Procurement Request.pdf
PDF 100 KB Posted
- Attached to
- Master Agreement AZ|CTR059339
- Contract number
- CTR059339
- Issued by
- Arizona
About this file
This document is a Procurement Request Form from the Arizona Department of Health Services (AZDHS), specifically from the Bureau of Chronic Disease and Health Promotion (BCDHP), concerning Senate Bill 1847 Funding for La Paz County. The form involves an Intergovernmental Agreement (IGA) between the state agency and La Paz County, with Earl Harris listed as the primary requestor and program contact.
The procurement request details a state funding allocation of $14,500.00 to La Paz County, structured as a multi-year agreement with state funding. The contract is marked as having all necessary PDS (likely Pre-Decisional Support) forms signed, with a requested completion date of 2/14/2022. The funding is confirmed as available, categorized as state funds, and not involving federal sub-recipient mechanisms. The contract type is an IGA, which typically allows for cooperative agreements between public agencies, with an estimated processing time of 3-4 months depending on county involvement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR059339 A1 Pricing.pdf | ||
| CTR059339 Pricing.pdf | ||
| CTR059339_A1.pdf | ||
| CTR059339_La_Paz_1847_Bill_Executed.pdf | ||
| Debarment 8.2022.pdf |
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Text version
8/17/22, 1:22 PM Procurement Requests - Senate Bill 1847 Funding https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/Assigned Officers.aspx#InplviewHash998818c1-e77d-4947-a44c-6a651c99… 1/2
Procurement Request Form Arizona Department of Health Services | 150 N. 18th Avenue | Phoenix, AZ 85007
Please provide the following information to assist in the timely and accurate completion of the services requested.
Notes
Title Senate Bill 1847 Funding
Reference #
FY22 - 1456
Bureau
BCDHP
Contract/Agreement Type IGA - Intergovernmental Agreements are cooperative agreements with other public agencies, state and local units of government. (Allow approximately 3-4 months for completion, depends largely on County)
See a list of Procurement Thresholds and timelines
Description La Paz County received State funding from Senate Bill 1847 ($14,500.00)
Please ensure Scope of Work is attached to this request.
Existing Contract Number N/A
Requestor Earl Harris
Phone 602-364-1444
Estimated date needed 2/14/2022
Program contact Earl Harris
Program contact phone 602-364-1444
Other Participants Jacqueline Kurth
All PDS signed?
Yes https://drive.google.com/file/d/1qKobWLv-xadfXMROTQoQ_30keEUiRg6v/view https://sharepoint.hs.azdhs.gov/Procurement/_layouts/userdisp.aspx?ID=2815&RootFolder=*
8/17/22, 1:22 PM Procurement Requests - Senate Bill 1847 Funding https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/Assigned Officers.aspx#InplviewHash998818c1-e77d-4947-a44c-6a651c99… 2/2
If federal funds, are they for a sub-recipient
(6800/9111, ISA, IGA,
RFGA, etc.)?
2 CFR 200.332 Form
Please ensure all PDS forms are attached to this request.
Click here for Procurement Forms.
Estimated annual amount 14,500
Funding Available?
Yes
Funding Type State
No
No
Select a contract Term Multi-year Agreement
Suggested suppliers
Informational Notice
Email this request to the following individuals for informational purposes only https://sites.google.com/azdhs.gov/financialservices/procurement/forms
File details come from the government source that posted it. Updated .