CTR056041 A4_Executed w Debarements.pdf

PDF 4 MB Posted

Attached to
Master Agreement AZ|CTR056041
Contract number
CTR056041
Issued by
Arizona

About this file

This document is a Grant Amendment from the Arizona Department of Health Services (ADHS) Office of Procurement, specifically Amendment No. 04 for Grant No. CTR056041. The amendment involves an Investigator Grant (IG) for Mayo Clinic Arizona, a domestic nonprofit corporation located in Scottsdale, Arizona. The grant is being amended by the state of Arizona and is associated with the Arizona Biomedical Research Commission.

The amendment extends the grant period through June 30, 2026, and revises the Grant Terms and Conditions. Key provisions include the grantee providing services and deliverables as required, using professional expertise to perform the project, and complying with all applicable local, state, and federal laws and regulations. The grant will be funded on a cost reimbursement basis for eligible expenses incurred in completing the project. While specific dollar amounts are not detailed in the visible sections, the amendment outlines comprehensive requirements for financial management, reporting, intellectual property rights, and performance expectations, with ADHS reserving the right to terminate the grant with appropriate notice.

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MAYO CLINIC ARIZONA

Unique Entity ID

ULMJJBL7ZXX3

CAGE / NCAGE

1TZ60

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Mar 26, 2026

Physical Address

13400 E Shea BLVD

Scottsdale, Arizona 85259-5452

United States

Mailing Address

Johnson Research Building 1ST Floor Ospa

13400 E. Shea BLVD

Scottsdale, Arizona 85259-5452

United States

Business Information

Doing Business as

MAYO FOUNDATION

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 01

State / Country of Incorporation

Arizona / United States

URL

HTTP://WWW.MAYO.EDU/MCS/

Registration Dates

Activation Date

Mar 28, 2025

Submission Date

Mar 26, 2025

Initial Registration Date

May 21, 2001

Entity Dates

Entity Start Date

Jan 1, 1997

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

5A021

Legal Business Name

MAYO CLINIC

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 Paul Haines on Mar 26, 2025 at 04:35 PM MAYO CLINIC ARIZONA

May 16, 2025 10:26:26 PM GMT https://sam.gov/entity/ULMJJBL7ZXX3/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.

Other Entity Qualifiers

Hospital

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

1TZ60

Points of Contact

Electronic Business

Craig Stewart, Manager 13400 E. Shea BLVD.

Scottsdale, Arizona 85259

United States

Gregory thomas 13400 E. Shea BLVD.

Scottsdale, Arizona 85259

United States

Government Business

Paul Haines 13400 E. Shea BLVD

Scottsdale, Arizona 85259

United States

Gregory Thomas Mayo Clinic Arizona

13400 E. Shea BLVD

Scottsdale, Arizona 85259

United States

Past Performance

Craig Stewart 13400 East Shea BLVD

Scottsdale, Arizona 85259

United States

Jon A Lindeen 13400 East Shea BLVD

Scottsdale, Arizona 85259

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

541715

NAICS Title

Research And Development In The Physical, Engineering, And Life

Sciences (Except Nanotechnology And Biotechnology)

541714 Research And Development In Biotechnology (Except

Nanobiotechnology)

621111 Offices Of Physicians (Except Mental Health Specialists)

Product and Service Codes

PSC PSC Name

AF11 R&D- Education: Educational (Basic Research)

AN41 R&D- Medical: Health Services (Basic Research)

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Paul Haines on Mar 26, 2025 at 04:35 PM MAYO CLINIC ARIZONA

May 16, 2025 10:26:26 PM GMT https://sam.gov/entity/ULMJJBL7ZXX3/coreData?status=null Page 2 of 2

CTR056041 A4_Executed
Mayo Clinic Debarement
Arizona Corporation Commission
OIG Search Results
SAM.GOV Debarement (2)

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