CTR066209_Debarment_Checks.pdf

PDF 886 KB Posted

Attached to
Master Agreement AZ|CTR066209
Contract number
CTR066209
Issued by
Arizona

About this file

WestCare Arizona I Inc. is a domestic nonprofit corporation registered in Arizona, with an active status and a formation date of March 1, 1999. The organization is listed in the System for Award Management (SAM.gov) with a unique entity ID of S62DCE7VGAM7 and is classified as a tax-exempt, charitable organization located in Bullhead City, Arizona. The entity is registered for all awards and maintains an active registration status through October 3, 2024.

The organization operates in multiple service classifications, including Other Individual and Family Services, Outpatient Mental Health and Substance Abuse Centers, Child and Youth Services, Temporary Shelters, and Other Community Housing Services. WestCare Arizona I Inc. has been verified as not being on any exclusion lists, such as the OIG LEIE Exclusions database, and is not currently suspended or debarred from doing business with the State of Arizona. The company's principal office is located at 720 Hancock Road in Bullhead City, Arizona, and its leadership includes Richard Steinberg as President and William Ekstrom Jr. as Chairman of the Board of Directors.

View the file

Other files

File Type Posted
CTR066209_-_Named_Insured.pdf PDF
CTR066209_-_PNC.pdf PDF
CTR066209_Contract_Amendment_3.pdf PDF
CTR066209_ISB.pdf PDF
CTR066209_Itemized_Service_Budget.pdf PDF
Exhibit_B_-_Itemized_Service_Budget.xlsx XLSX spreadsheet
Exhibit_G_-_Labor_Activity_Report.xlsx XLSX spreadsheet
CTR066209-COI.pdf PDF
CTR066209-WOS.pdf PDF
CTR066209_-_COI.pdf PDF
CTR066209_-_SAM.pdf PDF
CTR066209_-_WC_WOS.pdf PDF
CTR066209_Contract_Amendment_2.pdf PDF
CTR066209_Contract_Documents.pdf PDF
CTR066209_Exhibit_G.pdf PDF
CTR066209_WestCare_Foundation_-_State_of_Arizona_COI.pdf PDF
Exhibit_C_-_Certification_of_De_Minimis_Indirect_Cost_Rate.pdf PDF
WESTCAREARIZONAIINC-COI.pdf PDF
CTR066209_-_COI_and_Endorsements.pdf PDF
CTR066209_End_1_WestCare_Foundation_OPS1586865.pdf PDF
CTR066209_SOW_rev_via_A3.pdf PDF
CTR066209_State_of_Arizona_Auto_AI.pdf PDF
Exhibit_E_-__ADES_Domestic_Violence_Services_Monthly_Report.xlsx XLSX spreadsheet
Exhibit_F_-_ADES_Domestic_Violence_Services_Quarterly_Report.xlsx XLSX spreadsheet
WESTCAREARIZONAIINC-Endorsement.pdf PDF
WESTCAREARIZONAIINC-PNC.pdf PDF
2024-3-1_COI.pdf PDF
CTR066209_-_AO_Endorsements.pdf PDF
CTR066209_-_COI_and_Endorsements__1_.pdf PDF
CTR066209_Contract_Amendment_1.pdf PDF
CTR066209_Contract_Amendment_4.pdf PDF
CTR066209_Contract_Amendment_5.pdf PDF
CTR066209_Endorsement_-_Auto.pdf PDF
CTR066209_ISB_Westcare_Arizona.pdf PDF
Show all 34

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Text version

WESTCARE ARIZONA I INC

Unique Entity ID

S62DCE7VGAM7

CAGE / NCAGE

4B9R5

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Oct 3, 2024

Physical Address

720 Hancock RD

Bullhead City, Arizona 86442-5004

United States

Mailing Address

P.O. Box 20205

Bullhead City, Arizona 86439-0205

United States

Business Information

Doing Business as

(blank)

Division Name

Westcare Arizona, Inc.

Division Number

(blank)

Congressional District

Arizona 09

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Oct 5, 2023

Submission Date

Oct 4, 2023

Initial Registration Date

Feb 16, 2006

Entity Dates

Entity Start Date

Aug 19, 1999

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)

Profit Structure

Non-Profit Organization

Last updated by Lisa Jackson on Oct 04, 2023 at 11:04 AM WESTCARE ARIZONA I INC

Apr 16, 2024 04:41:12 PM GMT https://sam.gov/entity/S62DCE7VGAM7/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.

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4B9R5

Points of Contact

Electronic Business

Lisa Jackson, Vice President of Grants 5999 Central Avenue

Saint Petersburg, Florida 33710

United States

Nayeli Cervantes-Knuth, Controller-Int’l/Offshore 1711 Whitney Mesa DR.

Henderson, Nevada 89014

United States

Government Business

Shawn Jenkins, Chief Operations Officer 1711 Whitney Mesa Drive

Henderson, Nevada 89014

United States

Cheryl Debatt Westcare Arizona

821 Hancock RD #2

Bullhead City, Arizona 86442

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

624190

NAICS Title

Other Individual And Family Services

621420 Outpatient Mental Health And Substance Abuse Centers

624110 Child And Youth Services

624221 Temporary Shelters

624229 Other Community Housing Services

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Lisa Jackson on Oct 04, 2023 at 11:04 AM WESTCARE ARIZONA I INC

Apr 16, 2024 04:41:12 PM GMT https://sam.gov/entity/S62DCE7VGAM7/coreData?status=null Page 2 of 2

4/22/24, 2:15 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=08678814 1/3

ENTITY INFORMATION

Search Date and Time: 4/22/2024 2:15:35 PM

Entity Details

Entity Name:

WESTCARE ARIZONA I, INC.

Entity ID:

08678814

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

3/1/1999

Reason for Status:

In Good Standing

Approval Date:

3/1/1999

Status Date:

4/18/2024

Original Incorporation Date:

3/1/1999

Life Period:

Perpetual

Business Type:

Other - Other - CHARITABLE

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

4/1/2025

Years Due:

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=08678814 2/3

Title Name Attention Address Date of Taking Office

Last Updated

Chairman of the Board of Directors

WILLIAM

EKSTROM JR

C/O MOHAVE CO. ATTORNEY

OFFICE 1516 S. PALOMA

BLANCA PL, KINGMAN, AZ,

86401, Mohave County, USA

11/15/2009 4/15/2019

Director

MARY AY

OKADA

PO BOX 3566, HAGATNA, GU,

96932, Guam County, USA

4/28/2012 4/15/2019

Director

RICHARD

STEINBERG

1711 WHITNEY MESA DRIVE,

HENDERSON, NV, 89014,

Clark County, USA

8/18/1999 4/15/2019

President

RICHARD

STEINBERG

1711 WHITNEY MESA DR,

HENDERSON, NV, 89014,

Clark County, USA

8/18/1999 3/2/2023

Original Publish Date:

4/9/1999

Statutory Agent Information

Name:

BUSINESS FILINGS INC

Appointed Status:

Active

Attention:

Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

Agent Last Updated:

4/18/2024

E-mail:

Attention:

Mailing Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

County:

Maricopa

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=08678814 3/3

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 10 Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

Secretary JIM HANNA

1711 WHITNEY MESA DRIVE,

HENDERSON, NV, 89014,

Clark County, USA

10/27/2012 4/15/2019

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention:

Address: 720 HANCOCK RD, BULLHEAD CITY, AZ, 86442, USA

County: Mohave

Last Updated: 4/18/2024

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(2) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

4/22/24, 2:17 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.

Exclusions Search Results: Exclusions Search Results: EntitiesEntities

No Results were found for

Westcare Arizona I inc

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

Search Again

Search conducted 4/22/2024 5:17:22 PM EST on OIG LEIE Exclusions database.

Source data updated on 4/10/2024 9:00:00 AM EST

Return to Search

An official website of the United States government. Here's how you know > https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

4/16/24, 9:55 AM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2

Visit OpenBooks (https://openbooks.az.gov) Ombudsman-Citizens Aide (https://www.azoca.gov)

Register to Vote (https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote)

AZ.Gov (https://az.gov/search/) (https://az.gov)

Home (/) » Compliance (/compliance) » Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms)

Debarred and Suspended Firms SPO is responsible for maintaining a list of firms that are suspended or debarred from doing business with the State of Arizona.

THERE ARE NO SUSPENDED OR DEBARRED FIRMS AT THIS TIME.

COMPLIANCE

Agency Procurement Authority (/compliance/agency-procurement-authority)

Control Self-Assessment (CSA) (/compliance/control-self-assessment-csa)

Procurement Compliance Reviews (PCR) (/compliance/procurement-compliance-reviews-pcr)

Compliance Hotline (/compliance/compliance-hotline)

Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms) https://openbooks.az.gov/ https://openbooks.az.gov/ https://www.azoca.gov/ https://www.azoca.gov/ https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote https://az.gov/search/ https://az.gov/search/ https://az.gov/ https://az.gov/ https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/compliance https://spointra.az.gov/compliance https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/agency-procurement-authority https://spointra.az.gov/compliance/control-self-assessment-csa https://spointra.az.gov/compliance/procurement-compliance-reviews-pcr https://spointra.az.gov/compliance/compliance-hotline https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/

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ACC
OIG
SPO

File details come from the government source that posted it. Updated .