Master Blanket Purchase Order ADOC12-021011

Header Information
Purchase Order Number: ADOC12-021011 Release Number: 0 Short Description: Privatization for All Correctional Health Services (ADC No. 120075DC)
Status: 3PS - Sent Purchaser: Bernadette Hill Receipt Method: Dollars
Fiscal Year: 2012 PO Type: Blanket Minor Status:
Organization: Arizona Department of Corrections
Department: PROCU - Procurement Services Location: 55303 - Contracts Administration Type Code:
Alternate ID: Entered Date: 04/03/2012 05:04:59 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: Bernadette Hill Tax Rate: Actual Cost: $9.51
Master Blanket/Contract End Date (Maximum): 03/03/2013 11:59:00 PM
Project No.: 120075DC
Special Purchase Types:
Commodity Reference Id:
PO External Doc Type:
Agency Attachments: 120075DC Contract Amend 2.pdf 120075DC Contract Amend 3
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000017494 - Wexford Health Sources, Inc.
Marketing Department
Pittsburgh, PA 15220-2749
Email: info@wexfordhealth.com
Phone: (412)937-8590
FAX: (412)937-8599
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to sales@wexfordhealth.com at 04/03/2012 06:09:11 PM 04/04/2012 05:28:16 AM
Change Order 1 Emailed to info@wexfordhealth.com at 07/18/2012 01:20:27 PM 07/19/2012 01:59:51 PM
Change Order 2 Emailed to info@wexfordhealth.com at 01/31/2013 02:17:42 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
PZ000017494 Wexford Health Sources, Inc. Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 04/02/2012 Master Blanket/Contract End Date: 03/03/2013
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADOC - Arizona Department of Corrections HEALTH - Health Services $0.00 $0.00 $0.00
ADOC - Arizona Department of Corrections HLTHMNTR - Health Svcs Monitoring $0.00 $73,020,874.00 $0.00
Item Information   
Print Sequence # 2.0, Item # 1:   Per Day, Per Inmate Capitation Rate 3PS - Sent
NIGP Code: 948-74
   Professional Medical Services (Including Physicians, Pharmacists, and All Specialties)
Bid # / Bid Item #:  ADOC12-00001105 / 2 Quote # / Quote Item #:  000008891 / 2
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $9.51 EACH - Each 0.00 $0.00 $0.00 $9.51
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
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