Procurement Request.pdf
PDF 102 KB Posted
- Attached to
- Master Agreement AZ|CTR058763
- Contract number
- CTR058763
- Issued by
- Arizona
About this file
This 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 an Intergovernmental Agreement (IGA) with Yuma County. The document relates to funding from Senate Bill 1847, with a reference number FY22-1464, and involves Earl Harris as the primary requestor and program contact.
The procurement request details state funding of $148,000.00 for Yuma County, with an estimated annual amount of $74,000. The contract is structured as a multi-year agreement with state funding confirmed as available. The funding type is specified as state-level, and the document indicates that this is not a federal sub-recipient arrangement. The procurement process is expected to take approximately 3-4 months, depending largely on county-level processes, and all necessary PDS (Procurement Documentation System) forms have been signed. The estimated date needed for the procurement was 2/14/2022, and the contract type is an Intergovernmental Agreement, which is a cooperative agreement with another public agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR058763 Pricing.pdf | ||
| CTR058763_A1_Upload.pdf | ||
| CTR058763_Pricing.pdf | ||
| CTR058763__Yuma_1847_Bill_Executed.pdf | ||
| Debarment Check.pdf |
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Text version
7/22/22, 10:37 AM Procurement Requests - Senate Bill 1847 Funding https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/AllItems.aspx#InplviewHash9d35f022-095b-4c7e-9702-3a465414e130=We… 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 - 1464
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 Yuma County received State funding from Senate Bill 1847 ($148,000.00)
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://sites.google.com/azdhs.gov/financialservices/procurement/training https://sharepoint.hs.azdhs.gov/Procurement/_layouts/userdisp.aspx?ID=2815&RootFolder=*
7/22/22, 10:37 AM Procurement Requests - Senate Bill 1847 Funding https://sharepoint.hs.azdhs.gov/Procurement/Lists/Procurement Requests/AllItems.aspx#InplviewHash9d35f022-095b-4c7e-9702-3a465414e130=We… 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 74,000
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 .