CTR050602 A3.pdf

2 MB Posted

Attached to
Master Agreement AZ|CTR050602
Contract number
CTR050602
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a Contract Amendment from the Arizona Department of Health Services, Office of Procurement, for the Health Start Program. The amendment involves Pima County Health Department as the contractor and is specifically Amendment Number Three (3) to an existing contract numbered CTR050602, located in Phoenix, Arizona. The amendment is signed by Adelita S. Grijalva, Chair of the Pima County Health Department, and approved by Paul Evans, the Procurement Officer.

The amendment extends the contract for the fourth (4th) year through July 5, 2024, in accordance with the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum. All other provisions of the original contract remain unchanged. The document includes verification of active registration for Pima County in the System for Award Management (SAM.gov), confirming the entity's eligibility for federal assistance awards, with an active registration status and expiration date of February 6, 2024. The contract appears to be for local government health services, though specific service details are not elaborated in the provided amendment document.

View the file

Other files

File Type Posted
2024.09.30 COI.pdf PDF
COI_CTR050602_Health_Start_2020-21_Pima_County_Certificate_of_Self-Insurane.pdf PDF
CTR050602 A4.pdf PDF
CTR050602 Pricing A5 (2).pdf PDF
CTR050602_Contract_Amendment_Summary_2.pdf PDF
2022-09-30 COI.pdf PDF
2024.9.30 COI.pdf PDF
CTR050602 A1.pdf PDF
CTR050602 A2.pdf PDF
CTR050602 A6.pdf PDF
Eval_Committee_Member_Statement_-_Health_Start_Program_-_Cristina_Ochoa.pdf PDF
Evaluation_Committee_Member_Statement_4-17-2020_SR.pdf PDF
Pima_County_s_Pricing.pdf PDF
2021-06-30 COI.pdf PDF
COI_Health_Start_100124-093025.pdf PDF
CTR050602 A4 Pricing.pdf PDF
CTR050602 A5.pdf PDF
CTR050602 A6 Pricing.pdf PDF
CTR050602 Memo to File executed.pdf PDF
CTR050602_Health_Start_Program__A1_-_Pima_County__fully_executed_.pdf PDF
Pima_SAM_check.pdf PDF
2022-06-30 COI.pdf PDF
Arizona_Corporation_Commission_-_Pima_County.pdf PDF
Eval_Committee_Member_Statement_-_Health_Start_Program_-_Heidi_Christensen.pdf PDF
OIG_Search_Results_-_Pima_County.pdf PDF
Pima_County_Offer_and_Acceptance_Executed.pdf PDF
Show all 26

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PIMA COUNTY

Unique Entity ID

U8XUY58VDQS3

CAGE / NCAGE

3SPP4

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Feb 6, 2024

Physical Address

3950 S Country Club RD

STE 100

Tucson, Arizona 85714-2056

United States

Mailing Address

3950 S Country Club RD

Tucson, Arizona 85714-2056

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

Feb 7, 2023

Submission Date

Feb 6, 2023

Initial Registration Date

Mar 18, 2004

Entity Dates

Entity Start Date

Jan 1, 1932

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 JEANNETTE MONTANO on Feb 06, 2023 at 10:33 AM PIMA COUNTY

Aug 30, 2023 05:41:13 PM GMT https://sam.gov/entity/U8XUY58VDQS3/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

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

3SPP4

Points of Contact

Electronic Business

Donald Gates 3950 S Country Club RD STE 100

Tucson, Arizona 85714

United States

Sharon Grant 3950 S Country Club RD STE. 100

Tucson, Arizona 85714

United States

Government Business

Regina Kelly 97 E. Congress ST. 1ST Floor

Tucson, Arizona 85701

United States

Jeannette Montano 97 E Congress ST. 1ST Floor

Tucson, Arizona 85701

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 JEANNETTE MONTANO on Feb 06, 2023 at 10:33 AM PIMA COUNTY

Aug 30, 2023 05:41:13 PM GMT https://sam.gov/entity/U8XUY58VDQS3/coreData?status=Active Page 2 of 2

8/30/23, 10:41 AM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.

Exclusions Search Results: Exclusions Search Results: EntitiesEntities

No Results were found for

Pima County

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

Search Again

Search conducted 8/30/2023 1:41:27 PM EST on OIG LEIE Exclusions database.

Source data updated on 8/10/2023 9:00:00 AM EST

Return to Search

An official website of the United States government. Here's how you know > https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

8/30/23, 10:43 AM Arizona Corporations Commission https://ecorp.azcc.gov/EntitySearch/Index 1/4

SEARCH CRITERIA

SEARCH RESULTS

Entity Name:

pima county

Entity Type:

All

Statutory Agent Name:

N/A

Entity Status:

All

Principal Name:

N/A

Name Type:

All

Entity Number:

N/A

Entity County:

All

Entity ID Entity Name Entity Type Entity County

Agent Name Agent Type

Entity Status

P15861457 Devil's Claw PLLC

(/BusinessSearch/BusinessInfo?

entityNumber=P15861457)

Domestic Professional

LLC

Maricopa Mark Schnizlein Alan

Statutory Agent

Active

05208359

GREATER TUCSON ECONOMIC

COUNCIL, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=05208359)

Domestic Nonprofit Corporation

Pima

DUFF

HEARON

Statutory Agent

Inactive

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=P15861457 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=05208359 http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/EntitySearch/Index 2/4

Entity ID Entity Name Entity Type Entity County

Agent Name Agent Type

Entity Status

00522050

MENTAL HEALTH ASSOCIATION

OF GREATER TUCSON

(/BusinessSearch/BusinessInfo?

entityNumber=00522050)

Domestic Nonprofit Corporation

Pima

C ELIZABETH

EDWARDS

Statutory Agent

Inactive

P15861457

MY ANGELS HOME ASSIST PLLC

(/BusinessSearch/BusinessInfo?

entityNumber=P15861457)

Domestic Professional

LLC

Maricopa Mark Schnizlein Alan

Statutory Agent

Inactive

P15861457

MY ANGELS, LLC

(/BusinessSearch/BusinessInfo?

entityNumber=P15861457)

Domestic Professional

LLC

Maricopa Mark Schnizlein Alan

Statutory Agent

Inactive

00560990

NICK C. HALL MEMORIAL

FOUNDATION, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=00560990)

Domestic Nonprofit Corporation

Pima HENRY ZIPF Statutory Agent

Inactive

02225227

P. C. M. S. FOUNDATION, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=02225227)

Domestic Nonprofit Corporation

Pima

GOWHER

JAMSHEDI

Statutory Agent

Inactive

05110800

PIMA CONSTRUCTION, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=05110800)

Domestic For-Profit (Business) Corporation

Inactive

S9099386 Pima County

(/BusinessSearch/BusinessInfo?

entityNumber=S9099386)

Trade Name Active

00817451

PIMA COUNTY 4-H CLUB

LEADERS' ASSOCIATION, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=00817451)

Domestic Nonprofit Corporation

Pima

HARTLEY E

NEWKIRK

Statutory Agent

Inactive

05097462

PIMA COUNTY ACADEMIC

DECATHLON ASSOCIATION

(/BusinessSearch/BusinessInfo?

entityNumber=05097462)

Domestic Nonprofit Corporation

Pima

LINDSAY

BREW

Statutory Agent

Inactive

L17580903

PIMA COUNTY ALTERNATIVE

MEDICINE CO LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L17580903)

Domestic

LLC

Pima

ANABEL

MORENO

Statutory Agent

Active

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00522050 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=P15861457 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=P15861457 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00560990 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=02225227 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=05110800 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=S9099386 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00817451 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=05097462 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L17580903 https://ecorp.azcc.gov/EntitySearch/Index 3/4

Entity ID Entity Name Entity Type Entity County

Agent Name Agent Type

Entity Status

23389214 Pima county archers LLC

(/BusinessSearch/BusinessInfo?

entityNumber=23389214)

Domestic

LLC

Pima

United States Corporation Agents, Inc.

Statutory Agent

Active

A2003890 Pima County Assets, LLC

(/BusinessSearch/BusinessInfo?

entityNumber=A2003890)

Domestic

LLC

Pima Jeff Wilhems Statutory Agent

Active

00522050

PIMA COUNTY ASSOCIATION FOR

MENTAL HEALTH, INC

(/BusinessSearch/BusinessInfo?

entityNumber=00522050)

Domestic Nonprofit Corporation

Pima

C ELIZABETH

EDWARDS

Statutory Agent

Inactive

00663369

PIMA COUNTY ASSOCIATION FOR

RETARDED CHILDREN, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=00663369)

Unidentified Inactive

01194977

PIMA COUNTY ASSOCIATION FOR

RETARDED CITIZENS,

(/BusinessSearch/BusinessInfo?

entityNumber=01194977)

Domestic Nonprofit Corporation

Pima

MARTHA V.

BRIGHTWELL

Statutory Agent

Inactive

16609045

PIMA COUNTY ASSOCIATION OF

ACTIVE AND RETIRED

EMPLOYEES

(/BusinessSearch/BusinessInfo?

entityNumber=16609045)

Domestic Nonprofit Corporation

Pima

BRIAN

JOHNSON

Statutory Agent

Inactive

09633640

PIMA COUNTY ATTORNEY

INVESTIGATORS ASSOCIATION,

INC.

(/BusinessSearch/BusinessInfo?

entityNumber=09633640)

Domestic Nonprofit Corporation

Pima

CHARLES A

FOY

Statutory Agent

Inactive

16113120

PIMA COUNTY ATTORNEY'S

OFFICE NEIGHBORS FOR

JUSTICE

(/BusinessSearch/BusinessInfo?

entityNumber=16113120)

Domestic Nonprofit Corporation

Pima

PAUL A

LOUCKS

Statutory Agent

Active

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=23389214 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=A2003890 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00522050 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00663369 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01194977 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=16609045 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=09633640 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=16113120 https://ecorp.azcc.gov/EntitySearch/Index 4/4

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2023-08-21T12:40:33-0700
Paul Evans

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