P.R.S. Request.pdf

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Attached to
AZ|CTR077291
Contract number
CTR077291
Issued by
Arizona

About this file

This document is a Procurement Request System (PRS) management form for a contract extension between the Arizona Department of Health Services (AZDHS), specifically the Bureau of Immunization (BIO), and Coconino County Health and Human Services. The procurement request is an Intergovernmental Agreement (IGA) with a federal funding source.

The contract is for COVID-19 Specimen Collection and Testing Expansion, with an estimated annual amount of $1,758,217.00. The funding is federally sourced, available through July 31, 2026, and structured as a cost reimbursement agreement with Coconino County designated as a sub-recipient. The contract seeks to extend beyond the initial five-year term, with an estimated needed date of September 26, 2025. The requestor is Benjamin Mesnik from AZDHS, and the contract will require review of new modifications before final implementation.

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CTR077291.pdf PDF
CTR077291 Pricing.pdf PDF
Debarment Checks.pdf PDF

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Text version

… PRS-8e0db547 FY25 LICENSING RFQ

… PRS-a4f3dd5b FY25 BIO IGA

… PRS-4f23cfbd FY25 BIO IGA

PRS ID Fiscal Year Bureau Procurement Request Type

PRS ID

PRS-a4f3dd5b Contract Title

COVID-19 Specimen Collection and Testing Expansion

Bureau

BIO

Procurement Request Type

IGA

Description

We want to create a new contract in order to extend this past the initial contract's five years. The new modifications before moving forward.

Supplier Name

Coconino County Health and Human Services

Requestor benjamin.mesnik@azdhs.gov

Estimated Date Needed

9/26/2025 Other Participants benjamin.mesnik@azdhs.gov

Estimated Annual Amount

$ 1,758,217.00

Funding Available?

Y

Funding Expiration Date

7/31/2026

Funding Type

Federal

Major Program

Fixed Price or Cost Reibursement

Cost Reimbursement

Funds for Sub-Recipient or Contractor

Sub-Recipient

10/2/25, 9:54 AM P.R.S. Management https://www.appsheet.com/start/86ab81c1-bcf8-4be0-8393-82cc8a5d2e74?newUser=true&onboarding=true#appName=FY23ContractTrackingLog-57… 1/1

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