CTR066191_Debarment_Checks.pdf

787 KB Posted

Attached to
Master Agreement AZ|CTR066191
Contract number
CTR066191
Issued by
Arizona

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Summary

This document set contains corporate registration and compliance information for Catholic Community Services of Southern Arizona, Inc., a domestic nonprofit corporation incorporated in Arizona. The entity, with Unique Entity ID D1GHHBBJFKT6 and CAGE Code 3Z364, is registered with the System for Award Management (SAM.gov) and maintains active status with the Arizona Corporation Commission. The organization was originally formed on September 29, 1933, and maintains its principal place of business at 268 W. Adams Street, Tucson, Arizona 85705. Leadership includes CEO Elena Dwyre and COO Terry Randolph. The organization holds no active exclusions or debarments and appears in the disaster response registry for Arizona and New Mexico.

Catholic Community Services of Southern Arizona provides a diverse range of social services and healthcare support aligned with multiple NAICS codes including Janitorial Services (561720), All Other Outpatient Care Centers (621498), Other Residential Care Facilities (623990), Child and Youth Services (624110), Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (624190), and Child Care Services (624410). The organization's service classifications encompass social-geriatric services, dependent Medicare care, housekeeping and custodial janitorial services, and transportation and relocation services. The entity accepts credit card payments and maintains an active SAM registration expiring November 11, 2025, enabling participation in federal contracting opportunities across multiple service categories.

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CATHOLIC COMMUNITY SERVICES OF SOUTHERN

ARIZONA, INC.

Unique Entity ID

D1GHHBBJFKT6

CAGE / NCAGE

3Z364

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Nov 11, 2025

Physical Address

268 W Adams ST

Tucson, Arizona 85705-6534

United States

Mailing Address

268 W Adams ST, Tucson, Arizona 85705-7688

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 07

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Nov 20, 2024

Submission Date

Nov 11, 2024

Initial Registration Date

Apr 10, 2002

Entity Dates

Entity Start Date

Sep 1, 1933

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

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Last updated by Kimberly Trevino on Nov 11, 2024 at 07:54 AM CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.

Mar 10, 2025 05:10:10 PM GMT https://sam.gov/entity/D1GHHBBJFKT6/coreData?status=null Page 1 of 3

Profit Structure

Non-Profit Organization

Socio-Economic Types

AbilityOne Non Profit Agency

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.

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

3Z364

Points of Contact

Electronic Business

Kimberly Trevino, Grant/Contract 268 W Adams Street

Tucson, Arizona 85705

United States

Elena Dwyre, CEO 268 W. Adams Street

Tucson, Arizona 85705

United States

Government Business

Kimberly Trevino, Grant/Contract 268 W. Adams Street

Tucson, Arizona 85705

United States

Elena Dwyre, CEO 268 W. Adams Street

Tucson, Arizona 85705

United States

Past Performance

Terry CSO Randolph, COO 268 W. Adams Street

Tucson, Arizona 85705

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

561720

NAICS Title

Janitorial Services

621498 All Other Outpatient Care Centers

623990 Other Residential Care Facilities

624110 Child And Youth Services

624120 Services For The Elderly And Persons With Disabilities

624190 Other Individual And Family Services

624410 Child Care Services

Product and Service Codes

PSC PSC Name

G005 Social- Geriatric

Q101 Medical- Dependent Medicare

S201 Housekeeping- Custodial Janitorial

V212 Transportation/Travel/Relocation- Travel/Lodging/Recruitment: Motor Passenger

Last updated by Kimberly Trevino on Nov 11, 2024 at 07:54 AM CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.

https://sam.gov/entity/D1GHHBBJFKT6/coreData?status=null Page 2 of 3

Disaster Response

Yes, this entity appears in the disaster response registry.

Bonding Levels Dollars

(blank) (blank)

States

Arizona

New Mexico

Counties

(blank)

Metropolitan Statistical Areas

(blank)

Last updated by Kimberly Trevino on Nov 11, 2024 at 07:54 AM CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.

https://sam.gov/entity/D1GHHBBJFKT6/coreData?status=null Page 3 of 3

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