CTR050606 A3.pdf
PDF 785 KB Posted
- Attached to
- Master Agreement AZ|CTR050606
- Contract number
- CTR050606
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Health Services' Office of Procurement for the Yuma County Public Health Services District. The amendment pertains to Contract No. CTR050606, specifically Amendment No. Three (3) for the Health Start Program. The contract involves the Arizona Department of Health Services and Yuma County, with the amendment being digitally signed by the Procurement Officer and an authorized representative from Yuma County.
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), which allows for Contract Extensions with a Five (5) Year Maximum. The document does not specify detailed pricing or service specifics, but it indicates this is a continuation of an existing health-related contract between the state agency and the county public health services district. The amendment maintains all other existing provisions of the original contract, with no other changes noted beyond the extension of the contract term.
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Text version
Paul Evans
Digitally signed by Paul Evans Date: 2023.06.30 20:46:42 -07'00'
YUMA, COUNTY OF
Unique Entity ID
ELEWY4GC2FL9
CAGE / NCAGE
5EWA5
Purpose of Registration
All Awards
Registration Status
Active Registration
Expiration Date
Sep 20, 2023
Physical Address
198 South Main Street
Yuma, Arizona 85364-1424
United States
Mailing Address
198 S Main ST
Yuma, Arizona 85364-1424
United States
Business Information
Doing Business as
(blank)
Division Name
Administration
Division Number
(blank)
Congressional District
Arizona 03
State / Country of Incorporation
(blank) / (blank)
URL
http://www.yumacountyaz.gov
Registration Dates
Activation Date
Sep 30, 2022
Submission Date
Sep 20, 2022
Initial Registration Date
Apr 20, 2009
Entity Dates
Entity Start Date
Jan 1, 1864
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 Gil Villegas on Sep 20, 2022 at 11:34 AM YUMA, COUNTY OF
Jul 01, 2023 03:53:03 AM GMT https://sam.gov/entity/ELEWY4GC2FL9/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
5EWA5
Points of Contact
Electronic Business
Gilberto Villegas, Chief Financial Officer 198 S Main Street
Yuma, Arizona 85364
United States
Diana Veloz, Community Planner Mgr 198 South Main Street
Yuma, Arizona 85364
United States
Government Business
Ian McGaughey, Administrator 198 S Main Street
Yuma, Arizona 85364
United States
Past Performance
Diana Veloz, Community Planner Mgr 198 South Main Street
Yuma, Arizona 85364
United States
Elizabeth Canela, Grants Manager 198 S Main Street
3RD Floor
Yuma, Arizona 85364
United States
Service Classifications
NAICS Codes
Primary
Yes
NAICS Codes
921120
NAICS Title
Legislative Bodies
Disaster Response
Yes, this entity appears in the disaster response registry.
Yes, this entity require bonding to bid on contracts.
Bonding Levels Dollars
Construction Per Contract $5,000.00
States
Arizona
Counties
AZ: Yuma
Metropolitan Statistical Areas
AZ: Yuma
Last updated by Gil Villegas on Sep 20, 2022 at 11:34 AM YUMA, COUNTY OF
Jul 01, 2023 03:53:03 AM GMT https://sam.gov/entity/ELEWY4GC2FL9/coreData?status=Active Page 2 of 2
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| A# |
| EntityInformation-20230630-085259 |
| OIG Search Results |
| Arizona Corporations Commission |
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