Master Blanket Purchase Order PO-44300-00051091

Header Information

Purchase Order Number:

PO-44300-00051091

Release Number:

Short Description:

Forensic Evaluation Reports Submitted in Support of Applications for Certification.

Status:

3PS - Sent

Purchaser:

Lori Mendiola

Receipt Method:

Dollars

Fiscal Year:

2027

PO Type:

Blanket

Minor Status:

Organization:

Oregon Health Authority

Department:

44330 - OHA Oregon State Hospital

Location:

00275 - Legal Affairs

Alternate ID:

Entered Date:

07/24/2025 11:58:34 AM

Days ARO:

Retainage %:

0.0%

Discount %:

0.0%

Release Type:

Direct Release

Contact Instructions:

ATTN: Micky Logan

Actual Cost:

0.0

Print Format:

Contract Administrator:

Purchase Order, Administrator

Discipline Type:

Supplies

Software ITAM Number:

Agency Attachments:

PO-44300-00051091-0 Statement of Work.pdf
OSH Supplemental General Provisions Attachment.pdf

Vendor Attachments:

Agency Attachment Forms:

Vendor Attachment Forms:

Primary Vendor Information & PO Terms

Vendor:

V00044426 - Zeteo Forensic Psychology & Consulting, LLC

Payment Terms:

Net 30

Shipping Method:

Shipping Terms:

F.O.B., Destination

Freight Terms:

Freight Allowed

PO Acknowledgements:

Document	Acknowledged Date/Time
Purchase Order
Change Order 1

Master Blanket Vendor Distributor List

Vendor ID

Vendor Name

Preferred Delivery Method

Vendor Distributor Status

V00044426

Zeteo Forensic Psychology & Consulting, LLC

Active

Master Blanket Controls

Master Blanket Begin Date:

07/01/2025

Master Blanket End Date:

06/30/2027

Cooperative Purchasing Allowed:

Organization	Department	Dollar Limit	Dollars Spent to Date	Minimum Order Amount
44300 - Oregon Health Authority	AGY - Agency Umbrella Master Control	15000.0	5100.0	0.0

Item Information

Print Sequence # 1.0, Item # 1:

This Purchase is submitted including the State of Oregon Services Terms and Conditions for a Purchase Order. The (T's and C's) are hereby incorporated by reference and apply to this Purchase and take precedence over all other conflicting T's and C's, expressed or implied. **OSH Supplemental General Provisions Attachment. Internal Delivery: OSH Legal Affairs/Forensic Certification Program Attn: Micky Logan

3PS - Sent

Receipt Method

Qty

Unit Cost

UOM

Discount %

Total Discount Amt.

Total Cost

This item is narrative

Print Sequence # 2.0, Item # 2:

FY 25-27 Blanket Order for Review of forensic evaluation reports submitted in support of applications for certification. Cost is $150/assignment with an estimated quantity of 100 assignments per biennium. (15000). See attached SOW.

3PS - Sent

NIGP Code:

969-00
PROFESSIONAL SERVICES, HIGHER EDUCATION

Receipt Method

Qty

Unit Cost

UOM

Discount %

Total Discount Amt.

Total Cost

Dollars

1.0

0.0

LOT - Lot

0.0

Manufacturer:

Brand:

Model:

Make:

Packaging: