PO ADHS15-084012 4 AZ MULTIHSNG PROJ.PDF

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
ProcureAZ Purchase Order No.: ADHS15-084012:4
Organizational Reference No.: PO0000180275
Issued: 12/07/2016
V Vendor Number: 000010983 Arizona Department of Health Services
E Maricopa County Public Health S Bureau of Tobacco and Chronic Disease
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.: ADHS15-084012 (602) 364-0824
Title: BTCD Maricopa Multi Housing Project (PO 11/01/16 -
10/31/17) MAIL INVOICE IN DUPLICATE TO:
B Arizona Department of Health Services
I Bureau of Tobacco and Chronic Disease
150 N. 18th Avenue, Suite 310
L Phoenix, AZ 85007
L US
Email: procure@azdhs.gov
T
O
(602) 364-0824
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: 2017--TTHPHS1284--4520--HS1308-TTP303-HS86500-6811---PHS- Payment Terms: Net 30
TOBCHN------------HSA
Shipping Terms:
Delivery Calendar Day(s) A.R.O.: 0
Item Description Requisition Quantity Unit Unit Price Total
Class-Item 948-34
1 1.00 YR $ 737,640.00 $ 737,640.00
Tobacco Education and Prevention Services
Class-Item 948-34
2 1.00 YR $ 82,000.00 $ 82,000.00
Tobacco Education and Prevention Services
TOTAL: $ 819,640.00
Approved By: Byron Homer
Phone No.: (602) 364-1223

C-86-15-053-3-04 ATTACHED TO AND A PART OF
Purchase Order ADHS15-084012:4
BTCD Maricopa Multi Housing Project (PO
11/01/16 – 10/31/17)
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date