AZNN PO FY17-18 (02).PDF

Maricopa County — Formal (2017-11-08)

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
C-86-16-020-3-02
ProcureAZ Purchase Order No.: ADHS16-106547:12
Organizational Reference No.: PO0000284463
Issued: 10/20/2017
V Vendor Number: 000010983 Arizona Department of Health Services
E Maricopa County Public Health S Bureau of Nutrition and Physical Activity
N 4041 N. Central Avenue, #1400 H 150 N. 18th Avenue, Suite 310
Phoenix, AZ 85012 I Phoenix, AZ 85007
D US
O P Email: procure@azdhs.gov
R
T
O
Contract No.: ADHS16-106547 (800) 252-5942
Title: Maricopa FFY 18 AZNN Services
MAIL INVOICE IN DUPLICATE TO:
B Arizona Department of Health Services
I Bureau of Nutrition and Physical Activity
150 N. 18th Avenue, Suite 310
L Phoenix, AZ 85007
L US
Email: procure@azdhs.gov
T
O
(800) 252-5942
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: 2018--OTHCFH4251--4461--HS4500--HS25000-6811---PHS-NPA- Payment Terms: Net 30
NTUEDU--0919---------HSA
Shipping Terms:
Delivery Calendar Day(s) A.R.O.: 0
Item Description Requisition Quantity Unit Unit Price Total
Class-Item 952-26
1 1.00 TOTAL $ 2,213,178.00 $ 2,213,178.00
FFY 2018 AZNN Services
TOTAL: $ 2,213,178.00
Approved By: Gladys Lovera
Phone No.: (602) 364-1649

C-86-16-020-3-00 Page 2 of 3

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C-86-16-020-3-02 ATTACHED TO AND A PART OF
Purchase Order ADHS16-106547:12
Contract No. ADHS16-106547
AzNN SNAP-Ed Local Implementation
Services
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Denny Barney, Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date