Amendment_13_-_Extend_to_May_31__2024_-_fully_executed.pdf
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- Attached to
- Master Agreement AZ|CTR043946
- Contract number
- CTR043946
- Issued by
- Arizona
About this file
This document is a Contract Amendment (Amendment #13) issued by the Arizona Health Care Cost Containment System (AHCCS) for contract #YH19-0025, involving Sandata Technologies, a company located in Hicksville, NY. The amendment is related to the DHCM (Division of Health Care Management) program and involves an extension of the existing contract.
The amendment specifically extends the contract period for Sandata Technologies from June 1, 2023, through May 31, 2024, maintaining all previous terms and conditions of the original contract. No changes to pricing, services, or other substantive contract elements are indicated in this amendment, which appears to be a standard contract renewal to continue the existing agreement for an additional one-year term.
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Text version
CONTRACT AMENDMENT
1. AMENDMENT #:
2. CONTRACT #:
YH19-0025
3. EFFECTIVE DATE OF AMENDMENT:
Date of Last Signature
4. PROGRAM:
DHCM
5. CONTRACTOR/PROVIDER NAME AND ADDRESS:
Sandata Technologies 270 Duffy Avenue, Unit 266A
Hicksville, NY 11801
6. PURPOSE:
To extend the contract from June 1, 2023, through May 31, 2024
7. THE ABOVE REFERENCED CONTRACT IS HEREBY AMENDED AS FOLLOWS:
Pursuant to the terms and conditions, this contract is extended from June 1, 2023, through May 31, 2024.
8. EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT NOT HERETOFORE CHANGED AND/OR
AMENDED REMAIN UNCHANGED AND IN FULL EFFECT.
IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.
9. NAME OF CONTRACTOR/PROVIDER:
Sandata
10. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
SIGNATURE OF AUTHORIZED INDIVIDUAL:
SIGNATURE:
TYPED NAME:
Akshay Bhandari
TYPED NAME:
Tracey Thomas
TITLE:
CFO
TITLE:
Procurement Manager
DATE: DATE:
Tracey Thomas (Apr 21, 2023 18:16 PDT) Akshay Bhandari (Apr 25, 2023 18:46 EDT)
Amendment 13 - Extend to May 31, 2024 Final Audit Report 2023-04-25
Created: 2023-04-21
By: Lisa Monreal (Lisa.Monreal@azahcccs.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAIdjwKeKA9AfGVPsutjkIL759-b-R0ELT
"Amendment 13 - Extend to May 31, 2024" History Document created by Lisa Monreal (Lisa.Monreal@azahcccs.gov)
2023-04-21 - 9:33:12 PM GMT
Document emailed to Tracey Thomas (tracey.thomas@azahcccs.gov) for signature
2023-04-21 - 9:34:16 PM GMT
Email viewed by Tracey Thomas (tracey.thomas@azahcccs.gov)
2023-04-22 - 1:16:08 AM GMT
Document e-signed by Tracey Thomas (tracey.thomas@azahcccs.gov) Signature Date: 2023-04-22 - 1:16:25 AM GMT - Time Source: server
Document emailed to Akshay Bhandari (abhandari@sandata.com) for signature
2023-04-22 - 1:16:26 AM GMT
Email viewed by Akshay Bhandari (abhandari@sandata.com)
2023-04-25 - 10:02:10 PM GMT
Document e-signed by Akshay Bhandari (abhandari@sandata.com) Signature Date: 2023-04-25 - 10:46:31 PM GMT - Time Source: server
Agreement completed.
2023-04-25 - 10:46:31 PM GMT
| CONTRACT AMENDMENT |
| 7. THE ABOVE REFERENCED CONTRACT IS HEREBY AMENDED AS FOLLOWS: |
| 2023-04-25T15:46:33-0700 | |
| Agreement certified by Adobe Acrobat Sign |
File details come from the government source that posted it. Updated .