CTR063300 Amendment No. 2.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR063300
- Contract number
- CTR063300
- Issued by
- Arizona
About this file
This document is a Request for Proposal (RFP) Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The contract amendment is for the Medical Director for Breast Cancer Screening, with Contract No. CTR063300 and Amendment No. 2. The contract involves JD Valley Breast Surgery PLC, a domestic professional LLC incorporated in Arizona on June 1, 2022, and currently in good standing.
The amendment extends the existing contract through November 30, 2025, pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extension (5 Year Maximum). The document indicates this is a healthcare-related contract in the Breast Cancer Screening domain, with JD Valley Breast Surgery serving as the contractor. The contract appears to be a state-level service agreement, with the amendment ensuring continued service provision for medical directorship in breast cancer screening programs. No specific pricing, service details, or financial terms are explicitly outlined in the visible portions of the document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| COI 07.01.2026.pdf | ||
| CTR063300 A1 v2 Upload.pdf | ||
| CTR063300 A3.pdf | ||
| COI WC 01.01.2026.pdf | ||
| CTR063300_Contract_Documents.pdf | ||
| CTR063300_Pricing.xlsx | XLSX spreadsheet |
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Gina Corwin Digitally signed by Gina Corwin Date: 2024.11.04 08:36:15 -07'00'
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ENTITY INFORMATION
Search Date and Time: 11/5/2024 9:20:47 AM
Entity Details
Entity Name:
JD VALLEY BREAST SURGERY PLC
Entity ID:
23381162
Entity Type:
Domestic Professional LLC
Entity Status:
Active
Formation Date:
6/1/2022
Reason for Status:
In Good Standing
Approval Date:
6/7/2022
Status Date:
6/1/2022
Original Incorporation Date:
6/1/2022
Life Period:
Perpetual
Business Type:
Health Care and Social Assistance
Last Annual Report Filed:
Domicile State:
Arizona
Annual Report Due Date:
Years Due:
Original Publish Date:
Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts
Page 1 of 1, records 1 to 1 of 1
Title Name Attention Address Date of Taking
Office
Last
Updated
Member and Manager
JOHN
DAVIS
6833 S. ALDER DRIVE, TEMPE,
AZ, 85283, Maricopa County, USA
6/1/2022 6/7/2022
Statutory Agent Information
Name:
HSU LAW PLC
Appointed Status:
Active 6/7/2022
Attention:
Address:
2415 EAST CAMELBACK ROAD SUITE 700 , PHOENIX, AZ 85016, USA
Agent Last Updated:
7/8/2022
E-mail:
Attention:
Mailing Address:
2415 EAST CAMELBACK ROAD SUITE 700 , PHOENIX, AZ 85016, USA
County:
Maricopa
Principal Information
Address
Attention:
Address: 444 E. VERA LANE, TEMPE, AZ, 85284, USA
County: Maricopa
Last Updated: 7/8/2022
Entity Principal Office Address
Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts
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| CTR063300 FE Amendment 2.pdf |
| OIG Search.pdf |
| SAM.gov _ Search.pdf |
| Arizona Corporation Commission.pdf |
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