CTR053477 A3 Rural Metro Ambulance executed.pdf

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR053477 AMENDMENT NO.: 3 PROCUREMENT OFFICER:

Ryan Garcia

Revised 04.29.2024

High Risk Perinatal Program (HRPP) Emergency Ground Transportation Services

Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:

1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions (5 Year Maximum), the Contract is hereby extended through June 30, 2025.

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date

The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona

(To be filled out by Procurement Office)

Contractor Signature

Contractor Signature Date

Authorized Signatory’s Name and Title

Rural Metro Ambulance

Contractor’s Name Procurement Officer Signature

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RURAL/METRO CORPORATION

Unique Entity ID

M9Q7NYN9CD67

CAGE / NCAGE

0Y9V6

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Apr 8, 2025

Physical Address

617 W Main ST

Mesa, Arizona 85201-7204

United States

Mailing Address

6501 S Fiddlers Green Circle

STE 100

Greenwood Village, Colorado 80111

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 04

State / Country of Incorporation

Arizona / United States

URL

www.amr.net

Registration Dates

Activation Date

Apr 17, 2024

Submission Date

Apr 8, 2024

Initial Registration Date

Oct 13, 2000

Entity Dates

Entity Start Date

Feb 2, 1948

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 (Not Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

For Profit Organization

Last updated by Edward Armijo on Apr 08, 2024 at 03:56 PM RURAL/METRO CORPORATION

Jun 28, 2024 09:53:13 PM GMT https://sam.gov/entity/M9Q7NYN9CD67/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

0Y9V6

Points of Contact

Electronic Business

John Hannon, Fire Chief 2029 S Arizona AVE

Yuma, Arizona 85364

United States

Alison Skinner 222 E Main ST

Mesa, Arizona 85201

United States

Government Business

John Hannon, Fire Chief 2029 S Arizona AVE

Yuma, Arizona 85364

United States

Alison Skinner 222 E Main ST

Mesa, Arizona 85201

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

621910

NAICS Title

Ambulance Services

Product and Service Codes

PSC PSC Name

V225 Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Ambulance

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Edward Armijo on Apr 08, 2024 at 03:56 PM RURAL/METRO CORPORATION

Jun 28, 2024 09:53:13 PM GMT https://sam.gov/entity/M9Q7NYN9CD67/coreData?status=null Page 2 of 2