CTR057909_Contract_Amendment_Summary_Four__4_.pdf
PDF 396 KB Posted
- Attached to
- Master Agreement AZ|CTR057909
- Contract number
- CTR057909
- Issued by
- Arizona
About this file
This is the Fourth Amendment to Contract CTR057909 between the Arizona Department of Economic Security (ADES) and Solterra 3rd Indian School Operations LLC, doing business as Bridgewater Assisted Living Midtown. The amendment modifies the terms and conditions of the existing Assisted Living Facility contract through electronic approval.
The amendment extends the contract term from May 1, 2024, through April 30, 2025, with rates remaining unchanged from the previous contract period. The modification removes Exhibit B-Level of Care and ADES Special Terms and Conditions Section 39 regarding Rate Adjustment in their entirety, replacing them with Exhibit B-Spending Plan. The Spending Plan form is a financial management tool used by the Arizona Department of Economic Security's Division of Developmental Disabilities to document sources of income (including SSI, SSA, and earnings), assets (including DES accounts, group home accounts, and personal bank accounts), and expenses (including rent, personal spending money, clothing, special occasions, and medical/dental costs) for individuals receiving residential services. All other contract requirements, specifications, and terms and conditions remain unchanged.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR057909 Four (4)
DESCRIPTION/ LABEL: Assisted Living Facility
CONTRACTOR NAME:
Solterra 3rd Indian School Operations LLC dba Bridgewater Assisted Living Midtown
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Uniform Terms and Conditions, Section 5, Contract Changes, Sub Section
5.1 Amendments, Exhibit B-Level of Care is hereby removed, and Exhibit B-Spending Plan is hereby added.
2. In accordance with the Uniform Terms and Conditions, Section 5, Contract Changes, Sub Section
5.1 Amendments, ADES Special Terms and Conditions Section 39. Rate Adjustment is hereby removed in its entirety.
3. In accordance with the ADES Special Terms and Conditions, Section 13, Contract Term & Option to
Extend, the Contract term is extended from May 01, 2024, through April 30, 2025. The rates are not adjusted for the extension period and shall remain the same as the previous Contract term.
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.
Exhibit B – Spending Plan
Contract No.: CTR057909
Description: Assisted Living Facility
Exhibit B – Spending Plan
File details come from the government source that posted it. Updated .