TB CONTROL WITH CLIN PO (04).PDF

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ARIZONA STATE CONTRACT
MASTER CONTRACT - TERM
Purchase Order No.: ADHS13-049253
C-86-14-002-3-04 Organizational Reference No.:
Effective Date: 07/01/2013
Valid Through: 06/30/2018
V Vendor Number: 000010983 I Arizona Department of Health Services
E Maricopa County Public Health S Public Health Preparedness EDC
N 4041 N. Central Avenue, #1400 S 150 N 18th Avenue
D Phoenix, AZ 85012 U Phoenix, AZ 85007
O E
R D
Contract No.: ADHS13-049253 B Delilah Gonzalez
Title: TUBERCULOSIS CONTROL PROGRAM - MARICOPA Y
COUNTY
The following documents make up the Contract
and are incorporated herein by reference.
Blanket Instructions
13-049253 Maricopa County.pdf
OIG Search~5.pdf TERMS AND CONDITIONS set forth in our Bid, Quotation, or Purchase Order
are incorporated herein by reference and become a part of this order.
SAMS Search.pdf
Maricopa CFDA~1.xls
13-049253 Maricopa County~3.pdf
Account Code: Payment Terms: Net 30
Shipping Terms:
Solicitation (Bid) No.: Delivery Calendar Day(s) A.R.O.: 0
Item Description Requisition Quantity Unit Unit Price Total
Class-Item 948-34
1 1.00 EA $ 222,004.00 $ 222,004.00
Personnel Services and ERE
Class-Item 948-34
2 1.00 EA $ 0.00 $ 0.00
Professional and Outside Services
Class-Item 948-34
3 1.00 EA $ 22,439.00 $ 22,439.00
Travel Expenses
Class-Item 948-34
4 1.00 EA $ 470.00 $ 470.00
Other Operating Expenses

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ARIZONA STATE CONTRACT
MASTER CONTRACT - TERM
Class-Item 948-34
5 1.00 EA $ 0.00 $ 0.00
Capital Outlay Expenses
Class-Item 948-34
6 1.00 EA $ 36,737.00 $ 36,737.00
Other
Class-Item 948-34
7 1.00 QTR $ 0.00 $ 0.00
Tuberculosis Control
TOTAL: $ 281,650.00
Approved By: Delilah Gonzalez
Phone No.: (602) 364-1482

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C-86-14-002-3-04 ATTACHED TO AND A PART OF
Purchase Order ADHS13-049253
Contract No. ADHS13-049253
MARICOPA COUNTY STATE FUNDS
Tuberculosis Control Program
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