PRS-f045c5ca.pdf

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Attached to
Master Agreement AZ|CTR070145
Contract number
CTR070145
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) and the Mohave County Department of Public Health. The contract is associated with the Bureau of Community Disease and Health Protection (BCDHP) and involves a federal funding mechanism for opioid-related public health initiatives.

The procurement request is for Opioid Data to Action funding, with an estimated annual amount of $80,000.00. The contract is structured as a cost reimbursement agreement with a sub-recipient designation, utilizing federal funding. The estimated contract start date is 4/13/2024, and the procurement is currently with the Procurement Officer. Related attachments include a CFR document, budget, ROD disclosure, and Statement of Work (SOW). The contract has gone through multiple status updates, including being sent to the Attorney General's office for signature and management review, with the most recent status update occurring on 6/7/2024.

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Text version

PRS ID

PRS-f045c5ca Contract Title

OD2A Mohave

Bureau

BCDHP

Procurement Request Type

IGA

Description

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

Supplier Name

Mohave County Department of Public Health

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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Related Comments 46

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STATUS UPDATE:PO Moved back to PO Working Que stacy.buske@azdhs.gov 6/7/2024 9:20:11 AM

Sent to management for signature. stacy.buske@azdhs.gov 6/4/2024 12:14:02 PM

STATUS UPDATE:Request with Procurement Management stacy.buske@azdhs.gov 6/4/2024 11:48:54 AM

STATUS UPDATE:PO Moved back to PO Working Que stacy.buske@azdhs.gov 6/3/2024 1:57:47 PM

Sent to AG's office for signature. stacy.buske@azdhs.gov 5/30/2024 3:13:24 PM

Related Attachments 4

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

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

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

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

Comment Who Entered Date Entered

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