Contract_Extension.pdf

147 KB Posted

Attached to
Master Agreement AZ|CTR071423
Contract number
CTR071423
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a Contract Amendment issued by the State of Arizona's Department of Child Safety, located in Phoenix, Arizona. The amendment is associated with Contract #CTR071423 and is the sixth amendment to the original contract, involving two group home facilities: Amethyst and Jasper.

The contract extension covers residential sibling group homes for children aged 5-17, with each facility having a capacity of 10 beds and accommodating both male and female residents. The amendment extends the contract period from June 1, 2025, through May 31, 2026, maintaining all previous terms and conditions. The facilities are specified as "GH Residential-Siblings" with no changes to their operational structure, bed count, or age and gender specifications.

View the file

Other files

File Type Posted
ACORD_Form_20240212-121837_Redacted.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Contract_Amendment_2.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit IV - Medication Error Report.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
License_Amethyst_House_Redacted.pdf PDF
2-Attachment3D_Boycott_of_Israel_Redacted.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Exhibit XII Bed Hold.pdf PDF
2-Attachment_3E_Force_Labor_Redacted.pdf PDF
ACORD_Form_20250210-123924_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Contract_Amendment_3.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
Exhibit III - Medication Log.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit XI One on One Supervision.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
Business_Associate_Agreement_2024.pdf PDF
Congregate_Care_Services_Amendment_7.pdf PDF
Empowerment_Jasper_House_Satellite_Redacted.pdf PDF
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XV Discharge Summary.pdf PDF
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Lic.2025-2026.Epowerment.Amethyst.Amend.1.21.2025_Redacted.pdf PDF
Offer_and_Acceptance_Redacted.pdf PDF
Show all 40

On GovTribe

Work with this file

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

Text version

The file's text, extracted by GovTribe without its formatting.

Contract Amendment State of Arizona

Department of Child Safety Office of Procurement

3003 N. Central Ave, 20th Fl.

Phoenix, AZ 85012

Contract #: CTR071423

Amendment #: 6

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 Amethyst GH Residential-Siblings 5-17 M/F 10 Jasper GH Residential-Siblings 5-17 M/F 10

All other terms of the contract shall remain the same.

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