CTR061044_Contract_Amendment_4.pdf

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

About this file

This document is Amendment No. Four (4) to a Master Services Agreement between the Arizona Department of Veterans' Services and Theoria Medical PLLC, located in Phoenix, Arizona. The amendment pertains to a contract (CTR061044) for Medical Director and Physician Services, and is being processed through the state's procurement department.

The amendment extends the contract period from June 28, 2025, through June 27, 2026, following previous extensions that originated from the initial agreement effective July 1, 2022. The amendment also incorporates an updated version of the Uniform Terms and Conditions (v 10.2 effective March 9, 2023). All other requirements, specifications, terms, and conditions remain unchanged, and the amendment will be fully executed upon electronic approval in the state's e-Procurement system by the Procurement Officer or delegate.

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Text version

Amendment No. Four (4)

ARIZONA DEPARTMENT OF

VETERANS’ SERVICES

Procurement Department 1688 West Adams Street

Phoenix, AZ 85007

Contract No: CTR061044

Medical Director and Physician Services

Theoria Medical PLLC

This Amendment Number Four (4) to extend the Contract period of June 28, 2025 through June 27, 2026, 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.

Thereafter, Amendment Number three (3) to extend the Contract period of June 29, 2024 through June 28, 2025, is hereby executed on May 14, 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

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

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