PRS-1e65493b.pdf
PDF 122 KB Posted
- Attached to
- Master Agreement AZ|CTR068540
- Contract number
- CTR068540
- Issued by
- Arizona
About this file
This document is a Procurement Request Form from the Arizona Department of Health Services (ADHS), located in Phoenix, Arizona. The procurement request involves the Maricopa County Health Department of Public Health as the supplier, with the request specifically related to the Public Health Emergency Preparedness (PHEP) Bureau and processed under the PMS ID# PRS-1e65493b.
The procurement is for a new two-year contract with an estimated annual amount of $585,000, funded through federal sources. It is classified as a sub-recipient grant with annual renewal terms. The contract was initiated on 8/18/2023 and is marked as a new procurement. Four attachments are included: an MRC STRONG Grant Guide, CFR documentation, Scope of Work (SOW), and an Email to Proceed, all added by the requestor on the same date. The procurement is urgent, with an estimated need date of 10/17/2023, and involves a grant-based funding mechanism for public health services.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR068540 Pricing.pdf | ||
| CTR068540 A1.pdf | ||
| CTR068540 A2.pdf | ||
| CTR068540 A1 Pricing.pdf | ||
| CTR068540_fully_executed.pdf | ||
| CTR068540 A2 Pricing.pdf |
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Text version
150 N. 18th Avenue, Phoenix, AZ 85007
Procurement Request Form PMS ID# PRS-1e65493b
Basic Information:
Title: RUSH - New 2-Year Contract Request Maricopa
County Health Department of Public Health_$585,000
Bureau: PHEP
Procurement Request Type: Grant
Description: RUSH - NEED ASAP New 2-Year Contract Request Maricopa County Health Department of Public Health_$585,000
Existing Contract Number:
Supplier Name: Request Maricopa County Health Department of Public Health - 4041 Central Ave, Ste600, Phoenix, AZ 85012, anissa.moussa@maricopa.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: $585,000.00
Funding Available?: N
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-1e65493b
Supplemental Information:
Created Date: 8/18/2023
Procurement Status: NEW
Assigned Officer: hana.hehman@azdhs.gov
Date Assigned:
Amendment#:
Date Completed:
Chosen Supplier: Request Maricopa County Health Department of Public Health - 4041 Central Ave, Ste600, Phoenix, AZ 85012, anissa.moussa@maricopa.gov
Effective Date:
Max End Date:
Attachments:
File Description/Lab el Comments Added By Date Added
6175d395.File.1 94533.v1
MRC STTRONG
Grant Guide - Maricopa sylvia.puente-araiza@azdhs.g ov
8/18/2023
9a869d03.File.1 94538
MRC STTRONG
CFR - Maricopa sylvia.puente-araiza@azdhs.g ov
8/18/2023 e004658d.File.1 94543
MRC STTRONG
SOW - Maricopa sylvia.puente-araiza@azdhs.g ov
8/18/2023 deca3ec4.File.19
MRC STTRONG
Email to Proceed - Maricopa sylvia.puente-araiza@azdhs.g ov
8/18/2023
Procurement Comments:
PMSID# Comment Added By Date Entered
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