Contract_Extension.pdf

PDF 146 KB Posted

Attached to
Master Agreement AZ|CTR071425
Contract number
CTR071425
Issued by
Arizona

About this file

This document is a Contract Amendment (#5) issued by the State of Arizona's Department of Child Safety, located in Phoenix, Arizona. The amendment pertains to Contract #CTR071425, which involves Gigi's Cottage, a residential care facility.

The amendment extends the existing contract for a one-year period from June 1, 2025, through May 31, 2026. The contract specifies a residential group home (GH) facility for females aged 9-17, with a capacity of 8 beds. All other terms and conditions of the original contract remain unchanged, and the amendment will be executed electronically through the state's e-procurement system.

View the file

Other files

File Type Posted
2-Attachment_3-D_-_Boycott_of_Israel_Disclosure_Redacted.pdf PDF
2-Attachment_3-E_-_Forced_Labor_Ban_Redacted.pdf PDF
BAA_FFYH.pdf PDF
COI_General_Liability___Automobile_Redacted.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Exhibit XVI Facility Modification Request.pdf PDF
FFYH_Updated_W-9__2025_Redacted.pdf PDF
Offer_and_Acceptance_Redacted.pdf PDF
COI_2024-2025_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Contract_Amendment_2.pdf PDF
Contract_Amendment_3.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
Exhibit IV - Medication Error Report.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Workers_Comp_2024_Redacted.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Exhibit III - Medication Log.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XV Discharge Summary.pdf PDF
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
Waiver_of_Subrogation_for_Workers_s_Comp.pdf PDF
COI_Worker_s_Comp_Redacted.pdf PDF
Congregate_Care_Services_Amendment_6.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Exhibit XI One on One Supervision.pdf PDF
Exhibit XII Bed Hold.pdf PDF
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
Show all 41

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Contract Amendment State of Arizona

Department of Child Safety Office of Procurement

3003 N. Central Ave, 20th Fl.

Phoenix, AZ 85012

Contract #: CTR071425

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 extend the contract.

Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, Paragraph 5.1, Amendments and the Special Terms and Conditions, Section 5, Contract Changes, Paragraph 5.1 Amendments, the contract is extended for the time period of June 1, 2025 through May 31, 2026.

Below is the structure of the contracted capacity:

Facility Chart Specialty Ages Gender Beds Gigi’s Cottage GH Residential 9-17 F 8

All other terms of the contract shall remain the same.

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