Procurement Request PRS-288fd411.pdf
PDF 122 KB Posted
- Attached to
- Master Agreement AZ|CTR068546
- Contract number
- CTR068546
- Issued by
- Arizona
About this file
This document is a Procurement Request Form from the Arizona Department of Health Services (ADHS) for a new two-year contract with Yavapai County Community Health Services, located in Prescott, Arizona. The procurement request is associated with the Public Health Emergency Preparedness (PHEP) bureau and is classified as a grant-based procurement.
The contract has an estimated annual amount of $176,500, which is fully funded through federal sources. It is structured as a sub-recipient agreement with annual renewal terms. The procurement was initiated on 8/18/2023 with a rush status, indicating an urgent need for the contract. The contract appears to be part of the MRC STRONG program, with supporting documents including a grant guide, scope of work, and email to proceed. The procurement is being managed internally by ADHS staff, with the requestor and program contact both having ADHS email addresses, suggesting this is an intra-state health services collaboration.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR068546 A1.pdf | ||
| CTR068546 A2 Pricing.pdf | ||
| CTR068546 Pricing.pdf | ||
| CTR068546 A2.pdf | ||
| CTR068546_Yavapai_County_MRC_STTRONG_fully_executed.pdf |
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Text version
150 N. 18th Avenue, Phoenix, AZ 85007
Procurement Request Form PMS ID# PRS-288fd411
Basic Information:
Title: RUSH - New 2-Year Contract Request Yavapai
County Community Health Services_$176,500
Bureau: PHEP
Procurement Request Type: Grant
Description: RUSH - NEED ASAP New 2-Year Contract Request Yavapai County Community Health Services_$176,500
Existing Contract Number:
Supplier Name: Yavapai County Community Health Services - 1090 Commerce Drive, Prescott, AZ 86305, 928 442-5576 kathy.yancy@yavapaiaz.gov
Supplier ID#
Requestor Information:
Requestor: sylvia.puente-araiza@azdhs.gov
Phone: 480 521-9961
Estimated date needed: 10/17/2023
Program Information:
Program contact: ruth.penn@azdhs.gov
Program contact phone:
602 768-1624
Other Participants:
Financial Information:
Estimated Annual Amount: $176,500.00
Funding Available?: Y
Funding Type: Federal tel:480 521-9961 tel:602 768-1624
Are funds for a sub-recipient or contractor?
Sub-Recipient
2 CFR 200.332 Form: Y
Contract Term: Annual renewal
PMS ID# PRS-288fd411
Supplemental Information:
Created Date: 8/18/2023
Procurement Status: NEW
Assigned Officer: hana.hehman@azdhs.gov
Date Assigned:
Amendment#:
Date Completed:
Chosen Supplier: Yavapai County Community Health Services - 1090 Commerce Drive, Prescott, AZ 86305, 928 442-5576 kathy.yancy@yavapaiaz.gov
Effective Date:
Max End Date:
Attachments:
File Description/Lab el Comments Added By Date Added da9c4bc9.File.20 3213.v1
MRC STTRONG
Grant Guide - Yavapai sylvia.puente-araiza@azdhs.g ov
8/18/2023
6358e2f1.File.20
MRC STTRONG
SOW - Yavapai sylvia.puente-araiza@azdhs.g ov
8/18/2023 b51040b7.File.2 03224
MRC STTRONG
CFR - Yavapai sylvia.puente-araiza@azdhs.g ov
8/18/2023
11ff3f09.File.203
MRC STTRONG
Email to Proceed - Yavapai sylvia.puente-araiza@azdhs.g ov
8/18/2023
Procurement Comments:
PMSID# Comment Added By Date Entered
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