CTR052593_Contract_Amendment_11.pdf
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- Attached to
- Master Agreement AZ|CTR052593
- Contract number
- CTR052593
- Issued by
- Arizona
About this file
This document is an Amendment (Number Eleven) to a contract between the Arizona Department of Economic Security and St. Mary's Food Bank Alliance for the Hunger Relief Program – Commodity Senior Food Program (CSFP). The contract specifically involves the state of Arizona and St. Mary's Food Bank Alliance, a non-profit organization based in Phoenix, Arizona with a corporate entity status and active registration.
The amendment extends the contract term from July 1, 2025 through September 30, 2025 and adds a new requirement for the contractor to maintain CSFP Recipient Organization data with Vivery.org. The data must include distribution site/agency name, distribution address, dates and times of CSFP distributions, and public contact information. All other terms, specifications, and conditions of the original contract remain unchanged. St. Mary's Food Bank Alliance will continue to operate as a hunger relief organization, with this amendment focused on enhancing data tracking and reporting for senior food program distribution sites.
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CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR052593 Eleven (11)
DESCRIPTION/ LABEL:
Hunger Relief Program – Commodity Senior Food Program (CSFP)
CONTRACTOR NAME: St. Mary’s Food Bank Alliance
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Special Terms and Conditions, Section 12., Contract Term and Option to Extend, the Contract term is extended from July 1, 2025 through September 30, 2025.
2. In accordance with the Uniform Terms and Conditions, Section 5., Contract Changes, the Scope of
Work is being revised as follows:
Scope of Work, Section 6.0 Contractor Requirements, Subsection 6.3.2 is added as follows:
6.3.2 Maintain CSFP Recipient Organization (aka distribution site or agency) data with Vivery.org.
CSFP distribution site/agency information must, at a minimum, include the distribution site/agency name, distribution address, dates and time of CSFP distributions(s), and public contact information.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
ST. MARY'S FOOD BANK ALLIANCE
Unique Entity ID
V297HKS8B811
CAGE / NCAGE
4F3R8
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Jan 13, 2026
Physical Address
2831 N 31ST AVE
Phoenix, Arizona 85009-1518
United States
Mailing Address
2831 N. 31ST AVE.
Phoenix, Arizona 85009-1518
United States
Business Information
Doing Business as
(blank)
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 03
State / Country of Incorporation
Arizona / United States
URL
http://www.STMARYSFOODBANK.ORG
Registration Dates
Activation Date
Jan 14, 2025
Submission Date
Jan 13, 2025
Initial Registration Date
Jun 3, 2006
Entity Dates
Entity Start Date
Jan 1, 1967
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
Corporate Entity (Tax Exempt)
Entity Type
Business or Organization
Organization Factors
(blank)
Profit Structure
Non-Profit Organization
Last updated by Tina Lyons on Jan 13, 2025 at 08:34 AM ST. MARY'S FOOD BANK ALLIANCE
Jun 24, 2025 05:10:36 PM GMT https://sam.gov/entity/V297HKS8B811/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.
Financial Information
Accepts Credit Card Payments
Yes
Debt Subject To Offset
No
EFT Indicator
CAGE Code
4F3R8
Points of Contact
Electronic Business
Accounts Receivable, A/R Associate
2831 N. 31ST AVE.
Phoenix, Arizona 85009
United States
Bianca Vargas, Accounting Manager 2831 N 31ST AVE
Phoenix, Arizona 85009
United States
Government Business
Tina Lyons, VP of Finance
2831 N. 31ST AVE.
Phoenix, Arizona 85009
United States
Tina Lyons, VP of Finance 2831 N. 31ST AVE.
Phoenix, Arizona 85009
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 Tina Lyons on Jan 13, 2025 at 08:34 AM ST. MARY'S FOOD BANK ALLIANCE
Jun 24, 2025 05:10:36 PM GMT https://sam.gov/entity/V297HKS8B811/coreData?status=null Page 2 of 2
| CTR052593 Contract Amendment 11.pdf |
| Debarment Checks.pdf |
| EntityInformation_20250624-101034.pdf |
| ACC.pdf |
| OIG.pdf |
| SPO.pdf |
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