Master Blanket Purchase Order 279125

Header Information

Purchase Order Number:

279125

Release Number:

Short Description:

Streamline Verify Software Renewal

Status:

3PS - Sent

Purchaser:

Steven Weeks

Receipt Method:

Quantity

Fiscal Year:

2027

PO Type:

Blanket

Minor Status:

Organization:

City of Philadelphia

Department:

15 - Office of BH/MR Services (DBHIDS)

Location:

DBH - DBHIDS Purchasing

Type Code:

Micro Purchase

Alternate ID:

Entered Date:

08/03/2026 03:01:54 PM

Days ARO:

Retainage %:

0.0%

Discount %:

0.0%

Release Type:

Direct Release

Contact Instructions:

Steven.Weeks@phila.gov

Actual Cost:

5828.12

Print Format:

Purchase Order Print

LBE Preference Applied:

Agency Attachments:

Consent_Authorization_B2727208.pdf
LGBTQ_Applicant_Data_Form_B2727208.pdf
MP_Terms and Conditions_B2727208.pdf
Sanctions and Exclusions Listing_B2727208.pdf
Sanctions and Exclusions Software Requirements_B2727208.pdf
Seller_SP_Checklist_B2727208.pdf

Vendor Attachments:

LGBTQ_Applicant_Data_Form_B2727208 - SV Completed.pdf
Consent_Authorization_B2727208 - SV Completed.pdf

Primary Vendor Information & PO Terms

Vendor:

V00011423 - Streamline Verify
Steven Grossman
635 Duquesne Blvd
Brick, NJ 08723
US
Email: steven.grossman@streamlineverify.com
Phone: (855) 837-4398

Payment Terms:

Shipping Method:

Shipping Terms:

Freight Terms:

PO Acknowledgements:

Document	Acknowledged Date/Time
Purchase Order

Master Blanket Vendor Distributor List

Vendor ID

Vendor Name

Preferred Delivery Method

Vendor Distributor Status

V00011423

Streamline Verify

Active

Master Blanket Controls

Master Blanket Begin Date:

08/03/2026

Master Blanket End Date:

06/30/2027

Cooperative Purchasing Allowed:

Organization	Department	Dollar Limit	Dollars Spent to Date	Minimum Order Amount
AGENCY - City of Philadelphia	15 - Office of BH/MR Services (DBHIDS)	5828.12	0.0	0.0

Item Information

Print Sequence # 1.0, Item # 1:

Streamline Verify - Licensing

3PS - Sent

NIGP Code:

209-72
Purchasing Software

Bid # / Bid Item #: B2727208 / 1

Quote # / Quote Item #: Q0114471 / 1

Receipt Method

Qty

Unit Cost

UOM

Discount %

Total Discount Amt.

Total Cost

Quantity

1.0

3566.662

EA - Each

0.0

3566.66

Manufacturer:

Brand:

Model:

Make:

Packaging:

Print Sequence # 2.0, Item # 2:

DMF Screening

3PS - Sent

NIGP Code:

209-72
Purchasing Software

Bid # / Bid Item #: B2727208 / 2

Quote # / Quote Item #: Q0114471 / 2

Receipt Method

Qty

Unit Cost

UOM

Discount %

Total Discount Amt.

Total Cost

Quantity

1.0

1184.582

EA - Each

0.0

1184.58

Manufacturer:

Brand:

Model:

Make:

Packaging:

Print Sequence # 3.0, Item # 3:

Streamline Verify - Additional Database; OFAC

3PS - Sent

NIGP Code:

209-72
Purchasing Software

Bid # / Bid Item #: B2727208 / 3

Quote # / Quote Item #: Q0114471 / 3

Receipt Method

Qty

Unit Cost

UOM

Discount %

Total Discount Amt.

Total Cost

Quantity

1.0

538.44

EA - Each

0.0

538.44

Manufacturer:

Brand:

Model:

Make:

Packaging:

Print Sequence # 4.0, Item # 4:

Streamline Verify - Additional Database; PPES Dates of Service 7/1/26-6/30/27

3PS - Sent

NIGP Code:

209-72
Purchasing Software

Bid # / Bid Item #: B2727208 / 4

Quote # / Quote Item #: Q0114471 / 4

Receipt Method

Qty

Unit Cost

UOM

Discount %

Total Discount Amt.

Total Cost

Quantity

1.0

538.44

EA - Each

0.0

538.44

Manufacturer:

Brand:

Model:

Make:

Packaging: