CTR050602_Contract_Amendment_Summary_2.pdf

PDF 1 MB Posted Jul 6, 2020

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

About this file

Written by GovTribe AI · Sep 18, 2025

This document is a Contract Amendment No. 2 for the Health Start Program issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The contract involves the Pima County Health Department as the contractor, specifically with Sharon Bronson serving as the Chair. The amendment is associated with Contract No. CTR050602 and is digitally signed by various officials including Mitchell Goldberg (Procurement Officer) and Christine Ruth.

The amendment extends the contract for the third (3rd) year through July 5, 2023, in accordance with the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum. The document confirms that all other provisions of the original contract shall remain in their entirety. The amendment was executed on June 9, 2022, with signatures from the Pima County Health Department, a Deputy County Attorney, and the Clerk of the Board of Supervisors for Pima County, Arizona. Additional supporting documents include a System for Award Management (SAM) registration for Pima County, which confirms the entity's active status and classification as a U.S. Local Government entity.

View the file

Other files

File	Type	Posted
2022-09-30 COI.pdf	PDF	Jul 6, 2020
2024.9.30 COI.pdf	PDF	Jul 6, 2020
CTR050602 A1.pdf	PDF	Jul 6, 2020
CTR050602 A2.pdf	PDF	Jul 6, 2020
CTR050602 A3.pdf	PDF	Jul 6, 2020
CTR050602 A6.pdf	PDF	Jul 6, 2020
Eval_Committee_Member_Statement_-_Health_Start_Program_-_Cristina_Ochoa.pdf	PDF	Jul 6, 2020
Evaluation_Committee_Member_Statement_4-17-2020_SR.pdf	PDF	Jul 6, 2020
Pima_County_s_Pricing.pdf	PDF	Jul 6, 2020
2021-06-30 COI.pdf	PDF	Jul 6, 2020
COI_Health_Start_100124-093025.pdf	PDF	Jul 6, 2020
CTR050602 A4 Pricing.pdf	PDF	Jul 6, 2020
CTR050602 A5.pdf	PDF	Jul 6, 2020
CTR050602 A6 Pricing.pdf	PDF	Jul 6, 2020
CTR050602 Memo to File executed.pdf	PDF	Jul 6, 2020
CTR050602_Health_Start_Program__A1_-_Pima_County__fully_executed_.pdf	PDF	Jul 6, 2020
Pima_SAM_check.pdf	PDF	Jul 6, 2020
2022-06-30 COI.pdf	PDF	Jul 6, 2020
Arizona_Corporation_Commission_-_Pima_County.pdf	PDF	Jul 6, 2020
Eval_Committee_Member_Statement_-_Health_Start_Program_-_Heidi_Christensen.pdf	PDF	Jul 6, 2020
OIG_Search_Results_-_Pima_County.pdf	PDF	Jul 6, 2020
Pima_County_Offer_and_Acceptance_Executed.pdf	PDF	Jul 6, 2020
2024.09.30 COI.pdf	PDF	Jul 6, 2020
COI_CTR050602_Health_Start_2020-21_Pima_County_Certificate_of_Self-Insurane.pdf	PDF	Jul 6, 2020
CTR050602 A4.pdf	PDF	Jul 6, 2020
CTR050602 Pricing A5 (2).pdf	PDF	Jul 6, 2020

Show all 26

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

9th June 22

Christine Ruth Digitally signed by Christine Ruth Date: 2022.06.09 11:58:26 -07'00'

PIMA COUNTY

Unique Entity ID

U8XUY58VDQS3

CAGE / NCAGE

3SPP4

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Jan 6, 2023

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

HEALTH DEPARTMENT

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

(blank) / (blank)

URL

(blank)

Registration Dates

Activation Date

Jan 10, 2022

Submission Date

Jan 6, 2022

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) 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?

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 Donald Gates on Jan 06, 2022 at 12:49 PM PIMA COUNTY 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

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

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

Past Performance

Rebecca Lee 32 N Stone

3RD 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 Donald Gates on Jan 06, 2022 at 12:49 PM PIMA COUNTY https://sam.gov/entity/U8XUY58VDQS3/coreData?status=Active Page 2 of 2

OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx[6/9/2022 12:27:20 PM]

Home FAQs FOIA Contact HEAT Download Reader

Home Exclusions

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:

Entities

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 6/9/2022 3:27:02 PM EST on OIG LEIE Exclusions database.

Source data updated on 5/10/2022 8:00:00 AM EST

Return to Search

An official website of the United States government. Here's how you know >

Advanced

About OIG Reports & Publications

Fraud Compliance Exclusions Newsroom Careers

About OIG

About Us

About the Inspector General

Organization Chart

Careers

Reports & Publications

All Reports & Publications

Related Links

Exclusions

Online Searchable Database

LEIE Downloadable Databases

Quick Tips

Exclusions Authorities

Monthly Supplement Archive

Applying for Reinstatement

Contact the Exclusions Program

Frequently Asked Questions

Special Advisory Bulletin

Newsroom

What's New

News Releases

Testimony & Speeches

Video

Accessibility Privacy Notice Disclaimers Guidance Practices HIPDB HHS.gov IGnet USA.gov Site Map

Reset https://oig.hhs.gov/fraud/report-fraud/index.asp https://oig.hhs.gov/ https://oig.hhs.gov/faqs/index.asp https://oig.hhs.gov/foia https://oig.hhs.gov/contact-us http://www.stopmedicarefraud.gov/ http://get.adobe.com/reader/ http://www.youtube.com/OIGatHHS https://oig.hhs.gov/ 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 http://twitter.com/OIGatHHS https://oig.hhs.gov/ https://oig.hhs.gov/search/index-advanced.asp https://www.hhs.gov/ https://oig.hhs.gov/about-oig/index.asp https://oig.hhs.gov/reports-and-publications/index.asp https://oig.hhs.gov/reports-and-publications/index.asp https://oig.hhs.gov/reports-and-publications/index.asp https://oig.hhs.gov/fraud https://oig.hhs.gov/fraud https://oig.hhs.gov/compliance https://oig.hhs.gov/compliance https://oig.hhs.gov/exclusions/index.asp https://oig.hhs.gov/exclusions/index.asp https://oig.hhs.gov/newsroom https://oig.hhs.gov/newsroom https://oig.hhs.gov/about-oig/careers/index.asp https://oig.hhs.gov/about-oig/careers/index.asp https://oig.hhs.gov/about-oig/about-us/index.asp https://oig.hhs.gov/about-oig/about-inspector-general/index.asp https://oig.hhs.gov/about-oig/about-inspector-general/index.asp https://oig.hhs.gov/about-oig/organization-chart/index.asp https://oig.hhs.gov/about-oig/careers/index.asp https://oig.hhs.gov/reports-and-publications/index.asp https://oig.hhs.gov/reports-and-publications/index.asp https://oig.hhs.gov/reports-and-publications/archives/index.asp https://oig.hhs.gov/fraud/report-fraud/index.asp https://oig.hhs.gov/fraud/medical-id-theft/index.asp https://oig.hhs.gov/fraud/medical-id-theft/index.asp https://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/index.asp https://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/index.asp https://oig.hhs.gov/fraud/enforcement/index.asp https://oig.hhs.gov/fraud/state-false-claims-act-reviews/index.asp https://oig.hhs.gov/fraud/state-false-claims-act-reviews/index.asp https://oig.hhs.gov/fraud/fugitives/index.asp https://oig.hhs.gov/compliance/accountable-care-organizations/index.asp https://oig.hhs.gov/compliance/accountable-care-organizations/index.asp https://oig.hhs.gov/compliance/advisory-opinions/index.asp https://oig.hhs.gov/compliance/compliance-guidance/index.asp https://oig.hhs.gov/compliance/corporate-integrity-agreements/index.asp https://oig.hhs.gov/compliance/corporate-integrity-agreements/index.asp https://oig.hhs.gov/compliance/open-letters/index.asp https://oig.hhs.gov/compliance/physician-education/index.asp https://oig.hhs.gov/compliance/provider-compliance-training/index.asp https://oig.hhs.gov/compliance/provider-compliance-training/index.asp https://oig.hhs.gov/compliance/rat-stats/index.asp https://oig.hhs.gov/compliance/safe-harbor-regulations/index.asp https://oig.hhs.gov/compliance/self-disclosure-info/index.asp https://oig.hhs.gov/compliance/self-disclosure-info/index.asp https://oig.hhs.gov/compliance/alerts/index.asp https://oig.hhs.gov/compliance/alerts/index.asp https://oig.hhs.gov/compliance/alerts/index.asp https://oig.hhs.gov/recovery-act-oversight/index.asp#accountability https://oig.hhs.gov/recovery-act-oversight/index.asp#audit https://oig.hhs.gov/recovery-act-oversight/index.asp#investigative https://oig.hhs.gov/recovery-act-oversight/index.asp#evaluation https://oig.hhs.gov/recovery-act-oversight/index.asp#whistleblower https://oig.hhs.gov/recovery-act-oversight/index.asp#related-links https://exclusions.oig.hhs.gov/ https://exclusions.oig.hhs.gov/ https://oig.hhs.gov/exclusions/exclusions_list.asp https://oig.hhs.gov/exclusions/exclusions_list.asp https://oig.hhs.gov/exclusions/tips.asp https://oig.hhs.gov/exclusions/authorities.asp https://oig.hhs.gov/exclusions/supplement_archive.asp https://oig.hhs.gov/exclusions/supplement_archive.asp https://oig.hhs.gov/exclusions/reinstatement.asp https://oig.hhs.gov/exclusions/reinstatement.asp https://oig.hhs.gov/contact-us/index.asp#exclusions https://oig.hhs.gov/contact-us/index.asp#exclusions https://oig.hhs.gov/faqs/exclusions-faq.asp https://oig.hhs.gov/faqs/exclusions-faq.asp https://oig.hhs.gov/exclusions/effects_of_exclusion.asp https://oig.hhs.gov/newsroom/whats-new/index.asp https://oig.hhs.gov/newsroom/news-releases/index.asp https://oig.hhs.gov/newsroom/testimony-and-speeches/index.asp https://oig.hhs.gov/newsroom/video/index.asp https://oig.hhs.gov/notices/accessibility.asp https://oig.hhs.gov/notices/privacy-notice.asp https://oig.hhs.gov/notices/disclaimers.asp https://oig.hhs.gov/notices/guidance.asp https://www.npdb-hipdb.hrsa.gov/ https://www.hhs.gov/ https://www.ignet.gov/ https://www.usa.gov/ https://oig.hhs.gov/sitemap.asp

OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx[6/9/2022 12:27:20 PM]

Arizona Corporation Commission https://ecorp.azcc.gov/EntitySearch/PublicSearch[6/9/2022 12:26:23 PM]

SEARCH CRITERIA

Entity Name: pima county - Entity Type:

Statutory Agent Name: N/A Entity Status:

Principal Name: N/A Name Type:

Entity Number: N/A Entity County:

Search Results

Entity ID Entity Name Entity Type Entity County

Agent Name Agent Type

Entity Status

P15861457 Devil's Claw PLLC Domestic Professional LLC

Maricopa Mark Schnizlein Alan

Statutory Agent

Active

05208359

GREATER TUCSON ECONOMIC

COUNCIL, INC.

Domestic Nonprofit Corporation

Pima

DUFF

HEARON

Statutory Agent

Inactive

00522050

MENTAL HEALTH ASSOCIATION

OF GREATER TUCSON

Domestic Nonprofit Corporation

Pima

C ELIZABETH

EDWARDS

Statutory Agent

Inactive

P15861457 MY ANGELS HOME ASSIST PLLC

Domestic Professional LLC

Maricopa Mark Schnizlein Alan

Statutory Agent

Inactive

P15861457 MY ANGELS, LLC

Domestic Professional LLC

Maricopa Mark Schnizlein Alan

Statutory Agent

Inactive

00560990

NICK C. HALL MEMORIAL

FOUNDATION, INC.

Domestic Nonprofit Corporation

Pima HENRY ZIPF Statutory Agent

Inactive

02225227 P. C. M. S. FOUNDATION, INC.

Domestic Nonprofit Corporation

Pima

GOWHER

JAMSHEDI

Statutory Agent

Inactive

05110800 PIMA CONSTRUCTION, INC.

Domestic For-Profit (Business) Corporation

Inactive

ACC

eCorp Search File FAQ https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=P15861457 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=05208359 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=05208359 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00522050 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00522050 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=P15861457 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=P15861457 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00560990 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00560990 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=02225227 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=05110800 http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://www.azcc.gov/ http://www.azcc.gov/ http://www.azcc.gov/ https://ecorp.azcc.gov/ https://ecorp.azcc.gov/EntitySearch/Index https://ecorp.azcc.gov/OnlineMenu/Index http://azcc.gov/corporations/faqs

< Previous ... 1 2 3 4 5 ... Next > Page 1 of 7, records 1 to 20 of 123 Go to Page

S9099386 Pima County Trade Name Active

00817451

PIMA COUNTY 4-H CLUB

LEADERS' ASSOCIATION, INC.

Domestic Nonprofit Corporation

Pima

HARTLEY E

NEWKIRK

Statutory Agent

Inactive

05097462

PIMA COUNTY ACADEMIC

DECATHLON ASSOCIATION

Domestic Nonprofit Corporation

Pima

LINDSAY

BREW

Statutory Agent

Inactive

L17580903

PIMA COUNTY ALTERNATIVE

MEDICINE CO LLC

Domestic LLC Pima

ANABEL

MORENO

Statutory Agent

Active

A2003890 Pima County Assets, LLC Domestic LLC Pima Jeff Wilhems Statutory Agent

Active

00522050

PIMA COUNTY ASSOCIATION FOR

MENTAL HEALTH, INC

Domestic Nonprofit Corporation

Pima

C ELIZABETH

EDWARDS

Statutory Agent

Inactive

00663369

PIMA COUNTY ASSOCIATION FOR

RETARDED CHILDREN, INC.

Unidentified Inactive

01194977

PIMA COUNTY ASSOCIATION FOR

RETARDED CITIZENS,

Domestic Nonprofit Corporation

Pima

MARTHA V.

BRIGHTWELL

Statutory Agent

Inactive

16609045

PIMA COUNTY ASSOCIATION OF

ACTIVE AND RETIRED

EMPLOYEES

Domestic Nonprofit Corporation

Pima

BRIAN

JOHNSON

Statutory Agent

Inactive

09633640

PIMA COUNTY ATTORNEY

INVESTIGATORS ASSOCIATION,

INC.

Domestic Nonprofit Corporation

Pima

CHARLES A

FOY

Statutory Agent

Inactive

16113120

PIMA COUNTY ATTORNEY'S

OFFICE NEIGHBORS FOR

JUSTICE

Domestic Nonprofit Corporation

Pima

PAUL A

LOUCKS

Statutory Agent

Active

00398847

PIMA COUNTY AUTOMOBILE

DEALERS ASSOCIATION

Domestic Nonprofit Corporation

Maricopa Joe Watson Statutory Agent

Active

Return to Search javascript:$xhtmlMain.paging(2) javascript:$xhtmlMain.paging(2) javascript:$xhtmlMain.paging(3) javascript:$xhtmlMain.paging(3) javascript:$xhtmlMain.paging(4) javascript:$xhtmlMain.paging(4) javascript:$xhtmlMain.paging(5) javascript:$xhtmlMain.paging(5) javascript:$xhtmlMain.paging(6) javascript:$xhtmlMain.paging(6) javascript:$xhtmlMain.paging(2) javascript:$xhtmlMain.paging(2) https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=S9099386 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00817451 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00817451 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=05097462 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=05097462 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=L17580903 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=L17580903 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=A2003890 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00522050 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00522050 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00663369 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00663369 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=01194977 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=01194977 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=16609045 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=16609045 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=16609045 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=09633640 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=09633640 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=09633640 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=16113120 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=16113120 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=16113120 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00398847 https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=00398847

CTR050602 - Health Start Program - Pima County - A2 - executed

SAM.gov

OIG Search Results

hhs.gov

OIG Search Results

Arizona Corporation Commission

azcc.gov

Arizona Corporation Commission

92L1NlYXJjaFJlc3VsdHMuYXNweAA=:

form1:

q: Report #, Topic, Keyword..

searchButton:

lTZWFyY2gvUHVibGljU2VhcmNoAA==:

form1:

SearchCriteria:

quickSearch:

BusinessName: Search for an Entity Name

button1:

txtCommonPageNo:

button0:

File details come from the government source that posted it. Updated Sep 18, 2025.