CTR064826 Contract Amendment No. 4.pdf

PDF 10 MB 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. 4 between the Arizona Department of Health Services (ADHS) and Yavapai County Community Health Services. The contract is funded by a federal grant from the Centers for Disease Control and Prevention (CDC) for Strengthening Sexually Transmitted Disease Prevention and Control in Arizona, with the Arizona Department of Health Services acting as the pass-through entity.

The contract provides $34,646.50 in federal funds for sexually transmitted infection (STI) investigations and prevention services in Yavapai County. Key objectives include preventing and controlling the incidence of chlamydia, gonorrhea, and syphilis; eliminating congenital syphilis; reducing primary and secondary syphilis; preventing antibiotic-resistant gonorrhea; responding to STI outbreaks; and preventing STI-related reproductive health problems. The funding covers personnel services, employee-related expenses, travel, supplies, and indirect costs, with a 20% indirect cost rate. The contract period runs from 1/1/23 to 2/28/26, and requires various reporting deliverables including a five-year work plan, progress reports, and annual budgets.

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Other files

File Type Posted
Procurement Request.pdf PDF
CTR064826 A2 Pricing.pdf PDF
CTR064826 Pricing A3.pdf PDF
CTR064826 Pricing.xlsx XLSX spreadsheet
CTR061538 A1 Pricing.xlsx XLSX spreadsheet
CTR064826 Pricing A4.pdf PDF
CTR064826_A2_Executed.pdf PDF
CTR061538_STD_Control_Services__Yavapai_County_fully_executed.pdf PDF
CTR064826 STD Control Services, Yavapai County, A1 fully executed.pdf PDF
CTR064826_Pricing.xlsx XLSX spreadsheet
CTR064826 A3.pdf PDF
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Text version

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

Oct 01, 2025 10:46:14 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

Oct 01, 2025 10:46:14 PM GMT https://sam.gov/entity/FYBRW2NQCR26/coreData?status=null Page 2 of 2

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