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Master Blanket Purchase Order ADCS16-104076

Header Information
Purchase Order Number: ADCS16-104076 Release Number: 0 Short Description: Trizetto QNXT Software Agreement
Status: 3PS - Sent Purchaser: Keith Brown Receipt Method: Quantity
Fiscal Year: 2016 PO Type: Blanket Minor Status:
Organization: Arizona Department of Child Safety
Department: OP - Office of Procurement Location: OP - Contracts Type Code: Single-Agency
Alternate ID: Entered Date: 08/17/2015 03:23:32 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: $852,660.75
Master Blanket/Contract End Date (Maximum): 09/17/2020 11:59:59 PM
Project No.:
Special Purchase Types: Competition Impracticable
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type: None
Agency Attachments: CI Trizetto Contract 7_17_15.pdf ADCS16-104076 QNXT.pdf ADCS16-104076 MSLA QNXT.pdf State_of_Arizon_37414_MSLA Lic Pric for QNX SW CWS Mem Provider EDM_Redacted.pdf Business Associate Agreement (HIPPA) 160909_AZ_DCS_41026_TO 2 QNXT Upgrade and Implementation _Redacted.pdf 160909_AZ_DCS_46450_TO 1 Hosting _Redacted.pdf Contract Amendment 1 name change Cognizant Trizetto SW Group_Contract Amendment 2
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000037028 - Cognizant TriZetto Sofware Group Inc.
Marguerite Brown
9655 Maroon Circle
Englewood, CO 80112
US
Email: TrizettoReceivable@cognizant.com
Phone: (303)495-7011
FAX: (303)495-7001
Alt. Reference: Z0003
Payment Terms: Net 30 Shipping Method: Federal Express
Shipping Terms: As Specified Freight Terms: Freight Allowed
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to rose.wald@trizetto.com at 09/22/2015 05:48:28 PM
Change Order 1 Emailed to rose.wald@trizetto.com at 09/24/2015 05:34:29 PM
Change Order 2 Emailed to AccountsReceivable@trizetto.com at 03/18/2016 01:37:15 PM
Change Order 3 Emailed to AccountsReceivable@trizetto.com at 09/14/2016 12:24:55 PM
Change Order 4 Emailed to TrizettoReceivable@cognizant.com at 05/03/2017 10:38:11 AM
Change Order 5 Emailed to TrizettoReceivable@cognizant.com at 09/26/2017 02:58:19 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000037028
PZ000037028 Cognizant TriZetto Sofware Group Inc. Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 09/18/2015 Master Blanket/Contract End Date: 09/17/2020
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 $175,613.68 $0.00
Item Information   
1-5 of 20
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Print Sequence # 1.0, Item # 1:   Perpetual License Fees (ONE TIME) 17,000 Members TriZetto QNXT Core Software (includes QNXT, QNXT Connect, AR, Case Management and QNXT Dental) + TriZetto Member Service + TriZetto Provider Service + TriZetto Encounter Data Manager (Medicaid) 3PS - Sent
NIGP Code: 209-67
   Professional: Hospital/Pharmacy, Legal, Computer Training, etc.
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $656,710.00 EA - Each 0.00 $0.00 $0.00 $656,710.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 2.0, Item # 2:   Maintenance Services Fees (ANNUAL), 17,000 Members, TriZetto QNXT Core Software (includes QNXT, QNXT Connect, AR, Case Management and QNXT Dental)+ TriZetto Member Service + TriZetto Provider Service + TriZetto Encounter Data Manager (Medicaid) 3PS - Sent
NIGP Code: 209-67
   Professional: Hospital/Pharmacy, Legal, Computer Training, etc.
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $144,480.00 EA - Each 0.00 $0.00 $0.00 $144,480.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 3.0, Item # 3:   Next 1,000 Members (17,001 to 18,000 Total Members) QNXT Core Solution, TriZetto Member Service + TriZetto Provider Service + TriZetto Encounter Data Manager (Medicaid) 3PS - Sent
NIGP Code: 209-67
   Professional: Hospital/Pharmacy, Legal, Computer Training, etc.
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $17,600.00 EA - Each 0.00 $0.00 $0.00 $17,600.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 4.0, Item # 4:   Next 1,000 Members (18,001 to 19,000 Total Members) QNXT Core Solution, TriZetto Member Service + TriZetto Provider Service + TriZetto Encounter Data Manager (Medicaid) 3PS - Sent
NIGP Code: 209-67
   Professional: Hospital/Pharmacy, Legal, Computer Training, etc.
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $16,270.00 EA - Each 0.00 $0.00 $0.00 $16,270.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 5.0, Item # 5:   Next 1,000 Members (19,001 to 20,000 Total Members) QNXT Core Solution, TriZetto Member Service + TriZetto Provider Service + TriZetto Encounter Data Manager (Medicaid) 3PS - Sent
NIGP Code: 209-67
   Professional: Hospital/Pharmacy, Legal, Computer Training, etc.
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $14,910.00 EA - Each 0.00 $0.00 $0.00 $14,910.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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