CTR063969_A1_executed_with_debarment_checks.pdf
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- Attached to
- Master Agreement AZ|CTR063969
- Contract number
- CTR063969
- Issued by
- Arizona
About this file
This document is a Contract Amendment from the Arizona Department of Health Services' Office of Procurement, specifically Amendment No. 1 for Contract No. CTR063969 regarding an Accelerated Nursing Program. The contract involves the AZ Board of Regents on behalf of Arizona State University, with Lucas Terry serving as the Procurement Officer and Nicholas Petersen representing Arizona State University as the Associate Director of Research Operations.
The amendment extends the existing contract for its second year through June 30, 2024, in accordance with the Special Terms and Conditions, Provision Three (3), which allows for Contract Extensions up to a Five (5) Year Maximum. All other provisions of the original contract remain unchanged. The document was signed digitally by Nicholas Petersen on 10/02/23 and by the Procurement Officer, Gina Corwin, on 10/05/23, indicating mutual agreement to the contract extension.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2022-06-30 COI CTR063969.pdf | ||
| CTR063969_A2_Executed_final.pdf | ||
| CTR063969_Contract_Docs.pdf | ||
| CTR063969_Pricing.xlsx | XLSX spreadsheet | |
| CTR063969 Contract Amendment 3.pdf | ||
| CTR063969_A4_FE.pdf | ||
| 2025-01-25 COI.pdf |
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Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR063969 AMENDMENT NO.: 1 PROCUREMENT OFFICER
Lucas Terry
Accelerated Nursing Program
Effective upon signature by both parties, it is mutually agreed that the Contract referenced in this Amendment One (1) is amended as follows:
1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum, the Contract is extended for the second (2nd) year through June 30, 2024.
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date
The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona
(To be filled out by Procurement Office)
Contractor Signature
Contractor Signature Date
Authorized Signatory’s Name and Title
AZ Board of Regents on behalf of Arizona State University
Contractor’s Name Procurement Officer Signature
10/02/23
Nicholas Petersen Associate Director, Research Operations
Gina Corwin
Digitally signed by Gina Corwin Date:
2023.10.05 08:51:54 -07'00'
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