CTR070103 PRS.pdf
PDF 121 KB Posted
- Attached to
- Master Agreement AZ|CTR070103
- Contract number
- CTR070103
- Issued by
- Arizona
About this file
This is a Procurement Assignment document from the Arizona Department of Health Services (AZDHS), specifically the Bureau of Chronic Disease and Health Promotion (BCDHP), involving an Interagency Service Agreement (ISA) with the University of Arizona Center for Rural Health for fiscal year 2024. The procurement request is identified by PMS ID# PRS-4e2d3efb and was initiated by maritza.valenzuela@azdhs.gov, with elizabeth.markona@azdhs.gov listed as another participant.
The contract is for a new OD2A funding year with new strategy areas, with an estimated annual amount of $400,000.00. The funding is federal, available until August 31, 2028, and structured as a fixed-price agreement with the University of Arizona as a sub-recipient. The contract does not require a match and includes attachments such as a budget, a 2 CFR 200.332 form, a Scope of Work (SOW), and a CDC Required Disclosure. The procurement is being processed for an estimated contract start date of March 17, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR070103 A1 Pricing.pdf | ||
| CTR070103 ISA UofA OD2A Executed.pdf | ||
| CTR070103 Contract Amendment 1.pdf | ||
| CTR070103 PRICING.pdf |
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Text version
Brandon Durick <brandon.durick@azdhs.gov>
Procurement Assignment PRS Management <noreply@appsheet.com> Mon, Jan 22, 2024 at 10:47 PM Reply-To: noreply@appsheet.com To: brandon.durick@azdhs.gov
You have been assigned procurement request PRS-4e2d3efb. Please go to the PRS Management App and look in your inbox for this assignment. If your assigned request is not showing in your inbox, please click the to resync to the server. Attached is a PDF copy for your records and to upload into APP or other applications as needed.
PMS ID# PRS-4e2d3efb
Contract Title: OD2A-S UA Center for Rural Health Bureau: BCDHP Fiscal Year: FY24
Contract/Agreement Type: ISA Supplier Name: University of Arizona Center for Rural Health Supplier ID#: IV0000001277 Description: New ISA for new OD2A funding year and new strategy areas Existing Contract Number:
Requestor: maritza.valenzuela@azdhs.gov Estimated date needed: 3/17/2024 Other Participants: elizabeth.markona@azdhs.gov
7/25/24, 10:33 AM State of Arizona Mail - Procurement Assignment https://mail.google.com/mail/u/0/?ik=2aca35153c&view=pt&search=all&permmsgid=msg-f:1788858971559041555&simpl=msg-f:1788858971559041555 1/2 https://www.google.com/url?q=https://www.appsheet.com/start/86ab81c1-bcf8-4be0-8393-82cc8a5d2e74&sa=D&source=editors&ust=1705992456342491&usg=AOvVaw2JWXc-WM3DodLO9QY-71hw mailto:maritza.valenzuela@azdhs.gov mailto:maritza.valenzuela@azdhs.gov mailto:elizabeth.markona@azdhs.gov mailto:elizabeth.markona@azdhs.gov
Estimated Annual Amount: $400,000.00 Funding Available?: Y Funding Expiration Date: 8/31/2028 Match?: N Fixed Price or Cost Reimbursement: Fixed Price Funding Type: Federal Funds for Sub-Recipient or Contractor: Sub-Recipient 2 CFR 200.332 Form: Y
Created Date: 1/17/2024 Date Assigned:
Attachments
File File Description/Label
Comments Added By Date Added f3b94ea5.File.193308 Budget maritza.valenzuela@azdhs.gov1/17/2024 1f7acc67.File.193318.332 (7)
CFR maritza.valenzuela@azdhs.gov1/17/2024 e4a08523.File.193325 SOW maritza.valenzuela@azdhs.gov1/17/2024 dcb92014.File.193402 CDC Required
Disclosure For inclusion in contract maritza.valenzuela@azdhs.gov1/17/2024
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7/25/24, 10:33 AM State of Arizona Mail - Procurement Assignment https://mail.google.com/mail/u/0/?ik=2aca35153c&view=pt&search=all&permmsgid=msg-f:1788858971559041555&simpl=msg-f:1788858971559041555 2/2 https://www.appsheet.com/template/gettablefileurl?appName=FY23ContractTrackingLog-5762669&tableName=Attachments&fileName=Attachments_Files_%2Ff3b94ea5.File.193308.xlsx&appVersion=1.500076&signature=8cb9b44be5fb38f425d82d349ce405cecd08b9b701ff623eb2e3a0a1d781275659fb2199301f3838f196f2d88906d9dc mailto:maritza.valenzuela@azdhs.gov https://www.appsheet.com/template/gettablefileurl?appName=FY23ContractTrackingLog-5762669&tableName=Attachments&fileName=Attachments_Files_%2F1f7acc67.File.193318.332%20%287%29.xlsx&appVersion=1.500076&signature=83538d0227e7ffe0845ae5f2237c716d94f4a0f612e84c4222ed72ec7975772dee8f02cb1c394147eb540c4b5565dde7 https://www.appsheet.com/template/gettablefileurl?appName=FY23ContractTrackingLog-5762669&tableName=Attachments&fileName=Attachments_Files_%2F1f7acc67.File.193318.332%20%287%29.xlsx&appVersion=1.500076&signature=83538d0227e7ffe0845ae5f2237c716d94f4a0f612e84c4222ed72ec7975772dee8f02cb1c394147eb540c4b5565dde7 mailto:maritza.valenzuela@azdhs.gov https://www.appsheet.com/template/gettablefileurl?appName=FY23ContractTrackingLog-5762669&tableName=Attachments&fileName=Attachments_Files_%2Fe4a08523.File.193325.docx&appVersion=1.500076&signature=c61a593a4dea78938c9e4d72447a97d03d005201157a6fff9fc3af1d885e7abaf11c987981d702ed94fcf06ce5f504f2 mailto:maritza.valenzuela@azdhs.gov https://www.appsheet.com/template/gettablefileurl?appName=FY23ContractTrackingLog-5762669&tableName=Attachments&fileName=Attachments_Files_%2Fdcb92014.File.193402.docx&appVersion=1.500076&signature=779a59c9a3d60eaf81794e333016846187a68653919aa9957a6062062efc76b25fc05da9ba9db02a0ef9f27410f08d58 mailto:maritza.valenzuela@azdhs.gov https://www.appsheet.com/ https://www.appsheet.com/
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