CTR053481 A2.pdf

PDF 804 KB Posted Jul 1, 2021

Attached to: Master Agreement AZ|CTR053481
Contract number: CTR053481
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 9, 2025

This document is a Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, for Contract No. CTR053481, Amendment No. 2. The contract involves Air Methods, a medical transportation service provider, for the High Risk Perinatal Program (HRPP) Transport Services. The amendment is signed by Procurement Officer Lucas Terry and includes a digital signature from Gina Corwin.

The amendment extends the existing contract through June 30, 2024, which represents the third year of the contract term. The extension is made pursuant to the Special Terms and Conditions, Provision Three, which allows for Contract Extensions with a maximum of 5 years. All other provisions of the original contract remain unchanged, and the amendment specifies that any changes will be reflected in red text. The document provides a framework for continuing the medical transport services for high-risk perinatal patients in Arizona.

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CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

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

CONTRACT NO.: CTR053481 AMENDMENT NO.: 2 Procurement Officer Lucas Terry

High Risk Perinatal Program (HRPP) Transport Services

Effective upon signature by both parties it is mutually agreed that the Contract referenced in this Amendment Two (2) 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, 2024, the third year of the Contract.

ALL CHANGES ARE REFLECTED IN RED

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

Air Methods

Contractor’s Name Procurement Officer Signature

Gina Corwin

Digitally signed by Gina Corwin Date:

2023.06.06 13:06:17 -07'00'

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