CTR053486 A4 fully executed.pdf

PDF 490 KB Posted Jul 1, 2021

Attached to: Master Agreement AZ|CTR053486
Contract number: CTR053486
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 9, 2025

This is a Contract Amendment No. 4 for the High Risk Perinatal Program (HRPP) Emergency Ground Transportation Services issued by the Arizona Department of Health Services, Office of Procurement. The contract (CTR053486) is with Southwest Ambulance of Tucson, Inc., a corporate entity registered in Arizona and part of the American Medical Response, Inc. corporate family.

The amendment extends the existing contract through June 30, 2026, which represents the maximum 5-year contract extension as specified in the Special Terms and Conditions, Provision Three (3). Southwest Ambulance of Tucson will continue to provide emergency ground transportation services for the High Risk Perinatal Program during this extended period. The amendment maintains all other existing contract provisions in their entirety, with the sole modification being the contract term extension.

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Other files

File	Type	Posted
2022.03.31 COI.pdf	PDF	Jul 1, 2021
CTR053486 A2 SW Ambulance of Tucson executed with Debarment.pdf	PDF	Jul 1, 2021
03.31.2025 COI.pdf	PDF	Jul 1, 2021
2023-03-31.pdf	PDF	Jul 1, 2021
2024-03-31 COI.pdf	PDF	Jul 1, 2021
CTR053486_Final_Contract_Southwest_Ambulance_executed.pdf	PDF	Jul 1, 2021
HRPP_CI_Determination_6.26.23_executed (1) (1).pdf	PDF	Jul 1, 2021
COI_-_Arizona_Department_of_Health_Services-Exp_3-31-2026.pdf	PDF	Jul 1, 2021
CTR053486 A3 Executed.pdf	PDF	Jul 1, 2021
Procurement Requests - Assigned Officers.pdf	PDF	Jul 1, 2021
3.5.21 CI HRPP executed.pdf	PDF	Jul 1, 2021
CTR053486_Contract_Amendment_Summary_1.pdf	PDF	Jul 1, 2021
CTR053486_Pricing.pdf	PDF	Jul 1, 2021

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SOUTHWEST AMBULANCE OF SOUTHEASTERN

ARIZONA, INC.

Unique Entity ID

GLZYXAVXD2E4

CAGE / NCAGE

99V07

Purpose of Registration All Awards

Registration Status Active Registration

Expiration Date Mar 25, 2026

Physical Address 9221 E Via Ventura Scottsdale, Arizona 85258 United States

Mailing Address 6501 S Fiddlers Green CIR, #100 Greenwood Village, Colorado 80111 United States

Business Information

Doing Business as (blank)

Division Name (blank)

Division Number (blank)

Congressional District Arizona 01

State / Country of Incorporation Arizona / United States

URL

(blank)

Registration Dates

Activation Date Mar 27, 2025

Submission Date Mar 25, 2025

Initial Registration Date Mar 9, 2022

Entity Dates

Entity Start Date Oct 1, 2009

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)

Last updated by Aileen Daproza on Mar 25, 2025 at 01:45 PM SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA, INC.

May 01, 2025 04:21:36 PM GMT https://sam.gov/entity/GLZYXAVXD2E4/coreData?status=null Page 1 of 2

Profit Structure For Profit Organization

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 99V07

Points of Contact

Electronic Business

Edward Armijo

1524 W. 14TH ST

Tempe, Arizona 85281 United States

Government Business

Glenn Kasprzyk

1524 W. 14TH ST

Tempe, Arizona 85281 United States

Service Classifications

NAICS Codes

Primary Yes

NAICS Codes 621910

NAICS Title Ambulance Services

Disaster Response

Yes, this entity appears in the disaster response registry.

Bonding Levels Dollars

(blank) (blank)

States Any

Counties (blank)

Metropolitan Statistical Areas (blank)

Last updated by Aileen Daproza on Mar 25, 2025 at 01:45 PM SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA, INC.

May 01, 2025 04:21:36 PM GMT https://sam.gov/entity/GLZYXAVXD2E4/coreData?status=null Page 2 of 2

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CTR053486 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.