Contract_Amendment_5.pdf

PDF 179 KB Posted

Attached to
Master Agreement AZ|CTR064216
Contract number
CTR064216
Issued by
Arizona

About this file

This document is a Contract Amendment #5 for Contract #CTR064216 issued by the Arizona Department of Child Safety's Office of Procurement & Contracts, located in Phoenix, Arizona. The amendment is an official modification to an existing contract between the state agency and an unspecified contractor.

The amendment specifically removes Scope of Work Section 6.4, which previously required providing services throughout a selected Region as outlined in the Psychological and Counseling Services Form (Exhibit H). Simultaneously, Exhibit H itself is being removed from the contract. The effective date of this amendment is November 1, 2024, and all other terms and conditions of the original contract remain unchanged. While the specific details of the original psychological and counseling services are not provided, the amendment suggests a significant reduction or modification of service requirements.

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Exhibit B Progress Report CSO-1139A.doc DOC document
Exhibit C ADJC Service Providers Unusual-Significant Incident Report Protocol.pdf PDF
Exhibit H Clinical Family Assessment rev 10-23-15.doc DOC document
Exhibit I Quarterly Data Report.xlsx XLSX spreadsheet
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Contract_Amendment_2.docx DOCX document
Contract_Amendment_8.pdf PDF
Exhibit A J.K. Principles.pdf PDF
Exhibit E ADJC Verification of Juvenile Services-Clinical-Counseling.doc DOC document
Exhibit E Progress Report CSO-1139A.doc DOC document
Exhibit F ADCS Psychiatric and Psychological Services Invoice.xlsx XLSX spreadsheet
Amendment_3.pdf PDF
Amendment_4.pdf PDF
Attachment_2-D_Listing_of_Employees_and_Subcontractors__1___1__Redacted.pdf PDF
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Exhibit 1 Limited English Proficiency Policy.pdf PDF
Exhibit C DCS Unit Consult Log and Verification of Client Services-Clinical-Cnslg.doc DOC document
Exhibit I Therapeutic Versus Forensic Evaluations.pdf PDF
Exhibit K Psychological Assessment Behavioral Indicators.pdf PDF
Psychological___Counseling_SOW_Amendment_1.pdf PDF
Solicitation_Part_1.docx DOCX document
Amendment_1.pdf PDF
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Contract_Amendment_6.pdf PDF
Contract_Amendment_7.pdf PDF
Exhibit B DCS Significant Incident Report CSO-1151A.doc DOC document
Exhibit D DCS Counseling Consultation Services Invoice.xlsx XLSX spreadsheet
Exhibit H Psychological Assessment-Testing Instruments.doc.pdf PDF
Exhibit M ADJC Program Evaluation.pdf PDF
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Text version

Contract Amendment State of Arizona Department of Child Safety

Office of Procurement & Contracts 3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012 Contract #: CTR064216

Amendment #: 5

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 modify a section of the scope of work and remove an exhibit.

Pursuant to the Special Terms and Conditions and Uniform Terms and Conditions, Section 5. Contract Changes, Paragraph 5.1 Contract Amendments, the contract is amended as follows:

Scope of Work Section 6.4, Provide services throughout the Region as selected on Psychological and Counseling Services Form (Exhibit H), unless otherwise specified, is removed in its entirety.

Exhibit H, Psychological and Counseling Services Form, is removed from the contract

The effective date of this Amendment is November 1, 2024.

All other terms and conditions of the contract remain the same.

File details come from the government source that posted it. Updated .