CTR050606 A5.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR050606
- Contract number
- CTR050606
- Issued by
- Arizona
About this file
This is a Contract Amendment No. 5 for Contract No. CTR050606 issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The contract involves the Yuma County Public Health Services District, specifically for the Health Start Program. The amendment is signed by Diana Gomez, Chief Health Officer for Yuma County, and processed by the procurement officer Ryan Garcia.
The amendment extends the contract through July 5, 2025, and revises the Price Sheet with a total annual amount not to exceed $245,680.00. The budget breakdown includes allocations for Personnel ($137,436.00), ERE ($60,198.00), Professional and Outside Services ($2,250.00), Travel Expenses ($5,436.00), Occupancy ($6,400.00), Other Operating ($14,192.64), Capital Outlay ($0.00), and Indirect costs ($19,767.36). The contract allows for transfers between funded line items up to 10% of the total budget, with transfers exceeding this percentage requiring a formal amendment. Authorization for purchase of services will be made through Purchase Orders signed by an authorized agent.
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Gina Corwin
Digitally signed by Gina Corwin Date: 2024.06.18 15:09:46 -07'00'
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COUNTY OF YUMA
Unique Entity ID
EBFLDV1HMZP9
CAGE / NCAGE
4L3Z5
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Mar 1, 2025
Physical Address
310 Ash ST STE G
Wray, Colorado 80758-1850
United States
Mailing Address
310 Ash
Suite G
Wray, Colorado 80758
United States
Business Information
Doing Business as
SHERIFFS OFFICE
Division Name
(blank)
Division Number
(blank)
Congressional District
Colorado 04
State / Country of Incorporation
(blank) / (blank)
URL
(blank)
Registration Dates
Activation Date
Mar 5, 2024
Submission Date
Mar 1, 2024
Initial Registration Date
Nov 2, 2006
Entity Dates
Entity Start Date
Jan 1, 1889
Fiscal Year End Close Date
Dec 31
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 Stacy Zink on Mar 01, 2024 at 12:58 PM COUNTY OF YUMA
Apr 04, 2024 09:05:10 PM GMT https://sam.gov/entity/EBFLDV1HMZP9/coreData?status=null 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
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
4L3Z5
Points of Contact
Electronic Business
Stacy Zink, Office Manager 310 Ash ST
Suite G
Wray, Colorado 80758
United States
Todd Combs, Sheriff 310 Ash Street
Wray, Colorado 80758
United States
Government Business
Todd Combs, Sheriff 310 Ash Street
Wray, Colorado 80758
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 Stacy Zink on Mar 01, 2024 at 12:58 PM COUNTY OF YUMA
Apr 04, 2024 09:05:10 PM GMT https://sam.gov/entity/EBFLDV1HMZP9/coreData?status=null Page 2 of 2
File details come from the government source that posted it. Updated .