Master Blanket Purchase Order ADCS16-104067

Header Information
Purchase Order Number: ADCS16-104067 Release Number: 0 Short Description: Casey Family Programs
Status: 3PS - Sent Purchaser: Francine Whittington Receipt Method: Dollars
Fiscal Year: 2016 PO Type: Blanket Minor Status:
Organization: Arizona Department of Child Safety
Department: OP - Office of Procurement Location: OP2 - Purchasing Type Code: Single-Agency
Alternate ID: Entered Date: 08/17/2015 03:04:25 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: $0.00
Master Blanket/Contract End Date (Maximum): 08/23/2020 11:59:59 PM
Project No.:
Special Purchase Types: Competition Impracticable
Commodity Reference Id:
PO External Doc Type: None
Agency Attachments: ADCS16-104067 CI.pdf ADCS16-104067 Contract.pdf ADCS16-104067 HIPAA.pdf COI.pdf
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000047672 - Casey Family Programs
Kim Romero
378 E Palm Lane
Phoenix, AZ 85004
Email: kromero@casey.org
Phone: (602)252-9449
FAX: (602)252-9665
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to kromero@casey.org at 08/27/2015 04:26:25 PM
Change Order 1 Emailed to kromero@casey.org at 02/01/2016 12:33:22 PM
Change Order 2 Emailed to kromero@casey.org at 08/21/2017 12:16:54 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
PZ000047672 Casey Family Programs Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 08/24/2015 Master Blanket/Contract End Date: 03/31/2020
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADCS - Arizona Department of Child Safety CHAPRGM - Field $0.00 $0.00 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Foster care room and board reimbursement 3PS - Sent
NIGP Code: 952-50
   Shelter : H050-00
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $0.00 EA - Each 0.00 $0.00 $0.00 $0.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
Copyright © 2020 Periscope Holdings, Inc. - All Rights Reserved. AZ-PAS1