CTR050606_Contract_Amendment_Summary_2.pdf

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Attached to
Master Agreement AZ|CTR050606
Contract number
CTR050606
Issued by
Arizona

About this file

This document is a Contract Amendment No. 2 issued by the Arizona Department of Health Services, Office of Procurement located in Phoenix, Arizona. The contract (No. CTR050606) involves the Health Start Program and is with Yuma County Public Health Services District, a U.S. local government entity based in Yuma, Arizona with a unique entity ID of ELEWY4GC2FL9.

The amendment extends the contract for the third (3rd) year through July 5, 2023, pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum. The document indicates this is part of a multi-year contract with predetermined extension provisions. While specific service details are not explicitly outlined in the amendment, it appears to be related to public health services provided by Yuma County. The contract amendment was signed on 4/29/22 by the Chief Health Officer and digitally processed on 5/10/22 by the procurement office, with all other provisions of the original contract remaining unchanged.

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Text version

10th May 22

Christine Ruth Digitally signed by Christine Ruth Date: 2022.05.10 08:36:14 -07'00'

YUMA, COUNTY OF

Unique Entity ID

ELEWY4GC2FL9

CAGE / NCAGE

5EWA5

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Jul 22, 2022

Physical Address

198 S Main ST

Yuma, Arizona 85364-1424

United States

Mailing Address

198 S Main ST

Yuma, Arizona 85364-1424

United States

Business Information

Doing Business as

Yuma County

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

Jul 24, 2021

Submission Date

Jul 22, 2021

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) 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?

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 Jul 22, 2021 at 07:27 PM YUMA, COUNTY OF 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

Nancy Ngai, Administration, Grants 198 S Main Street

Yuma, Arizona 85364

United States

Government Business

Susan K. Thorpe, Administrator 198 S Main Street

Yuma, Arizona 85364

United States

Past Performance

Tony Struck, Director, Budget 198 S Main Street

Yuma, Arizona 85364

United States

MaryJo McIntyre, 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 Jul 22, 2021 at 07:27 PM YUMA, COUNTY OF https://sam.gov/entity/ELEWY4GC2FL9/coreData?status=Active Page 2 of 2

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CTR050606 - Health Start Prog - Yuma County -A2 executed
SAM.gov (18)
OIG Search Results
Arizona Corporation Commission

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