CTR053478 A4 fully executed.pdf

PDF 452 KB Posted Aug 18, 2021

Attached to: Master Agreement AZ|CTR053478
Contract number: CTR053478
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 9, 2025

The document is a Competition Impractical Contract Amendment from the Arizona Department of Health Services, Office of Procurement, concerning Contract No. CTR053478, Amendment No. 4 for the High Risk Perinatal Program (HRPP) Emergency Ground Transportation Services. The amendment involves Professional Medical Transport, Inc. (PMT), a domestic for-profit corporation based in Arizona, with its immediate owner being American Medical Response, Inc.

The amendment extends the existing contract through June 30, 2026, in accordance with the Special Terms and Conditions, Provision Three (3), Contract Extension (5 Year Maximum). The contract is for emergency ground transportation services specifically for the High Risk Perinatal Program. Professional Medical Transport, Inc. is registered in the System for Award Management (SAM) with an active status, primarily operating in the ambulance services sector (NAICS code 621910), and has been in business since June 1, 2011. The company is authorized for all awards and currently has no active exclusion records.

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Other files

File	Type	Posted
CTR053478 A3 Professional Medical Transport Executed.pdf	PDF	Aug 18, 2021
CTR053478_A2 executed with Debarment.pdf	PDF	Aug 18, 2021
CTR053478_Final_Contract_Professional_Medical_Transport__PMT__executed.pdf	PDF	Aug 18, 2021
CTR053478_Pricing.pdf	PDF	Aug 18, 2021
Procurement Requests - Assigned Officers.pdf	PDF	Aug 18, 2021
2022.03.31 COI.pdf	PDF	Aug 18, 2021
3.5.21 CI HRPP executed.pdf	PDF	Aug 18, 2021
CTR053478_Contract_Amendment_Summary_1 (1).pdf	PDF	Aug 18, 2021
HRPP_CI_Determination_6.26.23_executed (1) (1).pdf	PDF	Aug 18, 2021
2023-03-31 COI.pdf	PDF	Aug 18, 2021
2024-03-31 COI.pdf	PDF	Aug 18, 2021
CTR053478_Contract_Amendment_Summary_1.pdf	PDF	Aug 18, 2021
03.31.2025 COI.pdf	PDF	Aug 18, 2021
COI_-_Arizona_Department_of_Health_Services-Exp_3-31-2026.pdf	PDF	Aug 18, 2021

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PROFESSIONAL MEDICAL TRANSPORT, INC

Unique Entity ID

R63MNKT1WC45

CAGE / NCAGE

0ABT1

Purpose of Registration All Awards

Registration Status Active Registration

Expiration Date Dec 5, 2025

Physical Address 617 W Main ST Mesa, Arizona 85201-7204 United States

Mailing Address 6501 S. Fiddlers Green Circle Suite 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

(blank)

Registration Dates

Activation Date Dec 9, 2024

Submission Date Dec 5, 2024

Initial Registration Date Oct 2, 2014

Entity Dates

Entity Start Date Jun 1, 2011

Fiscal Year End Close Date Dec 31

Immediate Owner

CAGE

1NLW5

Legal Business Name

AMERICAN MEDICAL RESPONSE, INC.

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?

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 Aileen Daproza on Dec 05, 2024 at 04:13 PM PROFESSIONAL MEDICAL TRANSPORT, INC

May 09, 2025 09:32:28 PM GMT https://sam.gov/entity/R63MNKT1WC45/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

0ABT1

Points of Contact

Electronic Business

David Tantone, Regional Director 9299 W Olive AVE Peonia, Arizona 85345 United States

Government Business

Glenn Kasprzyk, VPO 9299 W Olive AVE Peonia, Arizona 85345 United States

Past Performance

Alison Skinner, Account Executive 222 E. Main ST Mesa, Arizona 85201 United States

Service Classifications

NAICS Codes

Primary Yes

NAICS Codes 621910

NAICS Title Ambulance Services

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Aileen Daproza on Dec 05, 2024 at 04:13 PM PROFESSIONAL MEDICAL TRANSPORT, INC

May 09, 2025 09:32:28 PM GMT https://sam.gov/entity/R63MNKT1WC45/coreData?status=null Page 2 of 2

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CTR053478 A4 fully executed

Entity Data Detailed Results

Arizona Corporation Commission

OIG Search Results

File details come from the government source that posted it. Updated Oct 9, 2025.