Extracted text (via pymupdf_layout)
2260 characters
Page 1 of 2 ARIZONA STATE CONTRACT CONTRACT RELEASE ProcureAZ Purchase Order No.: ADHS18-175355:2 Organizational Reference No.: PO0000374093 Issued: 08/01/2018 V Vendor Number: 000010983 Arizona Department of Health Services E Maricopa County Public Health S Epidemiology and Disease Control N 4041 N. Central Avenue, #1400 H Office of Environmental Health Phoenix, AZ 85012 I 150 N. 18th Avenue, Suite 140 D Phoenix, AZ 85007 O P US R Email: patricia.sauceda@azdhs.gov T O Contract No.: ADHS18-175355 (602) 364-3118 Title: AY2019 SFA Maricopa County Prop 201 MAIL INVOICE IN DUPLICATE TO: B Arizona Department of Health Services I Epidemiology and Disease Control Office of Environmental Health L 150 N. 18th Avenue, Suite 140 L Phoenix, AZ 85007 US T Email: patricia.sauceda@azdhs.gov O (602) 364-3118 Release Instructions TERMS AND CONDITIONS set forth in our Bid, Quotation, or Purchase Order are incorporated herein by reference and become a part of this order. Account Code: 2019--SFAEDC3772--5109--HS2541--HS86007-6811---PHS-TOBCHN----- Payment Terms: Net 30 -------HSA Shipping Terms: Delivery Calendar Day(s) A.R.O.: 0 Item Description Requisition Quantity Unit Unit Price Total Class-Item 948-34 Contract No: ADHS18-175355 Prop 201 AY2019 Smoke-Free Maricopa County Class-Item 948-33 Bureau of Epidemiology and Disease Control Office of Environmental Health 1 Prop 201 Smoke-Free Act 286460.67 YR $ 1.00 $ 286,460.67 Contract # ADHS18-175355 through 6/30/2022 Quarterly @ $214,845.50 PO Total $859,382.00 Purchase Order through 10/31/2018; A New Requisition will be created for remaining amount in the new system from 11/1/2018 through 6/30/2019. TOTAL COST, Not to Exceed Annual Total of $859,382.00 TOTAL: $ 286,460.67 Approved By: Thom Wilson Phone No.: (602) 364-3443 ADHS18-175355 Prop 201 Smoke Free Arizona FY2018-19 IN WITNESS WHEREOF, the parties agree to enter into this Agreement FOR AND ON BEHALF OF MARICOPA COUNTY By: ____________________________ Steve Chucri, Chairman Board of Supervisors Date: ___________________________ ATTEST: By: ____________________________ Clerk of the Board Date: ___________________________ APPROVED AS TO FORM: By: ____________________________ Attorney for Maricopa County Date: __________________________