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Master Blanket Purchase Order 17-COMP-00054

Header Information
Purchase Order Number: 17-COMP-00054 Release Number: 0 Short Description: T2766 - PRESCRIPTION MONITORING PROGRAM
Status: 3PS - Sent Purchaser: Joshua Descoteaux Receipt Method: Quantity
Fiscal Year: 2017 PO Type: Blanket Minor Status:
Organization: Division of Purchase and Property
Department: DPP - Division of Purchase and Property Location: COMP - Technology and Computing Type Code: RFP/SC-SBE
Alternate ID: Entered Date: 10/24/2016 09:46:12 AM Control Code:
Days ARO: 0 Retainage %: 0.00% Discount %: 0.00%
Print Dest Detail: If Different
Catalog ID: Release Type: Direct Release Pcard Enabled: No
Contact Instructions: Tax Rate: Actual Cost: $976,925.00
Small Business Category:
T Number: T2766
NJ Cooperative Purchasing: Yes
Green Blanket PO: Yes
Emergency Blanket PO: No
Performance Bond Required: No
Procurement Efficiency Assessment Indicator: Yes
Agency Reference Number:
Corporate Account Number:
Please refer to the NJSTART glossary for further information.: The term "master blanket" is equivalent to "term contract".
Number of Extensions Available:
Number of Extensions Used:
Number of Months Available:
Number of Months Used:
Transition Days Available:
Transition Days Used:
State Contract Manager:
State Contract Manager Phone:
State Contract Manager Email:
Agency Attachments: StandardDocumentsV4 NJStandardTermsandConditionsV2 SourceDisclosureCertificateV2 SubContractingV4 11-X-21746SignatoryPage 11-X-21746Pricesheet 11-X-21746RFP 11-X-21746ResponsestoeQ&A-1 11-X-21746ResponsestoeQ&A-2 T2766StateContractManager T2766SubcontractorList T2766AwardSummary T2766LineItemAddition1 t2766LineItemAddition2 T2766ContractExtension3 T2766ContractAssignment4 T2766LineItemAddition5 T2766ContractExtension6 T2766PriceIncrease7
Vendor Attachments:
Agency Attachment Forms:
Vendor Attachment Forms:
Primary Vendor Information & PO Terms
Vendor: V00006280 - Appriss
Lauren Pettit
10401 Linn Station Road
Louisville, KY 40223
US
Email: lpettit@appriss.com
Phone: (502)815-5544
Payment Terms: 2% 10 Days, Net 30 Shipping Method:
Shipping Terms: F.O.B., Destination Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to lpettit@appriss.com at 10/24/2016 12:13:46 PM 10/24/2016 03:04:59 PM
Change Order 1 Emailed to lpettit@appriss.com at 01/17/2017 04:14:48 PM 03/07/2017 11:33:38 AM
Master Blanket/Contract Vendor Distributor List
Vendor ID Vendor Name Preferred Delivery Method Vendor Distributor Status
V00006280
Appriss Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 03/29/2011 Master Blanket/Contract End Date: 03/28/2017
Cooperative Purchasing Allowed: Yes
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
DIVCONAFFS - Division of Consumer Affairs CDS - CDS $0.00 $0.00 $0.00
Item Information   
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Print Sequence # 1.0, Item # 1:   YEAR 1 MANAGE AND OPERATE PRESCRIPTION MONITORING PROGRAM (PMP) 3PS - Sent
NIGP Code: 918-78
   Medical Consulting
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $177,000.00 Each - Each 0.00 $0.00 $0.00 $177,000.00
Manufacturer: Brand: Model:
Make: Packaging:
 
Print Sequence # 2.0, Item # 2:   YEAR 1 FORMAL PROJECT PLAN RFP SECTION 3.2.2.1 3PS - Sent
NIGP Code: 918-78
   Medical Consulting
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $2,000.00 Each - Each 0.00 $0.00 $0.00 $2,000.00
Manufacturer: Brand: Model:
Make: Packaging:
 
Print Sequence # 3.0, Item # 3:   YEAR 1 REQUIREMENTS DOCUMENT RFP SECTION 3.2.4.1 3PS - Sent
NIGP Code: 918-78
   Medical Consulting
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $2,000.00 Each - Each 0.00 $0.00 $0.00 $2,000.00
Manufacturer: Brand: Model:
Make: Packaging:
 
Print Sequence # 4.0, Item # 4:   YEAR 1 PMP BUSINESS PLAN RFP SECTION 3.2.4.1 3PS - Sent
NIGP Code: 918-78
   Medical Consulting
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $2,000.00 Each - Each 0.00 $0.00 $0.00 $2,000.00
Manufacturer: Brand: Model:
Make: Packaging:
 
Print Sequence # 5.0, Item # 5:   YEAR 1 INSTALLATION AND SYSTEM SETUP RFP SECTION 3.2.4.2 A-C 3PS - Sent
NIGP Code: 918-78
   Medical Consulting
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $40,000.00 Each - Each 0.00 $0.00 $0.00 $40,000.00
Manufacturer: Brand: Model:
Make: Packaging:
 
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