Contract_Extension_2023.pdf

PDF 111 KB Posted

Attached to
Master Agreement AZ|CTR072825
Contract number
CTR072825
Issued by
Arizona

About this file

This is Contract Amendment Number 1 for the State of Arizona, executed by the Arizona Department of Administration and the Industrial Commission of Arizona, with Fair Health, Inc. as the contracted supplier. The contract is identified as CTR062093 and represents an extension of the original Master Service Agreement signed on September 13, 2022.

The amendment renews the contract for an additional one-year period, effective from September 13, 2023 through September 13, 2024. Fair Health, Inc. is retained to provide services for the development and annual review of the Workers' Compensation Fee Schedule for the Industrial Commission of Arizona. All other requirements, specifications, terms, and conditions from the original Master Service Agreement remain unchanged under this amendment.

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CTR062093Contract_Amendment_2.pdf PDF
CTR062093_Pricing.xlsx XLSX spreadsheet
CTR072825_ContractExtension_Amd3.pdf PDF
2023_11_30_COI.pdf PDF
2023_Jun_24_COI_O_E_Liability.pdf PDF
2022_Dec_07_COI_GL__AL.pdf PDF
CTR072825_Amd4_Adding_Dental.pdf PDF

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Text version

Contract Amendment Arizona Department of

Administration Industrial Commission of Arizona

800 W. Washington Street Phoenix, AZ 85007

CTR062093 Amendment #1 Extension

Available online at app.az.gov Page | 1

Workers’ Compensation Fee Schedule Development and Consulting Services

Fair Health, Inc.

This Contract Amendment Number 1 is to renew the contract for another year. Effective date of the Contract from September 13, 2023 to September 13, 2024 is hereby executed in accordance with the Special Terms and Conditions, Section 3, Contract Administration and Operation, paragraph 3.2, Contract Extensions.

RECITALS

The State and Supplier entered into that certain agreement title Master Service Agreement signed on September 13, 2022 pursuant to which Supplier is to provide services for the development and annual review of the Workers’ Compensation Fee Schedule for the Industrial Commission of Arizona.

ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED

https://app.az.gov/

Workers’ Compensation Fee Schedule Development and Consulting Services
Fair Health, Inc.
This Contract Amendment Number 1 is to renew the contract for another year. Effective date of the Contract from September 13, 2023 to September 13, 2024 is hereby executed in accordance with the Special Terms and Conditions, Section 3, Contract Admin...
RECITALS
The State and Supplier entered into that certain agreement title Master Service Agreement signed on September 13, 2022 pursuant to which Supplier is to provide services for the development and annual review of the Workers’ Compensation Fee Schedule fo...
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED

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