CTR050594 Amendment 4 executed pdf save.pdf
PDF 470 KB Posted
- Attached to
- Master Agreement AZ|CTR050594
- Contract number
- CTR050594
- Issued by
- Arizona
About this file
This document is a Contract Amendment (Amendment Four) issued by the Arizona Department of Health Services, Office of Procurement, for the Cochise County Health Department's Health Start Program. The contract is identified by number CTR050594 and involves Cochise County – Health and Social Services as the contractor, with Lucas Terry serving as the Procurement Officer.
The amendment revises the Price Sheet for State Fiscal Year 2024 (July 1, 2023 - June 30, 2024), establishing a total contract budget of $353,000.00. The budget breakdown includes $216,500.00 for Personnel, $85,575.00 for ERE (Employer Related Expenses), $4,000.00 for Professional & Outside Services, $12,500.00 for In-State Travel Expenses, and $8,825.00 for Indirect costs (at 2.5%). The contractor is authorized to transfer up to 10% between funded line items with prior written approval from the Program Manager. Purchase of services under this contract requires an official ADHS Purchase Order signed by an authorized agent, which will specify the contract number and authorized dollar amount.
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Gina Corwin
Digitally signed by Gina Corwin Date:
2024.01.11 11:03:05 -07'00'
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COUNTY OF COCHISE
Unique Entity ID
MQG3Z7J3M8T3
CAGE / NCAGE
3FLA1
Purpose of Registration
All Awards
Registration Status
Active Registration
Expiration Date
Dec 18, 2024
Physical Address
205 N Judd DR
Bisbee, Arizona 85603-1045
United States
Mailing Address
1415 Melody LANE, Bldg G
Bisbee, Arizona 85603
United States
Business Information
Doing Business as
(blank)
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 07
State / Country of Incorporation
(blank) / (blank)
URL
(blank)
Registration Dates
Activation Date
Dec 20, 2023
Submission Date
Dec 19, 2023
Initial Registration Date
May 21, 2003
Entity Dates
Entity Start Date
Jan 1, 1994
Fiscal Year End Close Date
Jun 30
Immediate Owner
CAGE
(blank)
Legal Business Name
(blank)
Highest Level Owner
CAGE
(blank)
Legal Business Name
(blank)
Executive Compensation
Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of
P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.
Proceedings Questions
Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.
Exclusion Summary
Active Exclusions Records?
No
SAM Search Authorization
I authorize my entity's non-sensitive information to be displayed in SAM public search results:
Yes
Entity Types
Business Types
Entity Structure
U.S. Government Entity
Entity Type
US Local Government
Organization Factors
(blank)
Profit Structure
(blank)
Last updated by John Boswell on Dec 19, 2023 at 12:45 PM COUNTY OF COCHISE
Feb 06, 2024 05:49:20 PM GMT https://sam.gov/entity/MQG3Z7J3M8T3/coreData?status=null Page 1 of 2
Socio-Economic Types
Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the
SBA supplemental pages during registration.
Government Types
U.S. Local Government
County
Financial Information
Accepts Credit Card Payments
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
3FLA1
Points of Contact
Electronic Business
John Boswell, Grants Administrator 1415 Melody Lane
Bisbee, Arizona 85603
United States
Tom Alinen, Commander 205 N. Judd Drive
Bisbee, Arizona 85603
United States
Government Business
Sharon L Gilman, Deputy County Administrator 1415 Melody LANE, Bldg G
Bisbee, Arizona 85603
United States
Past Performance
Lisa Marra, Director of Elections 1415 Melody Lane Bldg E
Bisbee, Arizona 85603
United States
Service Classifications
NAICS Codes
Primary
Yes
NAICS Codes
922120
NAICS Title
Police Protection
922140 Correctional Institutions
Disaster Response
This entity does not appear in the disaster response registry.
Last updated by John Boswell on Dec 19, 2023 at 12:45 PM COUNTY OF COCHISE
Feb 06, 2024 05:49:20 PM GMT https://sam.gov/entity/MQG3Z7J3M8T3/coreData?status=null Page 2 of 2
File details come from the government source that posted it. Updated .