Contract_Amendment_3.pdf
PDF 138 KB Posted
- Attached to
- Master Agreement AZ|CTR071425
- Contract number
- CTR071425
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the State of Arizona's Department of Child Safety, Office of Procurement, located in Phoenix, Arizona. The amendment is for Contract #CTR071425 and is the third amendment to the original contract. The primary contractor is Firm Foundation Youth Homes Inc, which is requesting a change to its Arizona W-9 Entity address for the purposes of 1099 reporting and administrative record-keeping.
The amendment specifically focuses on updating the contractor's main address, with an effective date of March 13, 2025. While the document does not provide details about the specific goods or services under the original contract, it indicates that all other contract requirements, specifications, terms, and conditions remain unchanged. The amendment will be fully executed through the state's e-procurement system, requiring approval from an authorized representative of the contractor and the Procurement Officer or delegate.
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Text version
Contract Amendment State of Arizona Department of Child Safety
Office of Procurement 3003 N. Central St, 20th Fl.
Phoenix, AZ 85012
Contract #: CTR071425
Amendment #: 3
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED
This amendment shall be fully executed upon the approval electronically in the state approved e-procurement system by an authorized representative of the Contractor and applied to the contract within the e-procurement system by the Procurement Officer or delegate.
The purpose of this amendment is to change the Arizona W-9 Entity address on the contract.
Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, Paragraph 5.1, Amendments, and the Special Terms and Conditions, Section 9, Amendments Firm Foundation Youth Homes Inc has requested to change their Arizona W-9 Main Address for the purpose of their 1099’s and Administrative office address change.
Attached is the updated Arizona W-9 Form.
Effective date of the change is March 13, 2025
File details come from the government source that posted it. Updated .