PRS-2c03379d.pdf

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Attached to
Master Agreement AZ|CTR070140
Contract number
CTR070140
Issued by
Arizona

About this file

This document is a Procurement Request (PRS) for an Intergovernmental Agreement (IGA) between the Arizona Department of Health Services (AZDHS), specifically the Bureau of Community Disease, Health Preparedness (BCDHP), and Gila County Public Health & Emergency Management. The procurement request was created on 12/15/2023 and is currently in the procurement process, with the status noted as "With Procurement Officer" and having undergone several status updates including submissions to management and the Attorney General's office.

The contract, titled "OG2A Gila", is a federally funded cost reimbursement agreement for Opioid Data to Action funding, designed to support county opioid overdose prevention activities. The estimated annual contract amount is $80,000.00, with funding confirmed as available and originating from federal sources. The contract is structured as a sub-recipient arrangement, with no matching funds required. The procurement includes four related attachments: CFR documentation, Budget, Scope of Work (SOW), and a Required Disclosure document. The estimated contract start date is 4/13/2024, and the primary contact for the procurement is elizabeth.markona@azdhs.gov, with maritza.valenzuela@azdhs.gov listed as another participant.

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Text version

PRS ID

PRS-2c03379d Contract Title

OG2A Gila

Bureau

BCDHP

Procurement Request Type

IGA

Description

Opioid Data to Action funding to support county opioid overdose prevention activities

Supplier Name

Gila County Public Health & Emergency Management

Requestor elizabeth.markona@azdhs.gov

Estimated date needed

4/13/2024 Other Participants maritza.valenzuela@azdhs.gov

Estimated Annual Amount

$ 80,000.00

Funding Available?

Y

Funding Type

Federal

Fixed Price or Cost Reimbursement

Cost Reimbursement

Funds for Sub-Recipient or Contractor

Sub-Recipient

Match?

N

2 CFR 200.332 Form

Y

Procurement Status

With Procurement Officer

Created Date

12/15/2023

Related Contracts 0

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No items

Related Comments 51

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STATUS UPDATE:PO Moved back to PO Working Que stacy.buske@azdhs.gov 6/7/2024 9:20:09 AM

Sent to management for signature. stacy.buske@azdhs.gov 6/4/2024 12:13:56 PM

STATUS UPDATE:Request with Procurement Management stacy.buske@azdhs.gov 6/4/2024 11:48:38 AM

STATUS UPDATE:PO Moved back to PO Working Que stacy.buske@azdhs.gov 6/3/2024 1:57:44 PM

Sent to AG's office for signature. stacy.buske@azdhs.gov 5/30/2024 3:13:18 PM

Related Attachments 4

CFR elizabeth.markona@azdhs.gov 12/15/202

Budget elizabeth.markona@azdhs.gov 12/15/202

SOW elizabeth.markona@azdhs.gov 12/15/202

Rqd Disclosure elizabeth.markona@azdhs.gov 12/15/202

Comment Who Entered Date Entered

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