CTR050594_Health_Start_Program_Cochise_County_A2_FullyExecuted.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR050594
- Contract number
- CTR050594
- Issued by
- Arizona
About this file
This document is a Contract Amendment (Amendment No. 2) issued by the Arizona Department of Health Services, Office of Procurement, for the Health Start Program. The contract involves Cochise County - Health and Social Services as the contractor, with Diana Landeros listed as the Procurement Officer. The amendment extends the existing contract through July 5, 2023, which represents the third year of a potential five-year maximum contract extension period.
The amendment includes a detailed Price Sheet outlining various required and optional health services with associated unit rates. Required services include data preparation, client enrollments, prenatal and family follow-up visits, multiple-child visits, screenings, assessments, consultations, and training. The total annual contract amount is $353,000, broken down into $349,650 for required services and $3,350 for optional services. Unit rates range from $35 to $300 per unit, with frequencies varying by service type. The pricing covers a contract period from July 1, 2022 to June 30, 2023, and reflects specific allocations between Health Start funding lines and other funding sources.
View the file
Other files
Show all 28
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
Jacqueline S.
Ortega-Avila
Digitally signed by Jacqueline S. Ortega-Avila Date: 2022.06.24 19:04:55 -07'00'
$����������������!�������������%����&������������'����������(���&��� ��)�*������������������������+�))������������������,��������%�&,���������%�&,�����-��! ��� !�" ./01234563�789:0;�<8321=3>�./01234563�789:0;�<8321=3>�.6=4=483.6=4=483��?����������%����)���+�)��@
A?BC�
D�@ @E��'�FG�HI�JKLMNOL�PJK�GIMHQR�OSTL�THQTUTQMPN�IJ�KHOTOV�WTG�TO�TL�PH�KHOTOV�LKPJXSY�TL�HIO�XMJJKHONV�KZXNMQKQ[�\JTHO�OSTL�]K̂�_P̀K�GIJ�VIMJQIXMaKHOPOTIH��������!�������������+����+�������b���#�� �#��c��'�B���� ���d'�'�'����������+���&��� ���������+������+���+������#b��b���e�bb�bb����'�B����������������
����))������%�&������)�����A����+��������!�"���,��� �E���f����%�*���g��%�h
+,-.&(�/0 123456�7892:;<=>?�@=?>ABCDEF�GEHFIJ�IFKDEFKH�KCDL�MNO�LP�DJE�QERLS�GEHFIJ�PKERTG�UFEVWKFETXYZ[\]\8�̂3_2:à̀bcd;�̀aefgh1\3\i\j48�kl2[\�̂3_2:m4][5]93n�̂3_2:Z[\]\8�op:qKRDEF�DJE�HQLrE�GEHFIJ�Qs�LCE�LF�tLFE�LP�DJE�QERLS�PKERTGYZ[\]\8�7892:uvvZ[\]\8�1\3\iw:uvv3̂_2�7892:uvvxji[\8:uvv yz{|=>}�y~v{>}��A??����=�>>��~|��z{|=>}��~v{>}����̀~�?=>?�e���A??����=�>>��~|�>~z�~z=?{~���>~z�~z=?{~��>~�?=>?��
$%&'() �*&+%�,-&./&0./.12�3)%(4 �5%6%1
7'.-&(2�78/.(2�9)11:;<<&=((>?8-<:'.-&(2@:8/.(2A�B�38C1&(1�D6�9)11:;<<&=((>?8-<(8':8'&1.8C6<(8':8'&1.8C@(8C1&(16A
EF�GHIJKL�JHGMNOG�PHJH�QFMRSTU
COCHISE, COUNTY OF
Unique Entity ID
HKFEJEM7EL88
CAGE / NCAGE
38DF8
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Mar 10, 2023
Physical Address
1415 W Melody LN # A
Bisbee, Arizona 85603-3027
United States
Mailing Address
1415 Melody Lane
Building A
Bisbee, Arizona 85603
United States
Business Information
Doing Business as
Housing Authority of Cochise County
Division Name
Housing Authority Of Cochise County
Division Number
(blank)
Congressional District
Arizona 02
State / Country of Incorporation
(blank) / (blank)
URL
http://www.cochise.az.gov
Registration Dates
Activation Date
Mar 14, 2022
Submission Date
Mar 10, 2022
Initial Registration Date
Apr 6, 2005
Entity Dates
Entity Start Date
Jul 1, 2002
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) 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 not displayed in SAM. They are sent to FAPIIS.gov for display as applicable. Maintaining an active registration in SAM 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 Lisa Marra on Mar 10, 2022 at 06:58 PM COCHISE, COUNTY OF https://sam.gov/entity/HKFEJEM7EL88/coreData?status=Active 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
Other Government Entities
Housing Authorities Public/Tribal
Financial Information
Accepts Credit Card Payments
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
38DF8
Points of Contact
Electronic Business
Lisa Marra 1415 Melody Lane Bldg E
Bisbee, Arizona 85603
United States
Government Business
Sharon L Gilman, Associate County
Administrator
1415 Melody Lane
Bisbee, Arizona 85603
United States
Service Classifications
NAICS Codes
Primary NAICS Codes NAICS Title
Disaster Response
This entity does not appear in the disaster response registry.
Last updated by Lisa Marra on Mar 10, 2022 at 06:58 PM COCHISE, COUNTY OF https://sam.gov/entity/HKFEJEM7EL88/coreData?status=Active Page 2 of 2
| CtR050594 Amendment 2 Health Start Program A2 Executed.pdf |
| OIG Search Results.pdf |
| Arizona Corporation Commission.pdf |
| EntityInformation-20220627-094654 |
File details come from the government source that posted it. Updated .