CTR061044_Contract_Amendment_3.pdf
PDF 56 KB Posted
- Attached to
- Master Agreement AZ|CTR061044
- Contract number
- CTR061044
- Issued by
- Arizona
About this file
This document is Amendment No. Three (3) to a Master Services Agreement between the Arizona Department of Veterans' Services and Theoria Medical PLLC. The amendment involves a state-level contract for medical services, originating from the state of Arizona, with the procurement conducted through the Arizona Department of Veterans' Services located in Phoenix, Arizona.
The amendment extends the existing contract for Medical Director and Physician Services from June 29, 2024, through June 28, 2025. This is the third amendment to the original agreement, which was initially effective July 1, 2022. Previous amendments included updating the Uniform Terms and Conditions version and extending the contract period. The amendment maintains all other existing requirements, specifications, terms, and conditions from the original contract, with the sole purpose of continuing the service provision for an additional one-year period.
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Text version
Amendment No. Three (3)
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 three (3) to extend the Contract period of June 29, 2024 through June 28, 2025, 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.
Thereafter, Amendment Number two (2) to extend the Contract period of June 30, 2023 through June 29, 2024 was executed on March 30, 2024.
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
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