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Master Blanket Purchase Order ADCS15-082844

Header Information
Purchase Order Number: ADCS15-082844 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: 10/26/2014 10:46:02 AM 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 01:49:00 PM
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) DES STC Standard Auto Optional~8.pdf Scope of Work~49.pdf Price Sheet_ADES14-059599.pdf Signature Page~39.pdf Facility Location and Staffing Chart~17.pdf Certification Regarding Lobbying~89.pdf Certification Regarding Debarment~85.pdf Exhibit A - Tax Check-Off Event 2013~8.doc Exhibit B - 2013 Resource Guide for April Child Abuse Prevention Event~9.pdf Exhibit C - CAP Fund logo~9.doc Exhibit D - Sample Invoice and Prgm Report_1~8.doc Exhibit E - Sample Invoice and Prgm Report_2~8.doc Instructions for Submittal - 2013~8.doc Qualified Provider Cover letter~8.doc Assignment Change Order Change Order 1 - Amendment 1 ADCS15-082844 Amendment 2 CO 2.pdf Contractor COI Exp 2-25-17.pdf Contract Amendment 3 ADCS14-082844.pdf Contractor COI Exp 2-25-2018~1.pdf Contract Amendment 4 ADCS15-082844.pdf Contract Amendment 5~67.zip
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000035058 - Coconino Coalition for Children and Youth
Ruth Ellen Elinski - C/O CCPHSD - 2nd Floor
2625 North King Street
Flagstaff, AZ 86004
US
Email: coalition@coconinokids.org
Phone: (928)679-7318
FAX: (928)679-7286
Alt. Reference: Z0002
Payment Terms: Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to coalition@coconinokids.org at 10/26/2014 11:06:06 AM 10/28/2014 04:40:59 PM
Change Order 1 Emailed to coalition@coconinokids.org at 10/29/2014 07:51:55 AM 10/29/2014 08:29:32 AM
Change Order 2 Emailed to coalition@coconinokids.org at 09/14/2015 01:43:19 PM 10/18/2016 03:37:51 PM
Change Order 3 Emailed to coalition@coconinokids.org at 10/20/2016 07:10:09 AM 10/06/2017 02:54:41 PM
Change Order 4 Emailed to coalition@coconinokids.org at 10/23/2017 10:48:52 AM 01/25/2018 02:25:04 PM
Change Order 5 Emailed to coalition@coconinokids.org at 10/09/2018 01:52:16 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000035058
PZ000035058 Coconino Coalition for Children and Youth Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 10/28/2014 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 $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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