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Master Blanket Purchase Order ADOC13-041943

Header Information
Purchase Order Number: ADOC13-041943 Release Number: 0 Short Description: Privatization of All Correctional Health Services(ADC No. 130051DC)
Status: 3PS - Sent Purchaser: Paul Pociask Receipt Method: Dollars
Fiscal Year: 2013 PO Type: Blanket Minor Status:
Organization: Arizona Department of Corrections
Department: PROCU - Procurement Services Location: 55303 - Contracts Administration Type Code:
Alternate ID: Entered Date: 02/21/2013 01:53:21 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: $66.52
Master Blanket/Contract End Date (Maximum):
Project No.:
Special Purchase Types: Competition Impracticable
PIJ NUMBER:
Commodity Reference Id:
PO External Doc Type:
Agency Attachments: Contract Document~2.zip Contractor Proposal Response~6.zip Contract Amendment No. 1 Contract Amendment No. 2 6-17-13 Contract Amendment No. 3 Contract Amendment No. 4 Part 1 of 2 Amendment No. 4 Part 2 of 2_Contract Performance Measures Updates-March 1 2014 Contract Amendment No. 5 Part 1 of 2 Contract Amendment No. 5 Performance Measures Rev. Attachment Effective 4-7-14 Contract Amendment No. 6 Contract Amendment No. 7 Contract Amendment No. 8 Contract Amendment No. 9 3-27-15 Insurance_Bond Documents.zip Contract Amendment No. 10 5-12-15 Insurance _Bond Documents 2017.zip Contract Amendment No. 11 Contract Amendment No. 12 Insurance _Bond 2018 Contract Amendment 13 Contract Amendment 14 COI - Workers Comp and Employers liability COI General liability 1-1-2019.pdf COI Automotive - umbrella liability exp 1-1-2019.pdf Performance Bond ending 6.30.18 COI - Property AZ DOC 2019 Contract amendment 15 FE 130051DC SPO Approval extension Competition Impracticable Fee Schedule Amend 15 Attch C Performance Bond ending 6.30.19.pdf Amendment 16 - revised staffing plan.pdf Amendment 17 revised Hepatitis C true up frequency
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: 000000266 - Corizon, Inc.
Marc Fucci
103 Powell Court
Brentwood, TN 37027
US
Email: marketing@corizonhealth.com
Phone: (615)373-3100
FAX: (615)376-1350
Alt. Reference: Z0001
Payment Terms: Net 30 Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to marketing@corizonhealth.com at 02/21/2013 02:14:27 PM
Change Order 1 Emailed to marketing@corizonhealth.com at 03/07/2013 01:55:39 PM
Change Order 2 Emailed to marketing@corizonhealth.com at 05/09/2013 11:02:37 AM
Change Order 3 Emailed to marketing@corizonhealth.com at 06/17/2013 10:32:13 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Alternative ID Vendor Name Preferred Delivery Method Vendor Distributor Status
000000266
PZ000000266 Corizon, Inc. Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 03/04/2013 Master Blanket/Contract End Date: 06/30/2019
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
ADOC - Arizona Department of Corrections AGY - Agency Umbrella Master Control $0.00 $827,894,419.03 $0.00
Item Information   
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Print Sequence # 1.0, Item # 1:   Per Day, Per Inmate Capitation Rate 3PCA - Canceled
NIGP Code: 948-74
   Professional Medical Services (Including Physicians, Pharmacists, and All Specialties)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $10.42 EA - Each 0.00 $0.00 $0.00 Item Canceled
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 2.0, Item # 2:   For invoice: 6/16/2014 thru 6/30/2014 Per day, per inmate 3PCA - Canceled
NIGP Code: 948-74
   Professional Medical Services (Including Physicians, Pharmacists, and All Specialties)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $10.10 EA - Each 0.00 $0.00 $0.00 Item Canceled
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 3.0, Item # 3:   In accordance with Contract Amendment No. 10 and Contract Amendment No. 11. 3PS - Sent
NIGP Code: 948-74
   Professional Medical Services (Including Physicians, Pharmacists, and All Specialties)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $0.00 EA - Each 0.00 $0.00 $0.00 $0.00
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 4.0, Item # 4:   Effective March 4, 2015, the fixed per day/per inmate Capitation Rate is changed from $10.42 daily cost per inmate to $11.20 daily cost per inmate as referenced in Amendment No. 9. 3PCA - Canceled
NIGP Code: 948-74
   Professional Medical Services (Including Physicians, Pharmacists, and All Specialties)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $11.20 EA - Each 0.00 $0.00 $0.00 Item Canceled
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
Print Sequence # 5.0, Item # 5:   Retroactive to March 4, 2015, the fixed per day/per inmate Capitation Rate is changed from $11.20 daily cost per inmate to $11.60 daily cost per inmate as referenced in Amendment No. 10. This is the result of a 3.6% CPI adjustment. 3PS - Sent
NIGP Code: 948-74
   Professional Medical Services (Including Physicians, Pharmacists, and All Specialties)
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $11.60 EA - Each 0.00 $0.00 $0.00 $11.60
Manufacturer: Brand: Model:
Make: Packaging:
Property Number:
 
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