HomeMy WebLinkAboutP-20-149 Amendment 1..pdfCONTRACT INFORMATION SHEET
DATE: December 24, 2020
Contract No.: P-20-149 Vendor Number: 0000003946
Contract Title:
Covid-19 Screening &
Name/Address: Central California Faculty Medical
Group, Inc.
Testing for First 2625 E. Divisadero St.
Responders Fresno, CA 93721
Contract Period: 4/20/2020- 6/30/2021 Contact: Judy Heu
Using Agencies: Dept. of Public Health (559) 256-9606
Email: Judy.Heu@ccfmg.org
Terms: Net 45 Days
Total Contract
Amt.: $ 80, 000.00
Buyer Name: Chanvathei Lonh
Requisition No: 5622100533 Org: 56201622, 56201019
Supersedes:
NEW RENEWAL x AMENDMENT
TICK DATE REFERENCE (RFQ# / RFP#)
DESCRIPTION: 4/21/2020: Allows County of Fresno Public Health Dept. to obtain on an as-needed basis COVID-19 Screening
& Testing for First Responders, in accordance with “Attachment A”.
12/24/2020: Amendment One, extends the contract to 6/30/2021 and add $40,000.00 to contract for a new contract
Max. total of $ 80,000.00
SPECIAL INSTRUCTIONS:
DISTRIBUTION: Completed By: Date: Completed By: Date
DEPARTMENT: DPH
REQUISITIONER: Darrel Schmidt CL 1/8/21
Rev 1/3/2017