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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR067227 A1 Pricing.pdf | ||
| CTR067227_fully_executed.pdf | ||
| CTR067227 A2 Pricing.pdf | ||
| CTR067227 A3.pdf | ||
| CTR067227 A2.pdf | ||
| CTR067227 A3 Pricing.pdf | ||
| CTR067227 Pricing.pdf | ||
| P.R.S. Request.pdf |
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Text version
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 .