CTR050598 A5.pdf
PDF 909 KB Posted
- 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 .