CTR053481 A2 executed With Debarment Checks.pdf

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

About this file

The document is a Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, for Contract No. CTR053481 with Air Methods, a medical transportation service provider. The amendment pertains to the High Risk Perinatal Program (HRPP) Transport Services contract and is signed by Procurement Officer Lucas Terry and authorized signatory Gina Corwin.

The amendment extends the existing contract through June 30, 2024, which represents the third year of the contract term, in accordance with the Special Terms and Conditions, Provision Three (3), Contract Extensions clause. The contract allows for a maximum five-year extension period, and this amendment continues the agreement for High Risk Perinatal Program transport services. No specific pricing details or service modifications are outlined in this amendment, which appears to be a standard administrative extension of the existing contractual arrangement.

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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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