CTR059105_Contract_Amendment_Summary_Three__3__-.pdf
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- Attached to
- Master Agreement AZ|CTR059105
- Contract number
- CTR059105
- Issued by
- Arizona
About this file
This is Contract Amendment Number Three (3) to Contract CTR059105 issued by the Arizona Department of Economic Security (ADES) to Marshall Home For Men, Inc for the provision of assisted living facility services. The amendment modifies the existing contract terms and conditions 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 amendment removes the previous Exhibit B-Level of Care and replaces it with Exhibit B-Spending Plan, which is a financial planning form used for individuals in licensed residential settings. Additionally, the amendment removes ADES Special Terms and Conditions Section 40 regarding rate adjustment in its entirety. All other requirements, specifications, and terms and conditions of the original contract remain unchanged.
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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:
CTR059105 Three (3)
DESCRIPTION/ LABEL: Assisted Living Facility
CONTRACTOR NAME: Marshall Home For Men, Inc
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 40. 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.: CTR059105
Description: Assisted Living Facility
File details come from the government source that posted it. Updated .