HomeMy WebLinkAboutA-10-262 DPH Misc. Docs.pdf 5C'4-�
CONTRACT STATUS FORM coU�
RECEIVED 856
DATE: December 02, 2024 FRESH
DEC 1, 8 2024
DIVISION(S): Emergency Services
(Lead Division listed first) DEPARTMENT OF PUBLIC HEALTH
CONTRACTS SECTION
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD (Computer Aided Dispatch)-to-CAD Interface of Dispatch
Communications
CONTRACT TERM: 6/8/10 to 6/30/25 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1. 2025
Extend contract through: , 20
❑ With no changes in terms or conditions.
With the following change(s):
E�/Evergreen: Continue contract through: ��,� , 20 7i(O
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by. M/0/ 4
Program Supervisor/Staff Analyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
ftp
CONTRACT STATUS FOB EIVED CO
20 0� s o
DATE: December 01, 2023 FEB 21 Est
DEPARTMENT N �TS SELI ION
DIVISION(S): Emergency Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD (Computer Aided Dispatch)-to-CAD Interface of Dispatch
Communications
CONTRACT TERM: 6/8/10 to 6/30/24 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
Contract#: A-10-262 StateNendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2024
Extend contract through: , 20
With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: (P�30 20 Z�
Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: , L Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
CO U�
CONTRACT STATUS FORMV,,,,N0 9
DATE: December 01, 2022 FEB 01 1013
C DIVISION(S): Emergency Medical Services O �NRpTSSECI rc`
CO
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD (Computer Aided Dispatch)-to-CAD Interface of Dispatch
Communications
CONTRACT TERM: 6/8/10 to 6/30/23 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
Contract#: A-10-262 StateNendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2023
Extend contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Supervisor/Staff Analyst: Date: IZIb�Z�
Division Manager: Date:
Submit to: DPH Contracts - Stop#147 - Brix Building, 6th Floor- Phone #: 600-7090
4 COUP
CONTRACT STATUS FORM fp
0 0
DATE: December 01, 2021 RECEIVEDEs�
DIVISION(S): Emergency Medical Services DEC 0 7 20
(Lead Division listed first) DEPARTMENT OF PUBLI LTH
CONTRACTOR: STATE: Department of Forestry and I-l�e��oi
SERVICES: CAD (Computer Aided Dispatch)-to-CAD Interface of Dispatch
Communications
CONTRACT TERM: 6/8/10 to 6/30/22 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2022
Extend contract through: , 20
❑ With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: �ly —' 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by: I /
Program Supervisor/Staff al y �)L� C/ Date: IT/ I/M
Division Manager: Date: 111
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
CONTRACT STATUS FORM coU�
RECEIVED
DATE: December 01, 2020 FuES�
JAN 14 2021
DIVISION(S): Emergency Medical Services
(Lead Division listed first) DEPARTMENT
OF PUBLIC A
SECTION
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD (Computer Aided Dispatch)-to-CAD Interface of Dispatch
Communications
CONTRACT TERM: 6/8/10 to 6/30/21 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1. 2021
❑ Extend contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
XEvergreen: Continue contract through: , 20 ZZ_
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Anal y Date:
Division Manager: Date: �l
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
COUP
CWNTRACT STATUS FO M
O� s6 O
DATE: December 02, 2019 FRESH
DIVISION(S): Emergency Medical Services T' RECEIVED
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection JUN 2 $ 202
SERVICES: CAD-to-CAD Interface DEPARTMENT OF PLOUC fiEAITHCONTRACTSSECIN
CURRENT PERIOD: 6/8/10 to 6/29/20 E Auto-renewal: 2 through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO: Evergreen Agreement-Please Review
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2020
Renew contract through: , 20
With no changes in terms or conditions.
With the following change(s):
❑ Evergreen: Continue contract through: , 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: 4 Date:
Division Manager: Date: ry!Z3�za zc�
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
I w CO tj�r
CONTRACT STATUS FORTA
RECEIVED
DATE: November 29, 2018
DEC 0 6 2018
DIVISION(S): Emergency Medical Services
(Lead Division listed first) DEPARTMENT OF PUBLIC HEALTH
CONTRACTS SECTION
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/10 to 6/29/2019 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2019
❑ Renew contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
'_�NEvergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.-
Program Supervisor/Staff nal st: Date: ) 'z r./ y /,��
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
ti COUP
C TRACT STATUS F0MA
t �
DATE: December 01, 2017 RECEIVED o� Es�o
DIVISION(S): Emergency Medical Services JAN 2 3 2018
(Lead Division listed first)
pEPpRTMENT OF PUBLIC
LTH
CONTRACTOR: STATE: Department of Forestry and Fire ERi$
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/10 to 6/29/2018 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current Period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March u 2018
Renew contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by: '
Program Supervisor/St lys : --- Date: 7
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
�,�ti coU��
CUNTRACT STATUS FOffM
DATE: November 28, 2016 FRESH
DIVISION(S): Emergency Medical Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
30
CURRENT PERIOD: 618116 to 6 17 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen atthkior�gt.trtiVEfft period.)
ORGANIZATION #(s): 56201695 tl�,t�VVttU
CONTRACT AMOUNT $0.00 DEC 0 5 2016
ADDITIONAL INFO: DEPARTMENT Of PUBLIC HEALT(
Contract#: A-10-262 State/Vendor#:
CONTRACTS SECTION
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1. 2017
Renew contract through: , 20�`
With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Supervisor/Staff nalyst: Date: _-�
Division Manager: AAJDate:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
CUNTRACT STATUS FO d
O 560
DATE: November 20, 2015
DIVISIONS : Emergency Medical Services 1 '�i0i�
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and-Fire-P'rOlection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/15 to 6/7/16 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2016
O-Renew contract through: O f ? 1 7 20 .
,With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: , 20
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
ram Supervisor/Staff I t: Date:
ision Manager: Date: 'L /7 /
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
CO U�
CONTRACT STATUS FORM
O� 56 O
DATE: December 04, 2014 FxEs�'
DIVISION(S): Emergency Medical Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/14 to 6/7/15 E Auto-renewal: through: �(If not checkmarked above,contrac will Iminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00 RECEIVED
ADDITIONAL INFO: JAN 14 2015
Contract#: A-10-262 State/Vendor#: DEPARTMENT OF PUBLIC HEALTH
Lead Dept: DPH Other Dept(s): CONTRACTS SECTION
Complete the information below and return to DPH Contracts by: Ma c,h 1, 2015
Renew contract through: 1p 1-7 , 20
With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
` Program Supervisor/Staff alyst: Date:
Division Manager: Date: �.
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
co
UrNTRACT STATUS FORM
l7
DATE: December, 2013
DIVISION(S): Emergency Medical Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/13 to 6/7/14 E Auto-renewal: O through:
(if not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor M
Lead Dept: DPH Other Dept(s): (7
..
Complete the information below and return to DPH Contracts by: March ' +20.
Renew contract through: 4,711 l o RECEIVED
2-V Ith no changes in terms or conditions. DEC 19 2013
DEPARTMENT OF PUBLIC HLALTH
❑ With the following change(s): CONTRACTS SECTION
❑ Evergreen: Continue contract through: 20
Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
�,),Program Supervisor/St An Date:
Division Manager: Date: lZ
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
CO U�
0owNTRACT STATUS Fobmm
O� 56 O
DATE: December 03, 20122ES�
DIVISION(S): Emergency Medical Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/12 to 6/7/13 E Auto-renewal: O through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor M
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2013
Renew contract through:
❑ With no changes in terms or conditions.
With the following change(s): _
Evergreen: Continue contract through: ' , 20 _ 1 ,
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Superviso tall Analys . — Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
ti co U�
CUNTRACT STATUS FOITM
O� 56 O
DATE: December 05, 2011 �uESt'
DIVISION(S): Emergency Medical Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/11 to 6/7/12 E Auto-renewal: C through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 6/8/2010 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2012
Renew contract through:
❑ With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: 7 , 20 / _3
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Supervis tall Analys ��--- Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 445-7090
CO U�
CONTRACT STATUS FORM
0 8y. o
DATE: December 01, 2010 FR�SZ'
DIVISION(S): Emergency Medical Services
(Lead Division listed first)
CONTRACTOR: STATE: Department of Forestry and Fire Protection
SERVICES: CAD-to-CAD Interface
CURRENT PERIOD: 6/8/10 to 6/7/11 E Auto-renewal: through:
(If not checkmarked above,contract vwn terminate
ENTIRE TERM: 6/8/2010 to 6/7/2011 at the end of the current period.)
ORGANIZATION #(s): 56201695
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: A-10-262 State/Vendor#:
Lead Dept: DPH Other Dept(s):
=-Q
Complete the information below and return to DPH Contracts by: March 1, 2011
Renew contract through: , 20
With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: , 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervis �Anal ` �•-- -� Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 445-7090
E