CTR067227 A1.pdf

PDF 669 KB Posted

Attached to
Master Agreement AZ|CTR067227
Contract number
CTR067227
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services and Gila County Health Services, specifically for WIC and Breastfeeding Peer Counseling Services. The contract (CTR067227) is an amendment to an existing agreement, involving the Arizona Procurement Portal, and is signed by representatives from both the state agency and Gila County, including the Procurement Officer Kallee Gray and county leadership.

The amendment covers WIC Services and Breastfeeding Peer Counseling Services for the period from October 1, 2023 to September 30, 2024, with a total combined budget of $287,207.00. The funding comes from the federal CFDA number 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children. The budget breakdown includes personnel costs, employee-related expenses, and other operational expenses, with the WIC Services allocation at $237,899.00 and Breastfeeding Peer Counseling Services at $49,308.00. The amendment allows for budget transfers between funded line items with prior written approval and indicates an assigned caseload of 900 for Federal Fiscal Year 2024.

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Other files

File Type Posted
CTR067227 A1 Pricing.pdf PDF
CTR067227_fully_executed.pdf PDF
CTR067227 A2 Pricing.pdf PDF
CTR067227 A3.pdf PDF
CTR067227 A2.pdf PDF
CTR067227 A3 Pricing.pdf PDF
CTR067227 Pricing.pdf PDF
P.R.S. Request.pdf PDF

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Elise Phalen Digitally signed by Elise Phalen DN: cn=Elise Phalen, o=Arizona Attorney General's Office, ou, email=elise.phalen@azag.gov, c=US Date: 2024.07.15 10:13:14 -07'00'

Monique B Harris

Digitally signed by Monique B Harris Date: 2024.07.15 17:47:42 -07'00'

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COUNTY OF GILA

Unique Entity ID

N3AKPSDLUG78

CAGE / NCAGE

4Y5V8

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Apr 30, 2025

Physical Address

1400 E Ash ST

Globe, Arizona 85501-1483

United States

Mailing Address

1400 E Ash ST

Globe, Arizona 85501-1483

United States

Business Information

Doing Business as

(blank)

Division Name

Gila County Education Service Agency

Division Number

(blank)

Congressional District

Arizona 02

State / Country of Incorporation

(blank) / (blank)

URL

(blank)

Registration Dates

Activation Date

May 2, 2024

Submission Date

Apr 30, 2024

Initial Registration Date

Dec 20, 2007

Entity Dates

Entity Start Date

Jan 1, 2003

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

US State Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Nicholas Montague on Apr 30, 2024 at 04:16 PM COUNTY OF GILA

Jul 29, 2024 04:30:55 PM GMT https://sam.gov/entity/N3AKPSDLUG78/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

U.S. State Government

County

Other Entity Qualifiers

Minority Institution

Educational Institution

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4Y5V8

Points of Contact

Electronic Business

NICHOLAS MONTAGUE, Superintendent 1400 E Ash ST

Globe, Arizona 85501

United States

Government Business

ROY SANDOVAL, Principal 1400 E Ash ST

Globe, Arizona 85501

United States

Past Performance

ROY SANDOVAL

1400 E Ash ST

Globe, Arizona 85501

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 Nicholas Montague on Apr 30, 2024 at 04:16 PM COUNTY OF GILA

Jul 29, 2024 04:30:55 PM GMT https://sam.gov/entity/N3AKPSDLUG78/coreData?status=null Page 2 of 2

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CTR067227 WIC and BFPC Services (Gila County) A1_EXECUTED
Debarments
Arizona Corporations Commission
EntityInformation_20240729-093040 GILA COUNTY
OIG Search Results

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