CTR061044_Contract_Amendment_2.pdf

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Attached to
Master Agreement AZ|CTR061044
Contract number
CTR061044
Issued by
Arizona

About this file

This document is Amendment Number Two to a Master Services Agreement between the Arizona Department of Veterans' Services and Theoria Medical PLLC, a medical services provider. The amendment pertains to Contract No. CTR061044 and involves medical professional services. The contract is located in Phoenix, Arizona, and is being administered through the state's Procurement Department.

The amendment extends the current contract period from June 30, 2023, through June 29, 2024, maintaining the original scope of Medical Director and Physician Services. This extension is executed in accordance with the contract's Uniform Terms and Conditions, specifically Sections 3.2 and 5.1 regarding contract extensions and amendments. The amendment also updates the Uniform Terms and Conditions to version 10.2, effective March 9, 2023, while stipulating that all other contract requirements, specifications, terms, and conditions remain unchanged. The final execution of this amendment is contingent upon electronic approval in the state's e-Procurement system by the Procurement Officer or delegate.

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Text version

Amendment No. Two (2)

ARIZONA DEPARTMENT OF

VETERANS’ SERVICES

Procurement Department

3839 North 3rd Street Suite 209

Phoenix, AZ 85012

Contract No: CTR061044

Medical Director and Physician Services

Theoria Medical PLLC

This Amendment Number two (2) to extend the Contract period of June 30, 2023 through June 29, 2024, is hereby executed in accordance with the Uniform Terms and Conditions, Section 3.2 Contract Extension and Section 5.1 Amendments.

Recitals

The State and Supplier entered into that certain agreement title Master Services Agreement, effective as of July 1, 2022; pursuant to which the Supplier is to provide Medical Director & Physician Services.

Thereafter, Amendment Number one (1) to pursuant to the Uniform Terms and Conditions, Provision 5, Contract Changes, Subsection 5.1, Amendments, the Uniform Terms and Conditions is hereby removed in its entirety and replaced with Uniform Terms and Conditions v 10.2 effective March 9, 2023.

ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This amendment shall be fully executed upon the electronic approval in the State e-Procurement system by the

Procurement Officer or delegate.

Available online at app.az.gov

Page | 1 of 1 https://app.az.gov/

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