CTR052634_Contract_Amendment_17.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR052634
- Contract number
- CTR052634
- Issued by
- Arizona
About this file
This document is a Contract Amendment for the Arizona Department of Economic Security, specifically Amendment Number Seventeen (17) to Contract Number CTR052634. The contract involves the United Food Bank and pertains to the Hunger Relief Program, specifically The Emergency Food Assistance Program (TEFAP). The amendment is issued by the Arizona Department of Economic Security, located in Phoenix, Arizona.
The amendment extends the contract term from July 1, 2025 through September 30, 2025, and adds a new requirement for the contractor. Specifically, United Food Bank must now maintain TEFAP Recipient Organization data with Vivery.org, including distribution site/agency name, distribution address, dates and times of distributions, and public contact information. All other terms, specifications, and conditions of the original contract remain unchanged. The amendment will be executed through electronic approval in an application system referred to as APP.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR052634 Seventeen (17)
DESCRIPTION/ LABEL:
Hunger Relief Program – The Emergency Food Assistance Program (TEFAP)
CONTRACTOR NAME: United Food Bank
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Special Terms and Conditions, Section 12., Contract Term & 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:
6.4.2 Maintain TEFAP Recipient Organization (aka distribution site or agency) data with
Vivery.org. TEFAP distribution site/agency information must, at a minimum, include the distribution site/agency name, distribution address, dates and time of TEFAP 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.
THE UNITED FOOD BANK, INC
Unique Entity ID
DWXVJD5F6W74
CAGE / NCAGE
(blank)
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Dec 16, 2025
Physical Address
245 S Nina DR
Mesa, Arizona 85210-8490
United States
Mailing Address
245 S Nina DR
Mesa, Arizona 85210-8490
United States
Business Information
Doing Business as
(blank)
Division Name
The United Food Bank
Division Number
(blank)
Congressional District
Arizona 04
State / Country of Incorporation
Arizona / United States
URL
www.unitedfoodbank.org
Registration Dates
Activation Date
Dec 18, 2024
Submission Date
Dec 16, 2024
Initial Registration Date
Jan 13, 2022
Entity Dates
Entity Start Date
Jan 1, 1985
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 Felicia Houston on Dec 16, 2024 at 11:35 AM THE UNITED FOOD BANK, INC
Jun 24, 2025 05:25:38 PM GMT https://sam.gov/entity/DWXVJD5F6W74/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
(blank)
Points of Contact
Electronic Business
Felicia Houston, CFO 245 S Nina DR
Mesa, Arizona 85210
United States
Jason Reed, President 245 S Nina DR
Mesa, Arizona 85210
United States
Government Business
Felicia Houston, CFO 245 S Nina DR
Mesa, Arizona 85210
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 Felicia Houston on Dec 16, 2024 at 11:35 AM THE UNITED FOOD BANK, INC
Jun 24, 2025 05:25:38 PM GMT https://sam.gov/entity/DWXVJD5F6W74/coreData?status=null Page 2 of 2
| CTR052634 Contract Amendment 17.pdf |
| Debarment Checks.pdf |
| EntityInformation_20250624-102536.pdf |
| ACC.pdf |
| SPO.pdf |
File details come from the government source that posted it. Updated .