment 2 C O 2.pdf Contract Amendment 3 ADCS15-075180.pdf Contractor COI Exp 3-2-17.pdf Contractor COI WC Exp 3-2-17.pdf Contractors Workers Comp COI Exp 3-27-2018.pdf Contractors COI Exp 4-2-2018.pdf Contract Amendment 4 ADCS15-075180.pdf Contract Amendment 5~61.zip
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000039338 - Amberly's Place, Inc.
Shannon Jacobs
1310 S 3rd Avenue
Yuma, AZ 85364
US
Email: shannon@amberlysplace.com
Phone: (928)373-0849
FAX: (928)373-0852
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method: Best Way
Shipping Terms: F.O.B., Destination Freight Terms: Freight Prepaid
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to jtj4395@yahoo.com at 07/03/2014 04:27:09 PM
Change Order 1 Emailed to jtj4395@yahoo.com at 10/30/2014 09:06:55 AM 04/13/2015 03:04:31 PM
Change Order 2 Emailed to jtj4395@yahoo.com at 10/07/2015 05:06:55 PM 04/01/2016 04:29:44 PM
Change Order 3 Emailed to jtj4395@yahoo.com at 10/17/2016 09:42:56 AM 10/21/2016 04:33:42 PM
Change Order 4 Emailed to jtj4395@yahoo.com at 10/02/2017 11:26:47 AM
Change Order 5 Emailed to jtj4395@yahoo.com at 10/09/2018 09:52:37 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000039338
PZ000039338 Amberly's Place, Inc. Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 07/03/2014 Master Blanket/Contract End Date: 10/31/2019
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADCS - Arizona Department of Child Safety AGY - Agency Umbrella Master Control $0.00 $21,600.00 $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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