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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Primary care practitioner services
|
|
|
20250.0000
|
$1.0000
|
$20,250.00
|
| Line#1 Blanket Order for July 1, 2026 to June 30, 2027 for straight pay services for AOMC Ryan White clients per attached Rate sheet. Valid and updated medical certificates Insurances, and Licenses ar... |
| Line Item Description: Line#1 Blanket Order for July 1, 2026 to June 30, 2027 for straight pay services for AOMC Ryan White clients per attached Rate sheet. Valid and updated medical certificates Insurances, and Licenses are required. Monthly invoicing is to be provided by the 10th of the month to include all back up documentation for services. Contract Manager, Sherri Gizzarelli-Grady. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 132012 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $20,250.00 |
|
|
|
2
|
Primary care practitioner services
|
|
|
5250.0000
|
$1.0000
|
$5,250.00
|
| Line #2 Blanket Order for July 1, 2026 to June 30, 2027 to Cover Health Insurance, co-pays share of cost and deductibles for Ryan White clients. Monthly invoicing is to be provided by the 10th of the... |
| Line Item Description: Line #2 Blanket Order for July 1, 2026 to June 30, 2027 to Cover Health Insurance, co-pays share of cost and deductibles for Ryan White clients. Monthly invoicing is to be provided by the 10th of the following month to include all back up of all services provided. Rate sheet included. Valid and up to date certifications, Insurances and License's are required when there is a change in position. Contract Manager Sherri Gizzarelli-Grady. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 461023 - |
| Account Code: 64-20-2-141001-64200700-56-040000-00 |
| Split Amount: $5,250.00 |
|
|
|
3
|
Primary care practitioner services
|
|
|
12000.0000
|
$1.0000
|
$12,000.00
|
| Line#3 Blanket Order for July 1, 2026 to June 30, 2027 to cover Oral/Ryan White straight pay Oral Dental Health care services per attached rate sheet. Valid and up to date certifications, insurances, ... |
| Line Item Description: Line#3 Blanket Order for July 1, 2026 to June 30, 2027 to cover Oral/Ryan White straight pay Oral Dental Health care services per attached rate sheet. Valid and up to date certifications, insurances, and license's are required whenever there is a change in position. All invoicing must be turned in by the 10th of the following month to include al back up services. Contract Manager Sherri Gizzarelli-Grady. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 132002 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $12,000.00 |
|