CTR056087_A-1_-_DK_Advocates__Inc._PARqst.pdf
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- Attached to
- Master Agreement AZ|CTR056087
- Contract number
- CTR056087
- Issued by
- Arizona
About this file
This document is a Procurement Assistance Request from the Arizona Department of Economic Security's Division of Financial Operations, specifically from the Rehabilitation Services Administration (RSA). The request involves multiple contracts with various contractors for Pre-Employment Transition Services, with the specific contract detailed here being for DK Advocates, Inc. The contract was competitively awarded through RFP BPM003395 and is associated with PA Request ARSA170032 and RSA Contract Number C-210320/9531.
The contract is for Pre-Employment Transition Services, with an original start date of 7/8/2021 and a maximum end date of 07/08/26. The current contract end date is 07/07/22, and the contractor (DK Advocates, Inc.) has a FEIN number of 20-8053499. The request specifically seeks to modify section 12.1.1.1 of the contract, changing the period for submission of Requests from Contractors from 15 days to 10 days. The contract includes a Certificate of Insurance (COI) and is marked as a Contractor/Vendor for Single Audit Status. The modification was approved by the Administrator of the Rehabilitation Services Administration on 8/24/2021.
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Text version
Program Authorized 8/24/2021
DERS Team
DERS / RSA / VR Benjamin White (602) 364-0842
Contract (Competitive Award)
Extension Yrs/Mos
Scope of Work Review
Assignment
Corrective Action
Direct ContractSolicitation
Pre-Employment Transition Services CTR056087
DK Advocates, Inc.
Mei Ford, Pgm Director Phoenix MFord@anbservices.org
RFP BPM003395
Grant Agreement
Interagency Service Agreement (ISA)
Intergovernmental Agreement (IGA)
If CI / SS/ NPTQ, No.:
COOP
Set Aside
Memorandum of Understanding (MOU)
IT Agreement/EULA
7/8/2021
07/07/22
07/08/26
Business Associate Agreement / Data Sharing Agreement
Certificate Of Insurance (COI) Compliant and Included
Central Registry Check / Fingerprinting
08/24/21 | 08/24/21...CO05• CO05 : CO05 • CO05 2210823
20-8053499
Task Order
Other:
Contract Approved through PA Request ARSA170032
RSA C-210320 / 9531
PUR-1031A FORFF (8-20) ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Division of Financial Operations
PROCUREMENT ASSISTANCE REQUEST
1. PROCUREMENT UNIT NAME 2. PA NUMBER / SUB-NUMBER 3. REQUEST DATE
4. DIVISION / ADMINISTRATION / PROGRAM 5. DIVISION CONTACT PERSON 6. TELEPHONE NUMBER
7. TYPE OF REQUEST / AGREEMENT (check all that apply)
CI /SS /NPTQ Review
Amendment No.
If Exempt by Statute A.R.S. No §
8. DETAILED DESCRIPTION OF REQUEST OR NEED
Sign and date when checked
10. DESCRIPTION OF SERVICE OR CONTRACT TITLE 11. CONTRACT NUMBER
12. CONTRACTOR NAME / DBA 13. FEIN NUMBER
14. CONTRACTOR CONTACT PERSON'S NAME AND TITLE 15. E-MAIL ADDRESS / TELEPHONE
16. CONTRACT ORIGINAL START DATE
18. CONTRACT CURRENT END DATE
17. MAXIMUM END DATE
19. AMENDED END DATE
20. SINGLE AUDIT STATUS
Contractor/Vendor Sub-Recipient N/A
21. AUTHORIZATIONS (Signatures, NO Initials) 28. OP USE ONLY
Initial TRACK Entry IN23. AUTHORIZED DIVISION REQUESTOR
24. FINANCIAL SERVICES ADMINISTRATION (IGA, ISA)
25. ATTORNEY GENERAL (IGA, 3RD PARTY, ETC.)
26. PROCUREMENT OFFICER
27. PROCUREMENT OFFICER COMMENTS
22. DATE
TRACK Entry OUT
Received from AG
APP Entry
CTRX Entry
Initial
Initial
Initial
Initial
Initial
Initial
Initial
Initial
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Sent to AG "&" TRACK modification of 12.1.1.1 to change period from 15 days to 10
9. OTHER DOCUMENTS & INFORMATION
Series
To: C. Lewis
21. LEGAL AD AUTHORIZATION: FUNCTION CODE: OBJECT CODE: DEPATMENT OBJECT CODE:
BA SIGNATURE FOR APPROVAL
N/A N/A N/A
N/A
Please return electronic documents to DL-RSA Contracts Unit (RSAContractsUnit@azdes.gov)
08/24/2021
8/24/2021 State of Arizona Mail - Re: Request for Authorization * Multiple Contracts with Various Contractors for Pre-Employment Transition Services https://mail.google.com/mail/u/0?ik=5f3a67cb7f&view=pt&search=all&permthid=thread-a%3Ar6700660400896290017%7Cmsg-f%3A1709000591466… 1/2
Benjamin White <benjaminwhite@azdes.gov>
Re: Request for Authorization * Multiple Contracts with Various Contractors for Pre- Employment Transition Services
1 message
Kristen Mackey <kmackey@azdes.gov> Tue, Aug 24, 2021 at 11:32 AM To: Benjamin White <benjaminwhite@azdes.gov> Cc: DL-RSA Contracts Unit <RSAContractsUnit@azdes.gov>
Approved.
Thanks, Kristen Mackey
Administrator
Arizona Department of Economic Security
Rehabilitation Services Administration
Contact: (480) 665-6736
On Mon, Aug 23, 2021 at 12:56 PM Benjamin White <benjaminwhite@azdes.gov> wrote:
Ms Mackey, we have received a request to amend the following contracts by modification of 12.1.1.1 to change the period Of submission for Requests from Contractors from 15 days to 10. Please authorize us to move forward with the amendments.
Support: COAS2 • 2210823
Contract ID No Contractor
CTR056077 A-1 Ability 360
CTR056078 A-1 ACHIEVE EMPLOYMENT SERVICES,
http://arizonaatwork.com/ https://twitter.com/ARIZONAatWORK https://www.linkedin.com/in/arizona-at-work-364abb132/ https://www.facebook.com/ARIZONAatWORK/ mailto:benjaminwhite@azdes.gov
8/24/2021 State of Arizona Mail - Re: Request for Authorization * Multiple Contracts with Various Contractors for Pre-Employment Transition Services https://mail.google.com/mail/u/0?ik=5f3a67cb7f&view=pt&search=all&permthid=thread-a%3Ar6700660400896290017%7Cmsg-f%3A1709000591466… 2/2
CTR056084 A-1 Beacon Group, INC
CTR056086 A-1 Best Buddies International, Inc
CTR056087 A-1 DK Advocates, Inc.
CTR056091 A-1 Educate • Empower • Succeed LLC
CTR056092 A-1 GRAHAM COUNTY REHABILITATION
CENTER
CTR056093 A-1 HOZHONI FOUNDATION, INC.
CTR056094 A-1 Launch Training and Development LLC
CTR056097 A-1 Pathway to Work
CTR056099 A-1 SEEDs for Autism
CTR056103 A-1 The Opportunity Tree
CTR056104 A-2 TURNING POINT ASSISTANCE AND
DEVELOPMENT LLC
CTR056107 A-2 UNITED CEREBRAL PALSY of
SOUTHERN ARIZONA
CTR056108 A-1 VALLEYLIFE
CTR056115 A-1 Amani Community Center
CTR056116 A-1 CIVITAN FOUNDATION Inc
CTR056117 A-1 ELITE COMMUNITY SERVICES, LLC
CTR056118 A-1 EMPOWERING SERVICES LLC
CTR056119 A-2 ODYSSEY SERVICE CORP
CTR056120 A-1 SOUTHERN ARIZONA ASSOCIATION
FOR THE VISUALLY IMPAIRED
CTR056121 A-1 The CENTERS FOR HABILITATION
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