HomeMy WebLinkAboutContract #: 1448 - From: 07-01-2021 To: 06-30-2024 - Sanofi Pasteur - Health TOWN OF NORTH ANDOVER
STANDARD SHORT FORM CONTRACT DOCUMENT
CONTRACT NO: I Ljql�
Contractor Legal Name: Town Department Name:
Sanofi Pasteur Town of North Andover
Contractor Address: Mailing Address:
1 Discovery Drive 120 Main Street
Swiftwater,PA18370 North Andover,MA 01845
Contractor Vendor ID: Rate(if applicable):
1069 Not to exceed $100,000
Contract start date: Contract End Date:
July 1, 2021 June 30,2024
Description of Scope(Attach support documentation)
Flu vaccines per state contract MED54.
Contract Signatures:
Approved as to the availability of ALL REQUIRED DOCUMENTS AGREES TO PROVIDE THE
appropriations ATTACHED GOODS OR SERVICES AS
INDICATED IN ACCORDANCE
In the amount of WITH THESE CONTRACT
DOCUMENTS AS DEFINED IN
THE NORTH ANDOVER
STANDARD CONTRACT
GENERAL CONDITIONS
F nce Directo Department Head: Contractor:
Digitally signed by
Fetterman, Fetterman,
LKU Vra—cre—n'2W7UY—
;SignvaVre Sig SignaM Date:2021.08.02
Title:US 15:08:22-04'00'
Date;@2Lb" Date: Z 12 ( 2 u k Date: 8/2/2021
,',' ,,Town Manag r:'s Town Counsel:
Signa Signature
Date: Date:
COMMBUYS
OPERATIONAL SERVICES DIVISION--
Master Master Blanket Purchase Order PO-20-1080-OSD03-SRC3-18526
Meader Information
Purchase Order PO-20-1080-OSD03-SRC3-18526 Release 0 Short MED54-
Number: Number: Description: Influenza
p vaccine
forthe
2021 -
2022 Flu
Season
Status: 3PS-Sent Purchaser: Holly Receipt Quantity
Turner Method:
ear: 2020 PO Type: Blanket Minor
Status:
Organization: Operational Services Division
Department: OSD03-OSD-Strategic Sourcing Location: SRC3- Type Code: Statewide
Sourcing Contract
Group 3
Alternate ID: MED54 Entered 01/28/2020 Control
Date: 110:17:33 Code:
AM
Days ARO: 0 Retainage 0.00% Discount W 0.00%
W
Print Dest Detail: If Different
m�a ,ny'I°C,
Catalog ID: Release Direct
Type: Release
Contact Holly Turnerl Deputy Strategic Sourcing Manager Tax Rate: Actual Cost: $0.00
Instructions: Operational Services Division I One Ashburton Place,RM
10176oston,MA 02108 1 Phone:617-720-3356
Holly.Turner@mass.gov
Special Instructions:
Agency Flu Vaccine Cancellation Policy
Attachments:
Vendor
Attachments:
Primary Vendor Information & PO Term
Vendor: 00000731 -Sanofi Pasteur Inc. Payment Shipping
Mackenzie Fetterman Terms: Method:
Discovery Drive
Swiftwater,PA 18370 Shipping Freight
us Terms: Terms:
Email:Mackenzie.Fetterman@sanofi.com
Phone:(570)957-3381
PO
Acknowledgements: Document Notifications Acknowledged Date/Time
Purchase Emailed to Mackenzie.Fetterman@sanofi.com at 01/28/2020 10:40:35 01/28/2020 11:17:38 AM
Order AM
Change Order Emailed to Mackenzie.Fetterman@sanofi.com at 10/08/2020 10:34:03
1 AM
Change Order Emailed to Mackenzie.Fetterman@sanofi.com at 01/14/2021 01:39:51 01/19/2021 09:34:37 PM
2 PM
Change Order Emailed to Mackenzie.Fetterman@sanofi.com at 02/17/2021 02:37:57 02/19/2021 01:32:38 PM
3 PM
Master Blanket/Contract Vendor Distributor List
Vendor lD Vendor Name Preferred Delivery Method Vendor Distributor Status
00000731 Sanofi Pasteur Inc. Email Active
Master Blanket/Contract Controls
=Master-Blanket/Contract Begin Date: 02/01/2021 Master Blanket/Contract End Date: 01/31/2022
Cooperative Purchasing Allowed: Yes
Organization Department Dollar Dollars Spent to Minimum Order
Limit Date Amount
ALL ORG-Organization Umbrella Master AGY-Agency Umbrella Master $0.00 $0.00 $0.00
Control Control
mI 4wj_1,
Item Information
Print Sequence#1.0, Item#1: MED54-Influenza Vaccine for the 2020-2021 Flu Season.For Contract 3PS
information and pricing,please see Contract User Guide under Master Blanket -
Purchase Order PO-20-1080-OSD03-SRC3-18530. Sent
U N S P S C Code: 51-20-16
Vaccines and antigens and toxoids
Bid#/Bid Item#: BD-20-1080-OSD03-SRC3-43919/1 Quote#/Quote Item#: QT-1080-OSD03-SRC3-73006/1
Receipt Method Qty Unit Cost UOM Discount% Total Discount Amt. Tax Rate Tax Amount Total Cost
Quantity 1.0 $0.00 0.00 $0.00 $0.00 $0.00
Manufacturer: Brand: Model:
Make: Packaging:
Exit
Copyright 0 2021 Periscope Holdings,Inc.-All Rights Reserved.
IMASS..MASS.Awl°-i!�AiiOD-EIUYSPE:�IED 1-bso