CTR056040 A2_Executed.pdf

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Attached to
Master Agreement AZ|CTR056040
Contract number
CTR056040
Issued by
Arizona

About this file

This document is a Grant Amendment from the Arizona Department of Health Services Office of Procurement, specifically Amendment No. 2 for Grant No. CTR056040, an Investigator Grant (IG) for the Arizona Board of Regents, University of Arizona. The amendment involves the Arizona Department of Health Services and the University of Arizona, with the procurement officer being Kailee Gray.

The amendment extends the existing grant's term to June 30, 2024, pursuant to the Grant Terms and Conditions. The original grant was effective upon final signature on July 1, 2021, and was initially set to remain in effect for three years, with an option to extend for one additional year. The amendment does not require additional modifications beyond the term extension. Accompanying documents demonstrate the University of Arizona's active registration in systems like SAM.gov, with a unique entity ID of ED44Y3W6P7B9 and classification as a U.S. State Government entity, specifically a land grant college and educational institution.

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Katie Hobbs | Governor Jennie Cunico | Director

150 North 18th Avenue, Suite 500, Phoenix, AZ 85007-3247 P | 602-542-1025 W | azhealth.gov

Health and Wellness for all Arizonans

Memorandum | Office of Procurement

Date: December 26, 2023

To: Procurement File

From: Kailee Gray, Senior Procurement Specialist

RE: CTR056040

Subject: Contract Extension Amendments

Amendments One (1) and Two (2) that were created to extend the RFGA Contract CTR056040 for the New

Investigator Awards (NIA) did not require Amendments to extend as the Grant term was effective upon the final signature on July 1, 2021, and was to remain in effect for hree (3) years. The initial expiration date is

June 30, 2024, with an option to extend one (1) additional year.

Kailee Gray, Senior Procurement Specialist Date

Kristine Newton, Procurement Manager Date

8/28/23, 3:59 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=1890728 1/3

ENTITY INFORMATION

Search Date and Time: 8/28/2023 3:59:05 PM

Entity Details

Entity Name:

UNIVERSITY OF ARIZONA APPLIED RESEARCH CORPORATION

Entity ID:

1890728

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

10/18/2018

Reason for Status:

In Good Standing

Approval Date:

10/19/2018

Status Date:

10/19/2018

Original Incorporation Date:

10/18/2018

Life Period:

Perpetual

Business Type:

Not for profit affiliate of the University of Arizona

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

10/18/2023

Years Due:Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=1890728 2/3

Title Name Attention Address Date of Taking Office

Last Updated

Director

ROBERT G

SEMELSBERGER

1600 E. Idea Lane Suite 401, TUCSON, AZ, 85713, Pima County, USA

10/18/2018 10/5/2022

Director JON DUDAS

845 NORTH PARK AVE, TUCSON,

AZ, 85721, Pima County, USA

10/18/2018 10/19/2018

Director THOMAS L KOCH 1600 E. Idea Lane Suite 401, TUCSON, AZ, 85713, Pima County, USA

10/18/2018 10/5/2022

Director LISA RULNEY 1600 E. Idea Lane Suite 401, TUCSON, AZ, 85713, Pima County, USA

10/18/2018 10/5/2022

Original Publish Date:

Statutory Agent Information

Name:

AUSTIN K YAMADA

Appointed Status:

Active 10/19/2018

Attention:

Address:

1600 East Idea Lane Suite 401, TUCSON, AZ 85713, USA

Agent Last Updated:

10/5/2022

E-mail:

Attention:

Mailing Address:

County:

Pima

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=1890728 3/3

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 10 Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

President Austin K Yamada 1600 E. Idea Lane Suite 401, TUCSON, AZ, 85713, Pima County, USA

10/18/2018 10/5/2022

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention:

Address: 1600 East Idea Lane Suite 401, TUCSON, AZ, 85713, USA

County: Pima

Last Updated: 10/5/2022

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(2)

8/28/23, 4:08 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.

Exclusions Search Results: Exclusions Search Results: EntitiesEntities

No Results were found for

University of Arizona

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

Search Again

Search conducted 8/28/2023 7:08:28 PM EST on OIG LEIE Exclusions database.

Source data updated on 8/10/2023 9:00:00 AM EST

Return to Search

An official website of the United States government. Here's how you know > https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

UNIVERSITY OF ARIZONA

Unique Entity ID

ED44Y3W6P7B9

CAGE / NCAGE

0LJH3

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Mar 5, 2024

Physical Address

845 N Park AVE RM 538

Tucson, Arizona 85721

United States

Mailing Address

PO Box 210158B, RM 538

Tucson, Arizona 85721-0158

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 07

State / Country of Incorporation

(blank) / (blank)

URL

(blank)

Registration Dates

Activation Date

Mar 8, 2023

Submission Date

Mar 6, 2023

Initial Registration Date

Mar 28, 2002

Entity Dates

Entity Start Date

Mar 21, 1885

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

U.S. Government Entity

Entity Type

US State Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Ramachandran Radhakrishnan on Mar 06, 2023 at 03:43 PM UNIVERSITY OF ARIZONA

Sep 07, 2023 06:45:59 PM GMT https://sam.gov/entity/ED44Y3W6P7B9/coreData?status=Active Page 1 of 3

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.

Government Types

U.S. State Government

Other Entity Qualifiers

1862 Land Grant College

Hispanic Servicing Institution

Educational Institution

State Controlled Institution of Higher Learning

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

0LJH3

Points of Contact

Electronic Business

Susan Mundt 845 N. Park AVE.

RM 538

Tucson, Arizona 85721

United States

Rachel Rice 845 N Park AVE

RM 538

Tucson, Arizona 85721

United States

Government Business

Ramachandran Radhakrishnan 845 N. Park AVE.

RM 538

Tucson, Arizona 85721

United States

Melissa Riha 845 N. Park AVE.

RM 538

Tucson, Arizona 85721

United States

Past Performance

Marcel Villalobos 845 N. Park AVE.

RM 538

Tucson, Arizona 85721

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

611310

NAICS Title

Colleges, Universities, And Professional Schools

531190 Lessors Of Other Real Estate Property

541310 Architectural Services

541320 Landscape Architectural Services

541330 Engineering Services

541370 Surveying And Mapping (Except Geophysical) Services

541380 Testing Laboratories And Services

541513 Computer Facilities Management Services

541620 Environmental Consulting Services

Last updated by Ramachandran Radhakrishnan on Mar 06, 2023 at 03:43 PM UNIVERSITY OF ARIZONA https://sam.gov/entity/ED44Y3W6P7B9/coreData?status=Active Page 2 of 3

541713 Research And Development In Nanotechnology

541714 Research And Development In Biotechnology (Except

Nanobiotechnology)

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

541940 Veterinary Services

561621 Security Systems Services (Except Locksmiths)

611420 Computer Training

621111 Offices Of Physicians (Except Mental Health Specialists)

621112 Offices Of Physicians, Mental Health Specialists

712110 Museums

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Ramachandran Radhakrishnan on Mar 06, 2023 at 03:43 PM UNIVERSITY OF ARIZONA https://sam.gov/entity/ED44Y3W6P7B9/coreData?status=Active Page 3 of 3

File details come from the government source that posted it. Updated .