CTR053481_Contract_Amendment_Summary_1.pdf

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

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

CONTRACT NO.: CTR053481 AMENDMENT NO.: 1 Procurement Officer Mitchell Goldberg

High Risk Perinatal Program (HRPP) Emergency Air Transportation Services

Effective upon signature of both parties, it is mutually agreed that the Contract referenced in this amendment 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, 2023, the second year of the Contract.

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR INTIRETY

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 CORP

Contractor’s Name Procurement Officer Signature

Coooooooooooooonnnnnntnnnnnn ractor Signaturerererererererererererererererr

5/11/2022

Anthony Fleming, Vice President

11th May 22

Christine Ruth

Digitally signed by Christine Ruth Date: 2022.05.11 12:24:08 -07'00'

AIR METHODS CORPORATION

DUNS Unique Entity ID

108493503

SAM Unique Entity ID

P16DCFBH6FK5

CAGE / NCAGE

07QY8

Purpose of Registration

All Awards

Registration Status

Active

Expiration Date

Mar 17, 2023

Physical Address

5500 S Quebec ST STE 300

Greenwood Village, Colorado 80111-1926

United States

Mailing Address

5500 S. Quebec Street STE 300

Greenwood Village, Colorado 80111-1926

United States

Business Information

Doing Business as

UNITED ROTORCRAFT

Division Name

(blank)

Division Number

(blank)

Congressional District

Colorado 06

State / Country of Incorporation

Delaware / United States

URL

www.airmethods.com

Registration Dates

Activation Date

Mar 21, 2022

Submission Date

Mar 17, 2022

Initial Registration Date

Feb 15, 2002

Entity Dates

Entity Start Date

Feb 1, 1980

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

7VQN8

Legal Business Name

ASP AMC INTERMEDIATE HOLDINGS, INC.

Highest Level Owner

CAGE

7VQP8

Legal Business Name

AMERICAN SECURITIES LLC

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) 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 not displayed in SAM. They are sent to FAPIIS.gov for display as applicable. Maintaining an active registration in SAM 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

Manufacturer of Goods

Profit Structure

For Profit Organization

Last updated by Brian Stevens on Mar 17, 2022 at 11:52 AM AIR METHODS CORPORATION https://sam.gov/entity/108493503/coreData?status=Active 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

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

07QY8

Points of Contact

Electronic Business

Brian Stevens 5500 S Quebec ST, STE 300

Greenwood Village, Colorado 80111

United States

Letitia Harper 5500 S Quebec ST, STE 300

Greenwood Village, Colorado 80111

United States

Government Business

Brian Stevens 5500 S Quebec ST, STE 300

Greenwood Village, Colorado 80111

United States

Letitia Harper 5500 S Quebec ST, STE 300

Greenwood Village, Colorado 80111

United States

Past Performance

Brit McDermett 7301 S. Peoria ST.

Englewood, Colorado 80112

United States

Kurt Mueller 7301 S Peoria ST

Englewood, Colorado 80112

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

621910

NAICS Title

Ambulance Services

336390 Other Motor Vehicle Parts Manufacturing

336413 Other Aircraft Parts And Auxiliary Equipment Manufacturing

481211 Nonscheduled Chartered Passenger Air Transportation

541690 Other Scientific And Technical Consulting Services

541715 Research And Development In The Physical, Engineering, And Life

Sciences (Except Nanotechnology And Biotechnology)

541720 Research And Development In The Social Sciences And

Humanities

621999 All Other Miscellaneous Ambulatory Health Care Services

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Brian Stevens on Mar 17, 2022 at 11:52 AM AIR METHODS CORPORATION https://sam.gov/entity/108493503/coreData?status=Active Page 2 of 2

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