CTR050592_ A3 executed.pdf

PDF 1015 KB Posted Jul 6, 2020

Attached to: Master Agreement AZ|CTR050592
Contract number: CTR050592
Issued by: Arizona

About this file

Written by GovTribe AI · Sep 24, 2025

This document is a Contract Amendment issued by the Arizona Department of Health Services' Office of Procurement for the Health Start Program. The amendment involves Adelante Healthcare, a non-profit healthcare organization incorporated in Arizona, and specifically relates to Contract No. CTR050592, Amendment No. Three (3). The contract is with the state of Arizona and involves the Health Start Program.

The amendment extends the existing contract for the fourth year through July 5, 2024, in accordance with the Special Terms and Conditions, Provision Three (3), which allows for Contract Extensions up to a Five (5) Year Maximum. All other provisions of the original contract remain unchanged. The document indicates that Adelante Healthcare is a domestic nonprofit corporation located in Phoenix, Arizona, with its principal office at 3033 N. Central Avenue, Suite 145, and is registered for federal assistance awards. The contract appears to be related to healthcare services, though the specific scope of services is not detailed in this amendment document.

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CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR050592 AMENDMENT NO.: THREE (3) PROCUREMENT OFFICER

PAUL EVANS

HEALTH START PROGRAM

Effective upon signature by both parties, it is mutually agreed that the Contract referenced in this Amendment Three (3) is amended as follows:

1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum, the Contract is extended for the fourth (4th) year through July 5, 2024.

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date

The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona

(To be filled out by Procurement Office)

Contractor Signature

Contractor Signature Date

Authorized Signatory’s Name and Title

ADELANTE HEALTHCARE

Contractor’s Name Procurement Officer Signature

Paul Evans

Digitally signed by Paul Evans Date: 2023.07.24 15:55:27 -07'00'

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File details come from the government source that posted it. Updated Sep 24, 2025.