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Master Blanket Purchase Order ADCS16-111618

Header Information
Purchase Order Number: ADCS16-111618 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 01:11:48 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: $69.70
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 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 Attachment 02 - Transportation Services Information Form Pre-Solicitation Documents~14.zip Award Letter_Westcare Arizona I Inc.pdf Signed Offer and Acceptance Change Order 1 - Amendment 1 Evaluation Documents Attachment 03 List of References.pdf Independent Contractor Agreement BAFO Transportation Payment Schedule.pdf Westcare - Amendment 2.docx Westcare - COI_exp 2-16-17.pdf Westcare_Contract Amedment 3.zip Westcare_Contract Amendment 4.zip
Vendor Attachments: BAFO Attachment 01 Summary of Offerer's Experience BAFO Attachment 04 Service Implementation Questionnaire BAFO Attachment 05 Written Assurance BAFO Attachment 06 Designation of Confidential Trade Secret & Proprietary Information BAFO Sole Proprietor Waiver BAFO Independent Contractor Agreement WestCare Arizona I, Inc Business License
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 9000010760 - WESTCARE ARIZONA I, INC
Cheryl DeBatt
720 Hancock Rd. #2
Bullhead City, AZ 86442
US
Email: cheryl.debatt@westcare.com
Phone: (928)763-1945
FAX: (928)763-8809
Alt. Reference: Z0401
Payment Terms: Net 30 Shipping Method: Best Way
Shipping Terms: 100% Upon Acceptance Freight Terms: Freight Allowed
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to cheryl.debatt@westcare.com at 10/11/2015 03:33:57 PM 10/13/2015 08:52:16 AM
Change Order 1 Emailed to cheryl.debatt@westcare.com at 01/28/2016 01:48:20 PM
Change Order 2 Emailed to cheryl.debatt@westcare.com at 02/01/2016 12:34:15 PM 02/01/2016 01:19:26 PM
Change Order 3 Emailed to cheryl.debatt@westcare.com at 10/26/2016 03:44:37 PM 10/27/2016 02:20:16 PM
Change Order 4 Emailed to cheryl.debatt@westcare.com at 09/14/2017 11:24:56 AM 09/14/2017 01:32:17 PM
Change Order 5 Emailed to cheryl.debatt@westcare.com at 08/24/2018 10:29:40 AM 09/07/2018 11:27:02 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
9000010760
PZ9000010760 WESTCARE ARIZONA I, 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 $43,801.90 $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 $14.00 TRIP - Trip 0.00 $0.00 $0.00 $14.00
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 $14.00 HR - Hour 0.00 $0.00 $0.00 $14.00
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 $14.00 HR - Hour 0.00 $0.00 $0.00 $14.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 8.0, Item # 4:   Northern 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 $1.85 MILE - Mile 0.00 $0.00 $0.00 $1.85
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 9.0, Item # 5:   Northern 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 $5.00 EACH - Each 0.00 $0.00 $0.00 $5.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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