Procurement Request.pdf
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- Attached to
- Master Agreement AZ|CTR058310
- Contract number
- CTR058310
- Issued by
- Arizona
About this file
This document is a Procurement Request Form from the Arizona Department of Health Services (ADHS) for an Interagency Service Agreement (ISA) with Arizona State University (ASU). The document involves the LAB bureau within ADHS and specifically the ASU Department of Research Development as the primary participants.
The ISA is a new multi-year agreement covering calendar years 2022 through 2026, with an estimated annual amount of $210,100 funded through state funding. ASU will conduct programs in three core areas: the Welbeings Common annual conference, Indigenous Innovation, Data Economics, and AI Summit (IDEAS) conference, and various competitively reviewed educational programs on biomedical topics for students, staff, researchers, faculty, and community members. In 2022, ASU will also host a one-time Annual Public Cord Blood Conference for ABRC. The existing contract number is ADHS17-154591, and the agreement is structured as a multi-year contract with an estimated date needed of 12/1/2021.
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12/22/21, 5:07 PM Procurement Requests - ISA with ASU for CY 2022 Research Education...
https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/Assigned Officers.aspx#InplviewHash998818c1-e77d-4947-a44c-6a651c99… 1/3
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.
Title ISA with ASU for CY 2022 Research Education Programs
Reference #
FY22 - 1238
Bureau
LAB
Contract/Agreement Type ISA - Interagency Service Agreements are with other state agencies or Arizona universities to fund services they are providing to each other. (Allow approximately 1-2 months for completion)
See a list of Procurement Thresholds and timelines
Description New Inter-Service Agreement with ASU for five years from January 1, 2022 through December 31, 2026. Each Year ASU will conduct programs in three core areas: Welbeings Common annual conference; Indigenous Innovation, Data Economics, and AI Summit (IDEAS) conference; and various Competitively reviewed and awarded programs to increase education on biomedical topics for students, staff, researchers, faculty, and community members (up to five events). In 2022 they will also Host the Annual Public Cord Blood Conference for ABRC (one-time).
Please ensure Scope of Work is attached to this request.
Existing Contract Number
ADHS17-154591
Requestor John Garcia
Phone 602-542-8817
Estimated date needed 12/1/2021
Program contact John Garcia
Program contact phone 602-542-8817
Other Participants Victor Waddell
All PDS signed?
Yes https://sites.google.com/azdhs.gov/financialservices/procurement/training https://sharepoint.hs.azdhs.gov/Procurement/_layouts/userdisp.aspx?ID=400&RootFolder=* https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/Assigned Officers.aspx#InplviewHash998818c1-e77d-4947-a44c-6a651c99… 2/3
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 210,100
Funding Available?
Yes
Funding Type State
No
No
Select a contract Term Multi-year Agreement
Suggested suppliers Arizona State University Department of Research Development
Informational Notice Theresa Napoleon; Christopher Balderrama
Email this request to the following individuals for informational purposes only https://sites.google.com/azdhs.gov/financialservices/procurement/forms https://sharepoint.hs.azdhs.gov/Procurement/_layouts/userdisp.aspx?ID=709&RootFolder=* https://sharepoint.hs.azdhs.gov/Procurement/_layouts/userdisp.aspx?ID=1292&RootFolder=* https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/Assigned Officers.aspx#InplviewHash998818c1-e77d-4947-a44c-6a651c99… 3/3
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