PO298192_TBFED_ADHS_YR4 (04).PDF

PURCHASE ORDER
C-86-18-049-3-04
Phoenix, on 3/13/2021
TB MARICOPA TUBERCULOSIS JAN-MAR 2021 ADHS18-188102-MARICOPA COUNTY
SUPPLIER ORDER No. PO0000298192
(please refer to this number on all documents)
MARICOPA COUNTY Amendment:
Attn: Attorney's Office Requestor: Christine Wampler
Address: 4041 N Central Ave, #1400 Agency: Arizona Department of Health Services
4041 N Central Ave, #1400 Division: Public Health Preparedness
UNITED STATES Department: ADHS PREP BUR Epidemiology
PHOENIX, Arizona 85012 Disease Control
Phone: Site: ADHS PREP EDC S Tuberculosis
E-mail: canisala@mcao.maricopa.gov Phone: 602-364-3138
Email: christine.wampler@azdhs.gov
DELIVER TO BILL TO
(unless specified differently per item)
Address: 150 N 18th Ave #110 Address: 150 N 18th Ave #260
UNITED STATES invoices@azdhs.gov
Phoenix, Arizona 85007 UNITED STATES
Deliver To: Phoenix, Arizona 85007
Requested Delivery Date: 3/31/2021 Payment Terms: Net 30
(Unless specified differently per item in section delivery details)
CONTRACT UNIT TOTAL
ITEM ID CODE/SKU REFERENCE AND DESCRIPTION QTY UNIT PRICE (USD)
(USD)
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PURCHASE ORDER
1 CTR038383- 361928-1 TB MARICOPA TUBERCULOSIS JAN-MAR 1.0000 Each 90,114.0000 90,114.0000
2 2021 ADHS18-188102
Commentaire : IMPORTANT INFORMATION
-------------------------------------------
ANNUAL BUDGET: *Use these amounts for
your CER in the "Approved Budget" column
PERSONNEL $217,612
ERE $81,543
TRAVEL $1
OTHER OPERATING $4,258
INDIRECT $57,042
TOTAL $360,456
This PO is a 25% allocation of your annual
budget for this project to be used between
Jan-March 2021. More funds will be loaded
as allocated to ADHS by the CDC in
March/April.
A FFATA form is required to be submitted
30 days after this purchase order is issued.
Here is FFATA information you can use to
fill out the FFATA form:
Award ID (FAIN): NU52PS910175
Program Period Code: 1221
Major Program: TB
Subaward Amount: $< Total annual budget
amount >
Subaward Date: $ < Date purchase order is
issued >
Subaward Project Description: Tuberculosis
Elimination and Laboratory Cooperative
Agreement (TB)
Purchase Order #: < PO number issued
when this requisition is approved by ADHS
Procurement>
See attached CER template, FFATA form,
and backup documentation information.
CERS will be rejected if:
-The new electronic CER form is not used
(attached)
-Proper backup documentation is not
submitted
-Documents are not legible
-Multiple files are submitted
-A unique invoice number is not used (ex.
JAN-2021-PO54226 is acceptable)
-The correct purchase order number is not
used
One pdf file should be submitted for each
month and should include the signed CER
on the first page with backup
documentation following in the subsequent
pages.
Contract Budget Amendment requests must
be submitted before August 31, 2021.
If you have any questions about this
purchase order, please contact
christine.wampler@azdhs.gov.
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C-86-18-049-3-04
PURCHASE ORDER
Total before Tax 90,114.0000 USD
Non-Taxable - 0 % 0.0000 USD
Total after Tax 90,114.0000 USD
FOR COUNTY:
________________________________________
Jack Sellers, Chairman Date
Board of Supervisors
APPROVED AS TO FORM
_________________________________________
Anne Longo, Attorney for County Date
ATTEST:
_________________________________________
Office of the Clerk of the Board Date
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PURCHASE ORDER
DELIVERY CONDITIONS
Delivery
Date Type % Amount Item
Conditions
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PURCHASE ORDER
PURCHASE ORDER TERMS AND CONDITIONS
Revised January 10, 2011
1. Modification. No modification of the purchase order shall bind Buyer unless Buyer agrees to the modification in writing.
2. Packing and Shipping. Seller shall be responsible for industry standard packing which conform to requirements of carriers’
tariffs and ICC regulations. Containers must be clearly marked as to lot number, destination address and purchase order number.
3. Title and Risk of Loss. The title and risk of loss of the goods shall not pass to Buyer until Buyer actually received the goods at
the point of delivery.
4. Invoice and Payment. A separate invoice shall be issued for each shipment. No invoice shall be issued prior to shipment of
goods and no payment will be made prior to receipt of goods and correct invoice. Payment due dates, including discount periods,
will be computed from date of receipt of goods or date of receipt of correct invoice (whichever is later) to date Buyer's warrant is
mailed. Unless freight and other charges are itemized, any discount provided will be taken on full amount of invoice. Payment shall
be subject to the provisions of Title 35 of Arizona Revised Statutes. The Buyer's obligation is payable solely from funds
appropriated for the purpose of acquiring the goods or services referred to in this Purchase Order.
5. Inspection. All goods are subject to final inspection and acceptance by Buyer. Material failing to meet the requirements of this
Purchase Order will be held at Seller's risk and may be returned to Seller. If so returned, the cost of transportation, unpacking,
inspection, repacking, reshipping or other like expenses are the responsibility of the Seller.
6. No Replacement of Defective Tender. Every tender of goods must fully comply with all provisions of Purchase Order as the
time of delivery, quantity, quality and the like. If a tender is made which does not fully conform, it shall constitute a breach and
Seller shall not have the right to substitute a conforming tender.
7. Force Majeure. Neither party shall be held responsible for any losses resulting if the fulfillment of any terms or conditions of the
Purchase Order are delayed or prevented by any cause not within the control of the party whose performance is interfered with
and which, by the exercise of reasonable diligence, that party is unable to prevent.
8. Gratuities. The Buyer may, by written notice to the Seller, cancel this Purchase Order if it is found by Buyer that gratuities, in
the form of entertainment, gifts or otherwise, were offered or given by the Seller, or any agent or representative of the Seller, to
any officer or employee of the State of Arizona with a view toward securing an order or securing favorable treatment with respect
to the awarding or amending, or the making of any determinations with the respect to the performing, of such order. In the event
this Purchase Order is cancelled by Buyer pursuant to this provision, Buyer shall be entitled in addition to any other rights and
remedies to recover or withhold from the Seller the amount of the gratuity.
9. Warranties. Seller warrants that all goods delivered under this Purchase Order will conform to the requirements of this
Purchase Order (including all applicable descriptions, specifications, drawings and samples) will be free from defects in material
and workmanship and will be free from defects in design and fill for the intended purposes. Any inspection or acceptance of the
goods by Buyer shall not alter or affect the obligations of Seller or the right of Buyer under the foregoing warranties.
10. Assignment – Delegation. No right or interest in this Purchase Order shall be assigned by Seller without the written
permission of Buyer, and no delegation of any duty of Seller shall be made without permission of Buyer.
11. Interpretation – Parole Evidence. This Purchase Order is intended by the parties as a final expression of their agreement
and is intended also as a complete and exclusive statement of the terms of their agreement. No course of prior dealings between
the parties and no usage of the trade shall be relevant to supplement or explain any term used in this Purchase Order.
Acceptance or acquiescence in a course of performance rendered under this Purchase Order shall not be relevant to determine
the meaning of this Purchase Order even though the accepting or acquiescing party has knowledge of the nature of the
performance and opportunity for objection. Whenever a term defined by the Uniform Commercial Code is used in the Purchase
Order the definition contained in the Code is to control.
12. Non-Discrimination. Seller agrees not to discriminate against any employee or applicant for employment in violation of the
terms of Federal Executive Order 11246, State Executive Order No. 2009-09 and A.R.S. Section 41-1461 et seq.
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PURCHASE ORDER
13. Indemnity. Seller agrees to indemnity and save the Buyer harmless from any loss, damage or expense whatsoever resulting
to the Buyer from any and all claims and demands on account of infringement or alleged infringement of any patent in connection
with the manufacture or use of any product included in this Purchase Order and upon written request Seller will defend at its own
cost the expense any legal action or suit against the Buyer involving any such alleged patent infringement, and will pay and satisfy
any and all judgments or decrees rendered in any against such legal actions or suits. Seller will indemnify Buyer against all claims
for damages to person or property resulting from defects in materials or workmanship.
14. Liens. All goods delivered and labor performed under this Purchase Order shall be free of all liens, and if Buyer requests, a
formal release of all liens will be delivered to Buyer.
15. Contract Number. If an Arizona contract number appears on the face of this Purchase Order, the terms of that contract are
incorporated herein by this reference.
16. Taxes. The State of Arizona is exempt from Federal Excise Tax.
17. Conflict of Interest. Pursuant of A.R.S. Section 38-511 this Purchase Order is subject to cancellation by the Buyer if any
person significantly involved in initiating, negotiating, securing, drafting or creating the contract on behalf of the state is, at any
time while the contract is in effect, an employee of any other party to the contract in any capacity or a consultant to any other party
of the contract with respect to the subject matter of the contract.
18. Remedies and Applicable Law. This Purchase Order shall be governed by, and Buyer and Seller shall have all remedies
afforded each by, the Uniform Commercial Code as adopted in the State of Arizona except as otherwise provided in this Purchase
Order or in statutes pertaining specifically to the State. This Purchase Order shall be governed by the law of the State of Arizona,
and suits pertaining to this Purchase Order may be brought only in the courts of the State of Arizona.
19. Arbitration. The parties must use arbitration as required by A.R.S. Section 12-1518.
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