CTR053771_Contract_Amendment_16.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR053771
- Contract number
- CTR053771
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security for Contract Number CTR053771, Amendment Number Sixteen (16), involving the Yuma Community Food Bank for the Hunger Relief Program – The Emergency Food Assistance Program (TEFAP). The amendment modifies an existing contract between the state agency and the food bank, with the primary purpose of extending the contract term and updating the scope of work.
The amendment extends the contract term from July 1, 2025, through September 30, 2025, and adds a new requirement for the contractor to maintain TEFAP Recipient Organization data with Vivery.org. The updated scope of work mandates that the food bank maintain distribution site/agency information, including the site name, distribution address, dates and times of TEFAP distributions, and public contact information. All other contract requirements, specifications, and terms remain unchanged. The amendment will be executed through electronic approval in the APP system.
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR053771 Sixteen (16)
DESCRIPTION/ LABEL:
Hunger Relief Program – The Emergency Food Assistance Program (TEFAP)
CONTRACTOR NAME: Yuma Community Food Bank
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Special Terms and Conditions, Section 12., Contract Term and Option to
Extend, the Contract term is extended from July 1, 2025 through September 30, 2025.
2. In accordance with the Uniform Terms and Conditions, Section 5., Contract Changes, the Scope of Work is being revised as follows:
Scope of Work, Section 6. Contractor Requirements, Subsection 6.4.2 is added as follows:
6.4.2 Maintain TEFAP Recipient Organization (aka distribution site or agency) data with
Vivery.org. TEFAP distribution site/agency information must, at a minimum, include the distribution site/agency name, distribution address, dates and time of TEFAP distributions(s), and public contact information.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
YUMA COMMUNITY FOOD BANK
Unique Entity ID
MJJ1BUDTA6F5
CAGE / NCAGE
5YJV4
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
May 2, 2026
Physical Address
2404 E 24TH ST STE A
Yuma, Arizona 85365
United States
Mailing Address
2404 E 24TH Street
Yuma, Arizona 85365-2617
United States
Business Information
Doing Business as
YUMA COMMUNITY FOOD BANK
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 09
State / Country of Incorporation
Arizona / United States
URL
http://www.yumafoodbank.org
Registration Dates
Activation Date
May 8, 2025
Submission Date
May 2, 2025
Initial Registration Date
Apr 6, 2010
Entity Dates
Entity Start Date
Oct 13, 1981
Fiscal Year End Close Date
Jun 30
Immediate Owner
CAGE
(blank)
Legal Business Name
(blank)
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?
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 (Tax Exempt)
Entity Type
Business or Organization
Organization Factors
(blank)
Profit Structure
Non-Profit Organization
Last updated by Shara Whitehead on May 02, 2025 at 07:27 PM YUMA COMMUNITY FOOD BANK
Jun 24, 2025 05:09:35 PM GMT https://sam.gov/entity/MJJ1BUDTA6F5/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
5YJV4
Points of Contact
Electronic Business
Sheryl Hehe, Finance Assistant Yuma Community Food Bank
2404 E 24TH Street
Yuma, Arizona 85365
United States
Shara Whitehead, President/CEO Yuma Community Food Bank
2404 E 24TH ST Suite A
Yuma, Arizona 85365
United States
Government Business
Shara Whitehead, President/CEO Yuma Community Food Bank
2404 E 24TH ST Suite A
Yuma, Arizona 85365
United States
Shara Whitehead, President/CEO Yuma Community Food Bank
2404 E 24TH ST Suite A
Yuma, Arizona 85365
United States
Past Performance
Michelle Merkley, COO
2404 E 24TH ST
Yuma, Arizona 85365
United States
Service Classifications
NAICS Codes
Primary NAICS Codes NAICS Title
Disaster Response
This entity does not appear in the disaster response registry.
Last updated by Shara Whitehead on May 02, 2025 at 07:27 PM YUMA COMMUNITY FOOD BANK
Jun 24, 2025 05:09:35 PM GMT https://sam.gov/entity/MJJ1BUDTA6F5/coreData?status=null Page 2 of 2
| CTR053771 Contract Amendment 1.pdf |
| Debarment Checks.pdf |
| EntityInformation_20250624-100933.pdf |
| OIG.pdf |
| ACC.pdf |
| SPO.pdf |
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