PRS-6a96fc00.pdf
PDF 92 KB Posted
- Attached to
- Master Agreement AZ|CTR070294
- Contract number
- CTR070294
- Issued by
- Arizona
About this file
This document is a Procurement Request System (PRS) form for a new Intergovernmental Agreement (IGA) between the Arizona Department of Health Services (AZDHS), specifically the Bureau of Community Disease and Health Promotion (BCDHP), and Santa Cruz County Health Services. The contract is identified with the PRS ID PRS-6a96fc00 and is currently in the procurement process, with the status noted as "With Procurement Officer" as of February 23, 2024.
The contract is titled "Overdose Data 2 Action Santa Cruz County" and has an estimated annual amount of $40,000.00. It is funded entirely by federal funds and structured as a cost reimbursement agreement with Santa Cruz County Health Services designated as a sub-recipient. The contract is not requiring a match and complies with the 2 CFR 200.332 form requirements. The estimated contract start date is June 22, 2024, and the procurement process includes steps such as sending the document to management and the Attorney General's office for signatures. Related attachments include a budget, required disclosure, Scope of Work (SOW), and CFR documentation.
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Text version
PRS ID
PRS-6a96fc00
Contract Title
Overdose Data 2 Action Santa Cruz County
Bureau
BCDHP
Procurement Request Type
IGA
Description
New IGA
Supplier Name
Santa Cruz County Health Services
Requestor elizabeth.markona@azdhs.gov
Estimated date needed
6/22/2024
Estimated Annual Amount
$ 40,000.00
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
2/23/2024
Related Contracts 0
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No items
Related Comments 36
View Add
STATUS UPDATE:PO Moved back to PO Working Que stacy.buske@azdhs.gov 6/7/2024 9:20:23 AM
STATUS UPDATE:Request with Procurement Management stacy.buske@azdhs.gov 6/4/2024 12:14:59 PM
Sent to management for signature. stacy.buske@azdhs.gov 6/4/2024 12:14:57 PM
STATUS UPDATE:PO Moved back to PO Working Que stacy.buske@azdhs.gov 6/3/2024 1:57:59 PM
Sent to AG's office for signature. stacy.buske@azdhs.gov 5/30/2024 3:13:49 PM
Related Attachments 4
Budget elizabeth.markona@azdhs.gov 2/23/2024
Required Disclosure elizabeth.markona@azdhs.gov 2/23/2024
SOW elizabeth.markona@azdhs.gov 2/23/2024
CFR elizabeth.markona@azdhs.gov 2/23/2024
Comment Who Entered Date Entered
File Description/Label Comments Added By Date Adde
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