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Master Blanket Purchase Order ADCS15-079221

Header Information
Purchase Order Number: ADCS15-079221 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: 08/25/2014 12:37:55 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 02:49:00 PM
Project No.:
Special Purchase Types: Competition Impracticable
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type:
Agency Attachments: Signature Page~1.pdf Uniform Terms and Conditions V9 (Rev 7-1-2013).pdf DES STC Standard Auto~1.pdf Certification Regarding Debarment~3.pdf Certification Regarding Lobbying~3.pdf SOW Regional Prevention Council.pdf Price Sheet~3.pdf Facility Location and Staffing Chart~1.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~2.doc Exhibit D - Sample Invoice and Prgm Report_1~3.doc Exhibit E - Sample Invoice and Prgm Report_2~2.doc Change Order 1 - Amendment 1 ADCS15-079221 Amendment 2 CO 2.pdf Contractor COI Exp 7-24-17.pdf Contract Amendment 3~46.pdf Contractors COI Exp 7-24-2018~1.pdf Contract Amendment 4~40.pdf Contract Amendment 5~68.zip
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000006629 - Greater Phoenix Child Abuse Prevention Council
Michele Brown
1024 East Marigold Lane
Tempe, AZ 85281
US
Email: michelerbrown@cox.net
Phone: (480)695-1434
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 08/27/2014 03:34:38 PM
Change Order 1 Emailed to jtj4395@yahoo.com at 10/30/2014 03:37:28 PM 04/21/2015 01:44:12 PM
Change Order 2 Emailed to jtj4395@yahoo.com at 09/22/2015 12:07:17 PM
Change Order 3 Emailed to jtj4395@yahoo.com at 10/31/2016 09:39:40 AM
Change Order 4 Emailed to jtj4395@yahoo.com at 10/05/2017 10:59:33 AM
Change Order 5 Emailed to jtj4395@yahoo.com at 10/09/2018 02:54:35 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000006629
PZ000006629 Greater Phoenix Child Abuse Prevention Council Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 08/28/2014 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 $30,600.00 $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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