CTR063973 A 1 executed with debarment checks.pdf
PDF 799 KB Posted
- Attached to
- Master Agreement AZ|CTR063973
- Contract number
- CTR063973
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, for an Accelerated Nursing Program. The contract involves the Arizona Board of Regents, University of Arizona as the contractor, with Lucas Terry serving as the Procurement Officer. The amendment is specifically Amendment No. 1 to the original contract numbered CTR063973.
The amendment extends the contract for the second year through June 30, 2024, in accordance with the Special Terms and Conditions, specifically Provision Three (3) on Contract Extensions with a Five (5) Year Maximum. The document was signed on September 20, 2023, by Elisha Johnson, JD, Director of Clinical Trials & Contracting for the University of Arizona, and Gina Corwin from the Procurement Office. All other provisions of the original contract remain unchanged, and the amendment is effective upon signature by both parties.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR063973_A2_executed_final.pdf | ||
| CTR063973_Pricing.xlsx | XLSX spreadsheet | |
| CTR063973_Contract_Docs.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR063973 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
University of Arizona
Contractor’s Name Procurement Officer Signature
09/20/2023
Gina Corwin
Digitally signed by Gina Corwin Date: 2023.09.20 14:59:32 -07'00'
| �� | �� | !�"�#�$���%����&�' | |
| "����(��#)�*+�,&�'� | �����-� | ����..�.. ���� ��! |
/0�1234356�789:3;8�1<�;=8�>03;8?�@;5;8:�A1B8C0D80;E8C8F:�=17�G1H�I017JKLMLN�OPQMRPLMSK�TUSVWXXMKYZ[S\�]WLPMQX_̂̀�abc�adaeTQPKKWR�fPMKLWKPKVW�ZV[WRgQWZ[S\�]WLPMQXh̀i�ec�adaa jkk�lmm�lmknop E1D8 @85C4= q5;5�r50I q5;5�@8CB348: E86s t8uH8:;: v1;3<345;310: w1CI:s548 @3A0�xH;ySUW�]PLP /4;3B8�t8A3:;C5;310 z{̀|i}~|����}~_
��Z��JZZ������f����� ������j�������l�����l ������������� ����>03uH8�¡0;3;G�¢qy£�¤¥¦¦f§¦̈©ª/«¡¬vª/«¡¤O�® �̄U�¤°±�®²®̈³=G:3456�/??C8::µ́¶́��·po��̧¹ºknp¹o»�¼½¾mkº·n¿�¾Àp½̧Á�ln¹Â½̧·ÃÄÅǼḈÁ��̧¹ok¿�jo·okp È53630A�/??C8::ÃÃÃ��É��¾Àm¹¿�l��É��½½Ê�́¶Ë�¾Àp½̧Á�ln¹Â½̧·ÃÄÅǼÁ��̧¹ok¿�jo·okp³HCs1:8�1<�t8A3:;C5;310lmm�lÌ·n¿pOWUXMSKªHCC80;�t841C?
q130A�rH:308::�/:ÍÎQPKÏÐ >tÑÍÎQPKÏÐq3B3:310�v5D8�[W��KMÒWUXMLN��Ó��UMÔSKP q3B3:310�vHD98CÍÎQPKÏЪ10AC8::31056�q3:;C34; @;5;8¬ª1H0;CG�1<�¢041Cs1C5;310 �WYMXLUPLMSK�]PLWX/4;3B5;310�q5;8�̄U�®̈±�®²®£ ¢03;356�t8A3:;C5;310�q5;8fPU�®²±�®²²®
| �� | �� | !�"�#�$���%����&�' | |
| "����(��#)�*+�,&�'� | �����-� | ����..�.. ���� ��! |
/01234561�789:1;<=458;>?@ABCDEFCB�AF�CG?�HIBC?J�KLD�MNEDO�PEFE@?J?FC�QHMPR�D?BSLFO�CL�CG?�TU?VWCAX?�YLJS?FBECALF�ZW?BCALFB�AF�EVVLDOEFV?�NACG�H?VCALF�[\]\�LK�̂_̀_�aa]b\c\d�EJ?FOAF@�CG?�e?O?DEf�eWFOAF@�MVVLWFCEgAfACIEFO�hDEFBSED?FVI�MVC�Q̂_̀_�a]ib\j\R_�hGAB�AFKLDJECALF�AB�FLC�OABSfEI?O�AF�HMP_�kC�AB�B?FC�CL�lHMBS?FOAF@_@LX�KLD�OABSfEI�AF�EBBLVAECALF�NACG�EF�?fA@Agf?�ENEDO_�PEAFCEAFAF@�EF�EVCAX?�D?@ABCDECALF�AF�HMPO?JLFBCDEC?B�CG?�D?@ABCDEFC�D?BSLFO?O�CL�CG?�ZW?BCALFB_mno�mpnqrs�ntusvqwxnuwvy�z?Bpyuwu{�u{|pm n}~������� �����������������NF?D YM�T ?̀@Ef��WBAF?BB��EJ?w����~����v���} ������� �������s~������������v���} ������� ������� p��~��������HWgJABBALF��EC?n�}���������TFCACI�HCEDC��EC?���� ��¡¢¢¢ eABVEf�z?ED�TFO�YfLB?��EC?£����¡ k�EWCGLDA¤?�JI�?FCACI¥B�FLFbB?FBACAX?�AFKLDJECALF�CL�g?�OABSfEI?O�AF�HMP�SWgfAV�B?EDVG�D?BWfCB¦§3<5;1<<�̈©:1<TFCACI�HCDWVCWD? tªmª�«���}������p��~��TFCACI�hIS? tm�m�����«���}�����D̂LKAC�HCDWVCWD? ��������D@EFA¤ECALF�eEVCLDB �������
¬8258/28;8952�̈©:1<YG?V®�CG?�D?@ABCDEFC¥B�>?SB�̄�Y?DCBd�AK�SD?B?FCd�WFO?D�eM>�c\_\a\b°�LD�eM>�c\_\aiba�CL�O?C?DJAF?�AKCG?�?FCACI�AB�EF�H�MbV?DCAKA?O�±l�²LF?�BJEff�gWBAF?BB�VLFV?DF_�MOOACALFEf�BJEff�gWBAF?BBAFKLDJECALF�JEI�g?�KLWFO�AF�CG?�H�M¥B��IFEJAV�HJEff��WBAF?BB�H?EDVG�AK�CG?�?FCACI�VLJSf?C?O�CG?H�M�BWSSf?J?FCEf�SE@?B�OWDAF@�D?@ABCDECALF_ ³861́;91;4�̈©:1<tªmª�m�����«���}�����µ4¶1́�/;454©�·3=̧5¹51́<
| �� | �� | !�"�#�$���%����&�' | |
| "����(��#)�*+�,&�'� | �����-� | ����..�.. ���� ��! |
/01213024�01/56728051 2335918�:;8204<=>?�@ABCDEFGH�IIIIJKL=�JGBM�NOPQRS5018<�5/�3518238;TUVWXYZ[V�\]̂[ZÛ^
;_]V̀W[YZ̀T�0ẐW[W]W[YZa�<ẀWU�3YZWXYTTU_�0ẐW[W]W[YZ�Yb�c[deUX�4ÙXZ[ZdS̀fgUZŴKDDMhFi�JHMBCF�JEHB�jEklMAFimÛ nMoF�pqorMDF�?G�stiMF�1Y uvwxyzzy�{|}yx~KBBHMii����1��;]VT[_�2�;��6YYg����8]V̂YZa�2X[�YZ̀������9Z[WU_�<ẀWÛ�|x�z|���w��~�y�KBBHMii����1��;]VT[_�2�;��6YYg����8]V̂YZa�2X[�YZ̀�����������9Z[WU_�<ẀWÛ
| �� | �� | !�"�#�$���%����&�' | |
| "����(��#)�*+�,&�'� | �����-� | ����..�.. ���� �! |
/012345246�789:4299 ;<96�;23=035<4>2 ?@ABC@D�EFDGHIJGKLLMNOOPPP�QR�S8>T:U�VWSR�X005�YZ[\8>904]�V3:̂04<�P_̀Yab4:62U�c6<629?@ABC@D�EFDGHIJGKLLMNOOPPP�QR�S8>T:U�VWSR�X005�YZ[\8>904]�V3:̂04<�P_̀YadZ_eYb4:62U�c6<629fIJg@B�hHBBJAKLLMNOOPPP�Q�S8>T:U�X005�YZ[\8>904]�V3:̂04<�P_̀Yab4:62U�c6<629 i83�j2k9:62Klmno�pqrO�sroNtnM�umvvnwroxyNzN{ON�|moNOsxOoNv�KzNMoO i83�;<364239K}~nrOrormw��m��sKs�NwLrw���m��M{woO��m��mMN��{MowNMO;0T:>:29�Mr�{}x��mzr}x �8960523�c231:>2�Nz�
| �� | �� | !�"�#�$���%����&�' | |
| "����(��#)�*+�,&�'� | �����-� | ����..�.. ���� !�! |
/012340567187669:5�:;�<=;:754>0:=�?2>?226110@030>A BC62D�E=>0>A�F>4>G18696743�F67H026�/61DEI>67=43�J61:G7261B:=>42>KLMLNOP�QLNRSTLUVWXSMSUYNOYSZM [C01�01�4�\]F]�̂6=6743�F67H0261�?950=01>74>0:=�8696743�̂:H67=56=>�2:5_G>67�1A1>65�>C4>�01�̀abcbaadedVf�gQh�bifjk̀�[C01�1A1>65�01�1G@l62>�>:�5:=0>:70=m]�<=90H09G431�;:G=9�_67;:750=mG=4G>C:70n69�42>0H0>061�476�1G@l62>�>:�90120_30=47A�42>0:=�0=23G90=m�27050=43�_7:162G>0:=]
(�)������������������������*�((������������������+��������$�%+���������$�%+�����,�� ����� �!�-./0123452�6789/:�;7210<2=�-./0123452�6789/:�;7210<2=�-5<3<372-5<3<372��>����������$����(���*�(��?��!�����)��(�@��A����BC�DE�FGHIJKH�LFG�CEIDMN�KOPH�PDMPQPMILJ�EF�GDKPKR�SPC�PK�PH�LD�GDKPKR�HGLFTOU�PH�DEK�TIFFGDKJR�GVTJIMGMW�XFPDK�KOPH�YGZ�[L\G�CEF�REIFMETI]GDKLKPED�������@ �������������*����*�������̂���_��̀�_�� ��&�a����� ��b& ��&�a����������������
@���((������$�%������(�����?����*�������� �!���+�����c���d����$�)���e��$�f
��,-./01�2.3-�.45�678-9:;<=;<><?�<@?=@A>�BCD4373E�2-3.7FGD4373E�H.8-9 IJK�LMNOKPQNIR�STUPNVSMU�TSLMWUINSM D4373E�X29 >>Y>:Y<:D4373E�6EZ-9 W[\]̂_̀a�M[bcd[è_f[dc[dg_̀[b D4373E�,3.3hG9 i037j-kl/8.37l4�2.3-9 m;A<;A:Y= n-.Gl4�ol/�,3.3hG9 Nb�p[[q�Q_gbq̀briZZ/lj.F�2.3-9 m;A<;A:Y= ,3.3hG�2.3-9 A>;?;<>A:s/7t74.F�X40l/Zl/.37l42.3-9 m;A<;A:Y= u7o-�v-/7l59 B]dc]_wgxyhG74-GG�6EZ-9 S_z]d�{�fJUPNIU|}K u.G3�i44h.F�n-Zl/3�k7F-59 <><?2l8707F-�,3.3-9 Ud̀~[bg i44h.F�n-Zl/3�2h-�2.3-9 A>;A<;<><��-./G�2h-9s/7t74.F�vh�F7G1�2.3-9,3.3h3l/E�it-43�X4ol/8.37l4H.8-9 fPUNp�|UP�KP iZZl743-5�,3.3hG9 Ua_̀�]i33-437l49 i55/-GG9 AAAA�M�fJKPPR�UOK��ILfQSM��UV�=Y�<A��LQUit-43�u.G3��Z5.3-59 =;Am;<><? D�8.7F9i33-437l49 �.7F74t�i55/-GG9Bd̀�ga��B[x̀a���z__c@;;g~aa�r[�;cd̀�ga�{c[x̀a�����f[b_ga_�L̂��z__c@;;g~aa�r[�;a[dc[dg_̀[b̂;a[dc[dg_̀[b{a[b_ga_̂�
*�+,-./012 �333� 4 5 �333� 6-78�9 +:;-�4�0<�=>�,-?0,@2�4�80�A�0<�B�� ����C0�80�+:;-
D/8E- 6:F- G88-H8/0H G@@,-22 I:8-�0<�D:J/H;K<</?- L:28MN@:8-@OPQRSTUQ VWXYZ�[XW\]W ^̂̂ �̂_�V̀]WWa�Xb]�cdYe]�fĝhedVci_h�Xjh�klm5̂h�dcX nôfo5ggn ĝopo5ĝqrQRsPtRuToV]i vì_wrXdxWiVj_YX\ ^̂̂ �̂_�V̀]WWa�Xb]�cdYe]�fĝhedVci_h�Xjh�klm5̂h�dcX môo5ĝl ĝopo5ĝqcRSQRTyQz rXeWYVYX�X[XWex]ee ^̂̂ �̂_�V̀]WWa�Xb]�cdYe]�fĝhedVci_h�Xjh�klm5̂h�dcX lo5go5ĝn ĝopo5ĝqeQRys{QRQ vU|u�}{sP~ ^̂̂ �̂_�V̀]WWa�Xb]�cdYe]�fĝhedVci_h�Xjh�klm5̂h�dcX lolo5g5p kôno5g5pV|yPQ�yu�U��T|R�[UyQtU��OPQRSTUQs _yuSz�V��[RQ�R ^̂̂ �̂_�V̀]WWa�Xb]�cdYe]�fĝhedVci_h�Xjh�klm5̂h�dcX lolo5g5p kôno5g5pi��PSRQ cSUTT�OU{�~yss ^̂̂ �̂_�V̀]WWa�Xb]h�cdYe]�fĝhedVci_h�Xjh�klm5̂h�dcX lolo5g5p kôno5g5p
�01H8�� rP�y+,/H?/N:E��H<0,F:8/0H
�H8/8���H0�H�+E:?-�0<��12/H-22G88-H8/0H��i��PSR�U��ZRuRQy~VU{usR~ G@@,-22��̂̂^̂�_�V̀]WWaXb]h�edVci_h�Xjh�klm5̂hdcX �01H8���rP�y L:28�MN@:8-@��kôno5g5p�H8/8��+,/H?/N:E�K<</?-�G@@,-22rQP�ySz�rU~PSz��|TT��ooy�SS��U�o�QP�ySzw�U~PSz����VUuTyST�ds��|TT��ooy�SS��U�oSUQ�UQyTPUusoSUQ�UQyTPUuwSUuTySTs�
*++,-+./-0 *112,330 4/5-+60 783+�9:18+,10;<=> �?@ABCD�AE�F@<C=G �?@ABCD�AE�?@HBIAH JE=BK@DA�LMHAECNO<K@P?@HACB=ABCMDQ�LMHAECNR@DSMDQ�JE=BK@DAH �TM=CEUMIK�LMHAECN
RCMV<=N�REIM=N�WGAAXYPP<Z==[QEVPXCMV<=N\XEIM=N]�̂�_EDA<=A�̀H�WGAAXYPP<Z==[QEVP=ECXEC<AMEDHP=ECXEC<AMED\=EDA<=AH]
File details come from the government source that posted it. Updated .