Procurement Request.pdf
PDF 100 KB Posted
- Attached to
- Master Agreement AZ|CTR059341
- Contract number
- CTR059341
- Issued by
- Arizona
About this file
This document is a Procurement Request Form from the Arizona Department of Health Services (ADHS), specifically from the Bureau of Chronic Disease and Health Promotion (BCDHP). The form involves an Intergovernmental Agreement (IGA) with Graham County, relating to funding allocated through Senate Bill 1847. The request is initiated by Earl Harris, with Jacqueline Kurth noted as another participant, and is filed under the reference number FY22 - 1454.
The procurement request details a state funding allocation of $26,500.00 to Graham County, structured as a multi-year agreement with state funding. The funding is confirmed as available, and the contract type is an Intergovernmental Agreement, which typically requires 3-4 months for completion. The estimated annual amount matches the total funding of $26,500, and all preliminary documentation (PDS forms) have been signed. The contract is specifically a state funding mechanism, not involving federal funds, and is designed as a multi-year agreement to support local government initiatives.
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Other files
| File | Type | Posted |
|---|---|---|
| 8-2022 Debarment.pdf | ||
| CTR059341 Pricing.pdf | ||
| CTR059341_Graham_1847_Bill_executed__2_.pdf |
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Text version
8/1/22, 6:06 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 - 1454
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 Graham County received State funding from Senate Bill 1847 ($26,500.00)
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=*
8/1/22, 6:06 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 26,500
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 .