Assignment_and_Agreement_Form_-_Three_Precious_Miracles_-_Signed.pdf
PDF 462 KB Posted
- Attached to
- Master Agreement AZ|CTR070911
- Contract number
- CTR070911
- Issued by
- Arizona
About this file
This is an Assignment and Agreement Form from the Arizona Department of Child Safety's Office of Procurement, involving the transfer of a contract from Technical Assistance Partnership of Arizona (the Assignor) to Three Precious Miracles (the Assignee). The document facilitates the transfer of contract rights and responsibilities, with the Arizona Department of Child Safety serving as the consenting authority. The original contract number CTR070108 will be reassigned as CTR070911, with the effective date of assignment being 4/5/2024.
The specific details of the underlying contract are not fully disclosed in this document, but the assignment involves Three Precious Miracles located at 190 W Pima St in Sacaton, Arizona, taking over the existing contract's terms and conditions. The assignee's federal identification number is 47-1732822, and key representatives include Juan Salas as Director of Operations and Accounting for the assignor, and Elisia Manuel as President and Founder for the assignee. The document was processed and signed electronically through DocuSign, with final consent provided by the DCS Procurement Manager on 4/2/2024.
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Text version
Arizona Department of Child Safety
Assignment and Agreement Form
State of Arizona Department of Child Safety
Office of Procurement 3003 N. Central Ave., 20th Fl.
Phoenix, AZ 85012
Assignor Technical Assistance Partnership of Arizona (Company Name) relinquishes and assigns all rights and responsibilities under the terms and conditions of the attached contract CTR070108 to include any executed amendments, to assignee, Three Precious Miracles (Company Name)
Effective 4/5/2024 assignee accepts all the terms and conditions of the assigned (Date) contract. The new contract identification number is CTR070911. The assignee’s address for the purpose of the
Agreement is:
190 W Pima St (No. and Street)
Sacaton, Arizona 85147 (City, State and ZIP Code)
480-292-3040 (Area Code and Telephone No.)
480-292-3040 (Area Code and FAX No.)
Assignor:
Technical Assistance Partnership of Arizona (Company Name)
(Name and Title)
(Signature)
(Date)
Assignee:
Three Precious Miracles (Company Name)
(FEI No.)
(Name and Title)
(Signature)
(Date)
Consenting Authority:
Pursuant to the “Assignment and Delegation” section of the Uniform Terms and Conditions, the Department of Child Safety consents to the foregoing assignment.
(DCS Procurement Manager Signature) (Date)
Elisia Manuel - President and Founder
3.29.2024
47-1732822
Juan Salas -Director of Operations and Accounting
04/01/2024
DocuSign Envelope ID: 13CE0406-B583-4CA9-9CBC-92D8B7434B2A
4/2/2024
| 2024-04-02T14:17:35-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .