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Master Blanket Purchase Order ADCS16-111616

Header Information
Purchase Order Number: ADCS16-111616 Release Number: 0 Short Description: Transportation Services
Status: 3PS - Sent Purchaser: Jim Kennedy 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:
Alternate ID: Entered Date: 10/11/2015 12:07:22 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: Jim Kennedy - JKennedy@azdes.gov Tax Rate: Actual Cost: $220.59
Master Blanket/Contract End Date (Maximum):
Project No.:
Special Purchase Types:
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type: None
Agency Attachments: ADCS15-00005296 Transportation Services RFP rev 8-18-15 Exhibit A Transportation Services Request ADCS Exhibit A Transportation Services Request ADES Exhibit B DCS-1125A Unusual Incident Report~13.doc Exhibit C Monthly Activity Report Exhibit D DCS Region Boundaries rev 8-14-15 Exhibit E ADCS Transportation Invoice rev 8-14-15 Exhibit 1 Limited English Proficiency Policy HITECH Business Associate Agreement Pre-Solicitation Documents~12.zip Award Letter_American Pony Express Inc Signed Offer and Acceptance Change Order 1 - Amendment 1 Evaluation Documents Attachment 03 Contractor Performance Evaluation Reference~1.docx Independent Contractor Agreement- American Pony Express Inc.pdf Transportation - American Pony - GL - 2015-2016.pdf Transportation - American Pony - WC - 2015-2016.pdf American Pony - Amendment 2.docx American Pony Express - COI_GL - exp 2-10-17.pdf American Pony Express - COI-WC - exp 9-01-17.pdf American Pony - COI (GL) exp 2-10-18.pdf American Pony Express_Contract Amendment 3.zip American Pony Express Contract Amendment 4.zip
Vendor Attachments: BAFO Attachment 01 Summary of Offeror's Experience BAFO Attachment 02 Transportation Services Information Form BAFO Attachment 02 Transportation Services Information Form Continued BAFO Transportation Services Payment Schedule BAFO Attachment 04 Service Implementation Questionnaire BAFO Attachment 05 Written Assurance BAFO Attachment 06 Designation of Confidential, Trade Secret & Proprietary Information BAFO Sole Proprietor Wavier BAFO Independent Contractor Agreement
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000005578 - AMERICAN PONY EXPRESS INC
CHERYL ALLRED
1101 W PRINCE RD
TUCSON, AZ 85705
US
Email: cheryl@amponyexpress.com
Phone: (520)888-2996
FAX: (520)293-2653
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to cheryl@amponyexpress.com at 10/11/2015 02:25:00 PM 10/12/2015 09:55:55 AM
Change Order 1 Emailed to cheryl@amponyexpress.com at 10/13/2015 03:48:52 PM 10/13/2015 02:04:09 PM
Change Order 2 Emailed to cheryl@amponyexpress.com at 02/01/2016 12:33:40 PM 02/01/2016 12:37:05 PM
Change Order 3 Emailed to cheryl@amponyexpress.com at 02/09/2016 03:19:43 PM 02/09/2016 03:28:47 PM
Change Order 4 Emailed to cheryl@amponyexpress.com at 02/18/2016 02:56:02 PM 09/20/2016 10:44:39 AM
Change Order 5 Emailed to cheryl@amponyexpress.com at 10/26/2016 03:42:22 PM 10/26/2016 03:43:46 PM
Change Order 6 Emailed to cheryl@amponyexpress.com at 09/07/2017 07:28:11 AM 09/07/2017 09:25:34 AM
Change Order 7 Emailed to cheryl@amponyexpress.com at 09/14/2017 07:03:33 AM 11/10/2017 12:40:44 PM
Change Order 8 Emailed to cheryl@amponyexpress.com at 08/16/2018 08:24:40 AM 08/16/2018 09:28:04 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000005578
PZ9000005578 AMERICAN PONY EXPRESS INC Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 10/10/2015 Master Blanket/Contract End Date: 10/31/2019
Cooperative Purchasing Allowed: Yes
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADCS - Arizona Department of Child Safety AGY - Agency Umbrella Master Control $0.00 $0.00 $0.00
ADES - Arizona Department of Economic Security AGY - Agency Umbrella Master Control $0.00 $0.00 $0.00
Item Information   
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Print Sequence # 1.0, Item # 1:   No Show/Cancellation: (1) Paid when notice of cancellation is done less than 1 (one) hour prior to pick up time, or with on-scene cancellation, or with no-show clients after wait time as specified in Scope of Work, Section 4.15.5. Payment will only be made if the Contractor notified the referring Department staff in writing of a no-show within twenty-four (24) hours of the scheduled pick-up time (see Scope of Work Section 4.15.5). (2) Additionally, if there were multiple people scheduled for the transport, cancellation fee will only by paid if all clients cancel/no-show. 3PS - Sent
NIGP Code: 952-54
   Transportation : H054-00
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $12.00 TRIP - Trip 0.00 $0.00 $0.00 $12.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 2.0, Item # 2:   Wait Time: (1) Rate per hour for Pre-approved wait time (2) Payment will only be made with the submittal of the signed case manager approval of wait time with the monthly invoice. (3) Hourly rate with hours, paid by the nearest quarter hour (i.e. if the driver waits for thirty (30) minutes, then the invoice shall say 0.50 hours) 3PS - Sent
NIGP Code: 952-54
   Transportation : H054-00
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $24.00 HR - Hour 0.00 $0.00 $0.00 $24.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 3.0, Item # 3:   Attendant Rate: (1) Rate per Hour for Pre-approved addition of Contractor staff member to be on board during the transport. Rate includes monitoring, assistance, and services for client. Payment will only be made with the signed submittal of the case manager approval of attendant requirement with the monthly invoice. (2) Hourly rate with hours, paid by the nearest quarter hour (i.e. if an attendant works for 1 (one) hour and seven (7) minutes, then the invoice shall reflect one (1) hour and fifteen (15) minutes). 3PS - Sent
NIGP Code: 952-54
   Transportation : H054-00
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $45.00 HR - Hour 0.00 $0.00 $0.00 $45.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 4.0, Item # 4:   Central Region - Ambulatory Services - per mile rate: Actual miles from pick up to drop off, regardless of number of passengers. 3PS - Sent
NIGP Code: 952-54
   Transportation : H054-00
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $2.28 MILE - Mile 0.00 $0.00 $0.00 $2.28
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 5.0, Item # 5:   Central Region - Ambulatory Services - flag drop: Paid upon initial pick up of referral and paid upon any additional pick-ups en route to final destination. Additional pick-ups are one flag drop at each location and not per person. 3PS - Sent
NIGP Code: 952-54
   Transportation : H054-00
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $7.00 EACH - Each 0.00 $0.00 $0.00 $7.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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