CTR050598 A5.pdf

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Attached to
Master Agreement AZ|CTR050598
Contract number
CTR050598
Issued by
Arizona

About this file

This is a Contract Amendment No. 5 issued by the Arizona Department of Health Services, Office of Procurement, for a contract with Native Health, a non-profit organization located in Phoenix, Arizona. The amendment is for the Health Start Program and involves Contract No. CTR050598, with Ryan Garcia listed as the Procurement Officer.

The amendment extends the contract through July 5, 2025, and revises the Price Sheet with a total annual amount not to exceed $321,529.00. The budget includes allocations for Personnel ($183,700.00), ERE ($15,890.00), Professional and Outside Services ($18,100.00), Travel Expenses ($19,468.00), Occupancy ($3,120.00), Other Operating expenses ($47,221.09), Capital Outlay ($4,800.00), and Indirect costs at 10% ($29,229.91). The contract requires prior written approval from the Program Manager for budget transfers between funded line items, with transfers not to exceed 10% and transfers to non-funded line items requiring a formal amendment.

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6/21/2024 - Deanna Sangster, COO

Gina Corwin

Digitally signed by Gina Corwin Date:

2024.06.25 10:24:30 -07'00'

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NATIVE HEALTH

Unique Entity ID

MQGXUX1QMZL8

CAGE / NCAGE

494S5

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Dec 6, 2024

Physical Address

4041 N Central AVE Bldg C

Phoenix, Arizona 85012-3313

United States

Mailing Address

4041 N Central AVE Building C

Phoenix, Arizona 85012-3313

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Dec 11, 2023

Submission Date

Dec 7, 2023

Initial Registration Date

Jan 5, 2006

Entity Dates

Entity Start Date

Aug 30, 1978

Fiscal Year End Close Date

Sep 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

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by FRANCIE BROWN-SPENCER on Dec 07, 2023 at 03:32 PM NATIVE HEALTH

Jun 25, 2024 08:42:19 PM GMT https://sam.gov/entity/MQGXUX1QMZL8/coreData?status=null Page 1 of 3

Socio-Economic Types

Minority-Owned Business

Native American Owned

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.

Federally Recognized Native American Entity

American Indian Owned

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

494S5

Points of Contact

Electronic Business

Deanna Sangster, COO 4041 N Central Avenue

Building C

Phoenix, Arizona 85012

United States

WALTER Murillo 4041 N Central Avenue Building C

Building C

Phoenix, Arizona 85012

United States

Government Business

WALTER Murillo, CEO 4041 N Central Avenue

Building C

Phoenix, Arizona 85012

United States

Cody Nelson 4041 N Central Avenue Building C

Phoenix, Arizona 85012

United States

Past Performance

Deanna Sangster 4041 N Central Avenue Building C

Phoenix, Arizona 85012

United States

Francie Spencer 4041 N Central Avenue

Building C

Phoenix, Arizona 85012

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

621111

NAICS Title

Offices Of Physicians (Except Mental Health Specialists)

621210 Offices Of Dentists

621330 Offices Of Mental Health Practitioners (Except Physicians)

621420 Outpatient Mental Health And Substance Abuse Centers

Disaster Response

Yes, this entity appears in the disaster response registry.

No, this entity does not require bonding to bid on contracts.

Bonding Levels Dollars

Last updated by FRANCIE BROWN-SPENCER on Dec 07, 2023 at 03:32 PM NATIVE HEALTH https://sam.gov/entity/MQGXUX1QMZL8/coreData?status=null Page 2 of 3

(blank)

States

Arizona

Counties

AZ: Maricopa

Metropolitan Statistical Areas

AZ: Phoenix-Mesa

Last updated by FRANCIE BROWN-SPENCER on Dec 07, 2023 at 03:32 PM NATIVE HEALTH https://sam.gov/entity/MQGXUX1QMZL8/coreData?status=null Page 3 of 3

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