CTR066099_Las_Palmas_Amendment_5.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, amending Contract Number CTR066099, specifically for Las Palmas Assisted Living Home, LLC. The amendment is the fifth modification to the original contract and pertains to an Assisted Living Facility contract.
The amendment updates the contract's Exhibit A Price Sheet and extends the contract term from May 01, 2025 through April 30, 2026. The daily rates for services are specified as $139.80 for Residential Day with Focus ID 29420 and $159.43 for Residential Day with Focus ID 156967. All other contract requirements, specifications, and terms remain unchanged, and the amendment will be executed through electronic approval in an application system.
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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 Five (5)
DESCRIPTION/ LABEL: Assisted Living Facility
CONTRACTOR NAME: 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 Amendment, the Exhibit A – Price Sheet is hereby replaced with Exhibit A – Price Sheet:
Exhibit A – Price Sheet Las Palmas Assisted Living Home, LLC
2. In accordance with the Special Terms and Conditions, Section 13. Contract Term & Option to Extend, the Contract term is extended from May 01, 2025 through April 30, 2026.
Service Daily Rate
Residential Day – Focus ID 29420 $139.80
Residential Day – Focus ID 156967 $159.43
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.
File details come from the government source that posted it. Updated .