CTR064826 A3.pdf
PDF 955 KB Posted
- Attached to
- Master Agreement AZ|CTR064826
- Contract number
- CTR064826
- Issued by
- Arizona
About this file
This document is an Intergovernmental Agreement (IGA) Amendment No. 3 for Contract No. CTR064826 between the Arizona Department of Health Services (ADHS), Office of Procurement, and Yavapai County Community Health Services. The amendment involves STI Control Services and is specifically for Yavapai County, located in Arizona, with the procurement officer being Ryan Garcia from the ADHS.
The amendment includes an updated Annual Price Sheet with cost reimbursement line items totaling $33,646.50. The budget breakdown includes $19,161.00 for Personnel Services, $6,933.00 for Employee Related Expenses, $500.00 for Travel, $114.00 for Supplies, and $617.50 for Other Operating expenses. An indirect cost of $6,435.00 (calculated at 23.65%) is also included. The document notes that with prior written approval, YCCHS can transfer up to 30% of the total budget amount between line items, and the budget is contingent on funding and subject to potential changes in subsequent years.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR061538_STD_Control_Services__Yavapai_County_fully_executed.pdf | ||
| CTR064826 STD Control Services, Yavapai County, A1 fully executed.pdf | ||
| CTR064826_Pricing.xlsx | XLSX spreadsheet | |
| Procurement Request.pdf | ||
| CTR064826 A2 Pricing.pdf | ||
| CTR064826 Contract Amendment No. 4.pdf | ||
| CTR064826 Pricing A3.pdf | ||
| CTR064826 Pricing.xlsx | XLSX spreadsheet | |
| CTR061538 A1 Pricing.xlsx | XLSX spreadsheet | |
| CTR064826 Pricing A4.pdf | ||
| CTR064826_A2_Executed.pdf |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Alice Perepech Digitally signed by Alice Perepech DN: cn=Alice Perepech, o=Arizona Attorney General's Office, email=Alice.Perepech@azag.gov, c=US Date: 2025.05.21 16:12:29 -07'00'
Kristine Newton Digitally signed by Kristine Newton Date: 2025.05.22 16:12:49 -07'00'
������������������ !"#$%&'$�()*+!,�-)$#".$/�0123456785�9:;<2=�>:543?5@��'.%.%)$08?6?6:5��A��B��� �����������������C
��D������D���������E�
���F��������GH�IJ�KLMNOPM�QKL�HJNIRS�PTUM�UIRUVURNQO�JK�LIPUPW�XUH�UP�UM�QI�LIPUPW�MLQKYTZ�UM�IJP�YNKKLIPOW�L[YONRLR\�]KUIP�PTUM�̂ L_�̀QaL�HJK�WJNKRJYNbLIPQPUJIF� ����c� ��F� ��������������defgefhfd�ijigjhk�lm��Fn����o�p�q������� ���F������� �������degefhfd�rhjhrjhh�cm��FnB���������F� c��������
����������������s������F� ����������������E���t����������u����vdefgefd��rjig�lm o�p�F� ����B���
��� �jee��� ������������������eF� ���B��� � � rer
YAVAPAI, COUNTY OF
Unique Entity ID
FYBRW2NQCR26
CAGE / NCAGE
5XM62
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Jan 22, 2026
Physical Address
2970 Centerpointe East DR
Prescott, Arizona 86301-8426
United States
Mailing Address
2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Business Information
Doing Business as
SCHOOL SUPERINTENDANT
Division Name
Yavapai County Education Service Agency
Division Number
Yavapai Co
Congressional District
Arizona 02
State / Country of Incorporation
(blank) / (blank)
URL
www.YavapaiCoESA.gov
Registration Dates
Activation Date
Jan 24, 2025
Submission Date
Jan 22, 2025
Initial Registration Date
Mar 23, 2010
Entity Dates
Entity Start Date
Dec 31, 1994
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 Local Government
Organization Factors
(blank)
Profit Structure
(blank)
Last updated by Shari Sterling on Jan 22, 2025 at 12:17 PM YAVAPAI, COUNTY OF
May 29, 2025 08:48:22 PM GMT https://sam.gov/entity/FYBRW2NQCR26/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. Local Government
County
Financial Information
Accepts Credit Card Payments
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
5XM62
Points of Contact
Electronic Business
Maria Gardea, Accounting Specialist 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Renee Raskin 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Government Business
Shari Sterling, Grants Manager 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Renee Raskin 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Service Classifications
NAICS Codes
Primary NAICS Codes NAICS Title
Disaster Response
This entity does not appear in the disaster response registry.
Last updated by Shari Sterling on Jan 22, 2025 at 12:17 PM YAVAPAI, COUNTY OF
May 29, 2025 08:48:22 PM GMT https://sam.gov/entity/FYBRW2NQCR26/coreData?status=null Page 2 of 2
File details come from the government source that posted it. Updated .