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Master Blanket Purchase Order ADCS18-178547

Header Information
Purchase Order Number: ADCS18-178547 Release Number: 0 Short Description: Collaborative Safety Service Agreement
Status: 3PS - Sent Purchaser: Lauri Galaviz Receipt Method: Quantity
Fiscal Year: 2018 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: 08/01/2017 07:49:05 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: $34,000.00
Master Blanket/Contract End Date (Maximum):
Project No.:
Special Purchase Types:
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type: None
Agency Attachments: Master Service Agreement - Collaborative Safety.pdf Certificate of Insurance - Collaborative Safety.pdf Cyber Liability Insurance - Collaborative Safety.pdf Certification of Participation in Boycott of Israel.pdf
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000050649 - Collaborative Safety, LLC
Scott Modell
8161 Hwy 100 #206
Nashville, TN 37221
US
Email: sm@collaborative-safety.com
Phone: (916)548-5041
Alt. Reference: Z0001
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 sm@collaborative-safety.com at 08/01/2017 12:34:40 PM 08/01/2017 04:14:29 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000050649
PZ000050649 Collaborative Safety, LLC Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 07/05/2017 Master Blanket/Contract End Date: 07/04/2022
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADCS - Arizona Department of Child Safety CHAOPER - Admin $0.00 $26,064.00 $0.00
ADCS - Arizona Department of Child Safety OP - Office of Procurement $0.00 $34,000.00 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Setup Fee (One Time Charge) 3PS - Sent
NIGP Code: 209-12
   Application Software, Mainframe Computer (Incl. Cobal)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $10,000.00 EA - Each 0.00 $0.00 $0.00 $10,000.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 2.0, Item # 2:   Annual fee - up to 8 users 3PS - Sent
NIGP Code: 209-12
   Application Software, Mainframe Computer (Incl. Cobal)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $24,000.00 EA - Each 0.00 $0.00 $0.00 $24,000.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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