CTR063969 Contract Amendment 3.pdf

2 MB Posted

Attached to
Master Agreement AZ|CTR063969
Contract number
CTR063969
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a Request for Proposal Contract Amendment (Amendment Three) from the Arizona Department of Health Services (ADHS), Office of Procurement, involving Arizona State University (ASU) for the Accelerated Nursing Program - Component B Scholarships. The contract (CTR063969) is between the Arizona Board of Regents on behalf of Arizona State University and the Arizona Department of Health Services, with Kristine Newton serving as the Procurement Officer.

The amendment establishes a scholarship program to expand nursing workforce capacity in Arizona by providing scholarships to students enrolled in accelerated nursing programs at public and private universities and community colleges. The program will allocate $44,000,000 to support nursing education, with priority given to twelve (12) to eighteen (18) month accelerated nursing programs. Scholarship recipients must commit to practicing nursing in Arizona for four years after completing their degree, and scholarships are designed to supplement existing financial aid without exceeding the actual cost of tuition and fees. The contract runs through June 30, 2024, with provisions for scholarship award mechanisms, tracking recipient compliance, and monthly reporting requirements to ADHS.

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Other files

File Type Posted
CTR063969_A4_FE.pdf PDF
2022-06-30 COI CTR063969.pdf PDF
CTR063969_A2_Executed_final.pdf PDF
CTR063969_Contract_Docs.pdf PDF
CTR063969_Pricing.xlsx XLSX spreadsheet
2025-01-25 COI.pdf PDF
CTR063969_A1_executed_with_debarment_checks.pdf PDF

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ARIZONA STATE UNIVERSITY

Unique Entity ID

NTLHJXM55KZ6

CAGE / NCAGE

4B293

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Apr 4, 2025

Physical Address

660 S Mill Avenue STE 204

Tempe, Arizona 85281-3670

United States

Mailing Address

PO Box 876011

Tempe, Arizona 85287-6011

United States

Business Information

Doing Business as

(blank)

Division Name

Arizona State University

Division Number

Congressional District

Arizona 04

State / Country of Incorporation

(blank) / (blank)

URL

http://researchadmin.asu.edu

Registration Dates

Activation Date

Apr 8, 2024

Submission Date

Apr 4, 2024

Initial Registration Date

Mar 29, 2002

Entity Dates

Entity Start Date

Jul 1, 1885

Fiscal Year End Close Date

Jun 30

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

U.S. Government Entity

Entity Type

US State Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Heather C Clark on Apr 04, 2024 at 06:18 PM ARIZONA STATE UNIVERSITY

Oct 08, 2024 04:18:47 PM GMT https://sam.gov/entity/NTLHJXM55KZ6/coreData?status=null Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Government Types

U.S. State Government

Other Entity Qualifiers

Hispanic Servicing Institution

Educational Institution

State Controlled Institution of Higher Learning

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4B293

Points of Contact

Electronic Business

HEATHER C CLARK, Assistant Vice President, Research Operations

660 S. Mill Avenue STE 204

Tempe, Arizona 85281

United States

Nicholas Petersen, Associate Director, Research

Operations

660 S. Mill Avenue STE 204

Tempe, Arizona 85281

United States

Government Business

HEATHER C CLARK, Assistant Vice President, Research Operations

660 S. Mill Avenue STE 204

Tempe, Arizona 85281

United States

HEATHER C CLARK, Assistant Vice President, Research Operations

660 S. Mill Avenue STE 204

Tempe, Arizona 85281

United States

Past Performance

HEATHER C CLARK, Assistant Vice President, Research Operations

660 S. Mill Avenue STE 204

Tempe, Arizona 85281

United States

HEATHER C CLARK, Assistant Vice President, Research Operations

660 S. Mill Avenue STE 204

Tempe, Arizona 85281

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

611310

NAICS Title

Colleges, Universities, And Professional Schools

541330 Engineering Services

541620 Environmental Consulting Services

541713 Research And Development In Nanotechnology

541715 Research And Development In The Physical, Engineering, And Life

Sciences (Except Nanotechnology And Biotechnology)

712110 Museums

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Heather C Clark on Apr 04, 2024 at 06:18 PM ARIZONA STATE UNIVERSITY

Oct 08, 2024 04:18:47 PM GMT https://sam.gov/entity/NTLHJXM55KZ6/coreData?status=null Page 2 of 2

SEARCH CRITERIA

SEARCH RESULTS

Entity Name:

Arizona State University

Entity Type:

All

Statutory Agent Name:

N/A

Entity Status:

All

Principal Name:

N/A

Name Type:

All

Entity Number:

N/A

Entity County:

All

Entity ID Entity Name Entity Type Entity County

Agent Name

Agent Type

Entity Status

00318757

ALUMNI ASSOCIATION OF THE

TEMPE NORMAL SCHOOL

(/BusinessSearch/BusinessInfo?

entityNumber=00318757)

Unidentified Inactive

00465988

ARIZONA STATE COLLEGE AT

TEMPE FOUNDATION

(/BusinessSearch/BusinessInfo?

entityNumber=00465988)

Domestic Nonprofit Corporation

Maricopa

VIRGINIA E

DESANTO

Statutory Agent

Inactive

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/8/24, 9:10 AM Arizona Corporations Commission https://ecorp.azcc.gov/EntitySearch/Index 1/4 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 http://azcc.gov/privacy-policy 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 http://azcc.gov/corporations/corporation-contacts

Entity ID Entity Name Entity Type Entity County

Agent Name

Agent Type

Entity Status

02023540

ARIZONA STATE UNIVERSITY

ALUMNI ASSOCIATION

(/BusinessSearch/BusinessInfo?

entityNumber=02023540)

Domestic Nonprofit Corporation

Maricopa

CHRISTINE

A

WILKINSON

Statutory Agent

Active

00318757

ARIZONA STATE UNIVERSITY

ALUMNI ASSOCIATION

(/BusinessSearch/BusinessInfo?

entityNumber=00318757)

Unidentified Inactive

01677234

ARIZONA STATE UNIVERSITY

COLLEGE OF BUSINESS

FOUNDATION

(/BusinessSearch/BusinessInfo?

entityNumber=01677234)

Domestic Nonprofit Corporation

Maricopa

JOHN R

CHRISTIAN

Statutory Agent

Inactive

01607137

ARIZONA STATE UNIVERSITY

COLLEGE OF LAW ALUMNI

ASSOCIATION

(/BusinessSearch/BusinessInfo?

entityNumber=01607137)

Domestic Nonprofit Corporation

Maricopa Terri Burkel Statutory Agent

Inactive

01607137

ARIZONA STATE UNIVERSITY

COLLEGE OF LAW ALUMNI

ASSOCIATION S

(/BusinessSearch/BusinessInfo?

entityNumber=01607137)

Domestic Nonprofit Corporation

Maricopa Terri Burkel Statutory Agent

Inactive

01498188

ARIZONA STATE UNIVERSITY

COLLEGE OF LAW ALUMNI

ASSOCIATION.

(/BusinessSearch/BusinessInfo?

entityNumber=01498188)

Domestic Nonprofit Corporation

Inactive

L13977621

ARIZONA STATE UNIVERSITY

DIVISION II HOCKEY CLUB, LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L13977621)

Domestic

LLC

Maricopa Statutory Agent

Inactive

L13551925

ARIZONA STATE UNIVERSITY

ENERGY CENTER LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L13551925)

Domestic

LLC

Maricopa

CAPITOL

CORPORATE

SERVICES

INC

Statutory Agent

Active

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/8/24, 9:10 AM Arizona Corporations Commission https://ecorp.azcc.gov/EntitySearch/Index 2/4 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=02023540 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=02023540 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=02023540 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=02023540 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00318757 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01677234 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01677234 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01677234 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01677234 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01677234 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01607137 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01498188 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01498188 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01498188 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01498188 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01498188 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13977621 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13977621 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13977621 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13977621 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13551925 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13551925 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13551925 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L13551925 http://azcc.gov/privacy-policy 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

Entity County

Agent Name

Agent Type

Entity Status

L10380597

ARIZONA STATE UNIVERSITY

ENERGY MANAGEMENT LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L10380597)

Domestic

LLC

Maricopa

CAPITOL

CORPORATE

SERVICES

INC

Statutory Agent

Active

L10380597

ARIZONA STATE UNIVERSITY

ENERGY SERVICES LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L10380597)

Domestic

LLC

Maricopa

CAPITOL

CORPORATE

SERVICES

INC

Statutory Agent

Inactive

17270735

ARIZONA STATE UNIVERSITY

FENCING CLUB INC.

(/BusinessSearch/BusinessInfo?

entityNumber=17270735)

Domestic Nonprofit Corporation

Maricopa

CLARK C

PRESSON

Statutory Agent

Inactive

00465988

ARIZONA STATE UNIVERSITY

FOUNDATION

(/BusinessSearch/BusinessInfo?

entityNumber=00465988)

Domestic Nonprofit Corporation

Maricopa

VIRGINIA E

DESANTO

Statutory Agent

Active

00465988

ARIZONA STATE UNIVERSITY

FOUNDATION

(/BusinessSearch/BusinessInfo?

entityNumber=00465988)

Domestic Nonprofit Corporation

Maricopa

VIRGINIA E

DESANTO

Statutory Agent

Inactive

00465988

ARIZONA STATE UNIVERSITY

FOUNDATION FOR A NEW

AMERICAN UNIVERSITY

(/BusinessSearch/BusinessInfo?

entityNumber=00465988)

Domestic Nonprofit Corporation

Maricopa

VIRGINIA E

DESANTO

Statutory Agent

Active

00921861

ARIZONA STATE UNIVERSITY LAW

SCHOOL ALUMNI ASSOCIATION

(/BusinessSearch/BusinessInfo?

entityNumber=00921861)

Unidentified Inactive

23580359

Arizona State University Mens

Club Basketball

(/BusinessSearch/BusinessInfo?

entityNumber=23580359)

Name Reservation

Inactive

L11201649

ARIZONA STATE UNIVERSITY

NANOTECHNOLOGY LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L11201649)

Domestic

LLC

Maricopa

CAPITOL

CORPORATE

SERVICES

INC

Statutory Agent

Active

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/8/24, 9:10 AM Arizona Corporations Commission https://ecorp.azcc.gov/EntitySearch/Index 3/4 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L10380597 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=17270735 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=17270735 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=17270735 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=17270735 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00465988 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00921861 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00921861 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00921861 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00921861 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=23580359 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=23580359 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=23580359 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=23580359 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L11201649 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L11201649 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L11201649 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L11201649 http://azcc.gov/privacy-policy 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

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 20 of 35 Go to Page

Entity County

Agent Name

Agent Type

Entity Status

14088768

ARIZONA STATE UNIVERSITY

NETWORK OF ENLIGHTENED

WOMEN

(/BusinessSearch/BusinessInfo?

entityNumber=14088768)

Domestic Nonprofit Corporation

Maricopa

CATHERINE

SMITH

Statutory Agent

Inactive

Return to Search

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/8/24, 9:10 AM Arizona Corporations Commission https://ecorp.azcc.gov/EntitySearch/Index 4/4 javascript:$xhtmlMain.paging(2) javascript:$xhtmlMain.paging(2) https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=14088768 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=14088768 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=14088768 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=14088768 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=14088768 http://azcc.gov/privacy-policy 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

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CTR063969 Accelerated Nursing Program executed
Sam.gov
Arizona Corporations Commission
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