Amendment_2.pdf
PDF 353 KB Posted
- Attached to
- AZ|CTR070044
- Contract number
- CTR070044
- Issued by
- Arizona
About this file
This is a Contract Amendment (Amendment Number Two) between the Arizona Department of Economic Security (DES) and Desierto Psychological PLLC. The document modifies the existing contract CTR070044 for Health Assessment – Consultative Examinations (CE) services. The amendment is executed through electronic approval in the state's APP system.
The amendment extends the contract term through December 31, 2025, with an effective date of January 1, 2025. The primary modification involves replacing the existing Attachment 4 – Facility Location Chart with a revised version reflecting updated facility locations for service delivery. All other contract requirements, specifications, terms, and conditions remain unchanged from the original agreement.
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR070044 Two (2)
DESCRIPTION/ LABEL: Health Assessment – Consultative Examinations (CE)
CONTRACTOR NAME: Desierto Psychological PLLC
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Special Terms and Conditions, Section 13, Contract Term and Option to
Extend, the Contract term is extended from January 1, 2025, through December 31, 2025.
2. In accordance with the Uniform Terms and Conditions, Section 5.0 Contract Changes, Subsection
5.1 Amendments, Attachment 4 – Facility Location Chart shall be replaced with the revised Attachment 4 – Facility Location Chart.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
File details come from the government source that posted it. Updated .