CTR066099_Assisted_Living_Las_Palmas_Amendment_2.pdf
PDF 173 KB Posted
- Attached to
- Master Agreement AZ|CTR066099
- Contract number
- CTR066099
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security (ADES) for Contract Number CTR066099, Amendment Number Two, involving Las Palmas Assisted Living Home LLC. The amendment pertains to an Assisted Living Facility contract and is being processed through the department's standard contract modification procedures.
The amendment extends the contract term from May 01, 2024, through April 30, 2025, with no rate adjustments from the previous contract term. The daily rate for the Residential Day service (Focus ID 156967) remains fixed at $159.43. The amendment specifically replaces the previous Exhibit A – Price Sheet with a new Exhibit A – Rate Sheet, while maintaining all other contract requirements, specifications, and terms unchanged. The amendment will be executed through electronic approval in the department's application system (APP).
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR066099 Two (2)
DESCRIPTION/ LABEL: Assisted Living Facility
CONTRACTOR NAME: Las Palmas Assisted Living Home LLC dba Las Palmas Assisted Living Home
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Uniform Terms and Conditions, Section 5, Contract Changes, Sub-Section 5.1 Amendments, Exhibit A – Price Sheet is hereby removed, and Exhibit A – Rate Sheet is hereby added.
2. In accordance with the ADES Special Terms and Conditions, Section 13, Contract Term & Option to Extend, the Contract term is extended from May 01, 2024, through April 30, 2025. The rates are not adjusted for the extension and shall remain the same as the previous Contract term.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
Exhibit A – Rate Sheet
Contract No.: CTR066099
Description: Assisted Living Facility
Exhibit A – Rate Sheet
Las Palmas Assisted Living Home LLC
Service Daily Rate
Residential Day – Focus ID 156967 $159.43
File details come from the government source that posted it. Updated .