CTR050520_Amendment_4_-_Fully_Executed.pdf

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Attached to
Master Agreement AZ|CTR050520
Contract number
CTR050520
Issued by
Arizona

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Written by GovTribe AI ·

This document is a Contract Amendment issued by the Arizona Department of Child Safety's Office of Procurement, located in Phoenix, Arizona. The amendment involves Mercy Care, with the contract number CTR050520 and is specifically identified as Amendment Number Four (4). The contract involves the State of Arizona and Mercy Care, with signatures from Lorry Bottrill, President & CEO of Mercy Care, and Jesse Atoigue, Deputy Chief Procurement Officer for the Arizona Department of Child Safety.

The contract amendment extends the existing agreement for a two-year period from July 1, 2023 through June 30, 2025. The amendment maintains all previous contract requirements, specifications, terms, and conditions, with no other changes noted. The document indicates that the amendment will be fully executed electronically through the state's approved e-procurement system, with both parties' digital signatures confirming their agreement to the contract extension.

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Contract Amendment State of Arizona Department of Child Safety

Office of Procurement 3003 N. Central St, 20th Fl.

Phoenix, AZ 85012 Contract #: CTR050520

Amendment #: Four (4)

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.

1 | P a g e

Pursuant to the Special Terms and Conditions, Section 9. Amendments, and the Uniform Terms and Conditions, Section 5.1. Amendments, the above referenced contract is extended for the time period of July 1, 2023 through June 30, 2025.

Mercy Care (Company Name)

Lorry Bottrill, President & CEO (Typed Name and Title)

(Signature)

(Date)

Arizona Department of Child Safety

Jesse Atoigue, Deputy Chief Procurement Officer (Typed Name and Title)

(Signature)

(Date)

Jesse Atoigue

Digitally signed by Jesse Atoigue Date: 2023.06.08 13:35:54 -07'00'

Lorry Bottrill (Jun 19, 2023 06:42 PDT) Lorry Bottrill

06/19/23 https://aetna.na1.adobesign.com/verifier?tx=CBJCHBCAABAAiT3E8ZIB3W27du0gtmFAfeNWjXYonVyH

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