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.

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Other files

File Type Posted
2022-06-30 COI CTR063969.pdf PDF
CTR063969_A2_Executed_final.pdf PDF
CTR063969_Contract_Docs.pdf PDF
CTR063969_Pricing.xlsx XLSX spreadsheet
CTR063969 Contract Amendment 3.pdf PDF
CTR063969_A4_FE.pdf PDF
2025-01-25 COI.pdf PDF

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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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