CTR067227 A3.pdf

21 MB Posted

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

About this file

Written by GovTribe AI ·

This document is an Intergovernmental Agreement (IGA) Amendment No. Three (3) between the Arizona Department of Health Services (ADHS) and Gila County Health Department. The contract is specifically for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Breastfeeding Peer Counseling (BFPC) Services. The federal award is from the United States Department of Agriculture, Food and Nutrition Service, Southwest Regional Office, with a grant number of 10.557.

The amendment covers WIC and BFPC services for the period of October 1, 2025 to September 30, 2026, with a total federal award amount of $325,919 ($276,811 for WIC Services and $49,308 for Breastfeeding Peer Counseling Services). The contract aims to provide nutrition and breastfeeding support to low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, infants, and children up to age five in underserved communities within Arizona. The assigned caseload for the fiscal year 2026 is 900 participants, with performance standards requiring maintenance of participation levels between 97-99% depending on the number of participants. The funding is restricted to specific program purposes and cannot be used for items like bad debts, entertainment, or lobbying expenses.

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Other files

File Type Posted
CTR067227 A2 Pricing.pdf PDF
CTR067227 A1 Pricing.pdf PDF
CTR067227_fully_executed.pdf PDF
CTR067227 A1.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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Alice Perepech

Digitally signed by Alice Perepech DN: cn=Alice Perepech, o=Arizona Attorney General's Office, email=Alice.Perepech@azag.gov, c=US Date: 2025.11.24 15:00:06 -07'00'

Kristine Newton Digitally signed by Kristine Newton Date: 2025.11.24 16:13:29 -07'00'

GILA COUNTY, AZ

Unique Entity ID

C8EKKJK67XB1

CAGE / NCAGE

3J6X2

Purpose of Registration Federal Assistance Awards Only

Registration Status Active Registration

Expiration Date Jan 2, 2026

Physical Address 1400 E Ash ST Globe, Arizona 85501-1483 United States

Mailing Address 1400 E Ash ST Finance Department Globe, Arizona 85501-1483 United States

Business Information

Doing Business as (blank)

Division Name Finance Department

Division Number (blank)

Congressional District Arizona 02

State / Country of Incorporation (blank) / (blank)

URL

www.gilacountyaz.gov

Registration Dates

Activation Date Jan 6, 2025

Submission Date Jan 2, 2025

Initial Registration Date Sep 25, 2003

Entity Dates

Entity Start Date Jul 1, 1881

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

Organization Factors (blank)

Profit Structure (blank)

Last updated by Maryn Belling on Jan 02, 2025 at 11:38 AM GILA COUNTY, AZ

Dec 01, 2025 04:57:50 PM GMT https://sam.gov/entity/C8EKKJK67XB1/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 County

Financial Information

Accepts Credit Card Payments No

Debt Subject To Offset No

EFT Indicator

CAGE Code 3J6X2

Points of Contact

Electronic Business

Maryn Belling, Finance Director 1400 E. Ash ST.

Globe, Arizona 85501 United States

Amber T Warden 1400 E Ash ST Globe, Arizona 85501 United States

Government Business

Amber T Warden, Accounting Manager 1400 E Ash ST Globe, Arizona 85501 United States

Past Performance

Aimee Staten, Grant Administrator 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 Maryn Belling on Jan 02, 2025 at 11:38 AM GILA COUNTY, AZ

Dec 01, 2025 04:57:50 PM GMT https://sam.gov/entity/C8EKKJK67XB1/coreData?status=null Page 2 of 2

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Exclusions SearchResults:Exclusions SearchResults: EntitiesEntities

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Gila County Health Department

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

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Search conducted 12/1/2025 11:58:16 AM EST on OIG LEIE Exclusions database.

Source data updated on 11/10/2025 9:01:00 AM EST

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12/1/25, 9:58 AM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Gila County

All

N/A

All

N/A

All

N/A

All

02210467

ADVANCEMENT CAREER

TRAINING, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=02210467)

Domestic For-Profit (Business) Corporation

Gila

DEBRA

SHORT

Statutory Agent

Inactive

00649506

BILL CONNER VILKSWAGEN, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=00649506)

Domestic For-Profit (Business) Corporation

Inactive

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

12/1/25, 10:00 AM Arizona Corporation Commission https://ecorp.azcc.gov/EntitySearch/Index 1/4

23171283

BRLS Properties Tenant

Maricopa, LLC

(/BusinessSearch/BusinessInfo?

entityNumber=23171283)

Domestic

LLC

Maricopa Corporation Service Company

Statutory Agent

Active

01745072

COPPER MOUNTAIN

BEHAVIORAL HEALTH SERVICES

INC.

(/BusinessSearch/BusinessInfo?

entityNumber=01745072)

Domestic Nonprofit Corporation

Gila

TIMOTHY

RONAN

Statutory Agent

Inactive

00700498

GILA COUNTY ASSOCIATION FOR

RETARDED CHILDREN,

(/BusinessSearch/BusinessInfo?

entityNumber=00700498)

Domestic Nonprofit Corporation

Gila

STEVE M

TITLA

Statutory Agent

Inactive

00700498

GILA COUNTY ASSOCIATION FOR

RETARDED CITIZENS, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=00700498)

Domestic Nonprofit Corporation

Gila

STEVE M

TITLA

Statutory Agent

Inactive

07658185

GILA COUNTY AUTOMOBILE

RACING, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=07658185)

Domestic Nonprofit Corporation

Pima

STEVE

ARTHUR

Statutory Agent

Inactive

09918006

GILA COUNTY BROADCASTING

CO., INC.

(/BusinessSearch/BusinessInfo?

entityNumber=09918006)

Domestic For-Profit (Business) Corporation

Gila

TOM

CHAUNCEY

II

Statutory Agent

Inactive

02120910

GILA COUNTY BROADCASTING

CO., INC.

(/BusinessSearch/BusinessInfo?

entityNumber=02120910)

Domestic For-Profit (Business) Corporation

Inactive

02210467

GILA COUNTY CAREER

TRAINING, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=02210467)

Domestic For-Profit (Business) Corporation

Gila

DEBRA

SHORT

Statutory Agent

Inactive

00699231

GILA COUNTY CATTLE GROWERS

ASSOCIATION

(/BusinessSearch/BusinessInfo?

entityNumber=00699231)

Domestic Nonprofit Corporation

Gila

BILL

CONWAY

Statutory Agent

Active

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/EntitySearch/Index 2/4

00929987

GILA COUNTY CHAPTER #1451

OF AMERICAN ASSOCIATION OF

RETIRED

(/BusinessSearch/BusinessInfo?

entityNumber=00929987)

Unidentified Inactive

L15289754

GILA COUNTY CHOPPER LLC

(/BusinessSearch/BusinessInfo?

entityNumber=L15289754)

Domestic

LLC

Gila

JOHN

BOTKIN

Statutory Agent

Active

10118095

GILA COUNTY COMMUNICATION,

INC.

(/BusinessSearch/BusinessInfo?

entityNumber=10118095)

Domestic For-Profit (Business) Corporation

Navajo RD DANDIS Statutory Agent

Inactive

01856743

GILA COUNTY COMMUNITY

SERVICE CORPORATION

(/BusinessSearch/BusinessInfo?

entityNumber=01856743)

Domestic Nonprofit Corporation

Pima

WILLIAM L

TIFFT

Statutory Agent

Inactive

23154628 Gila County Dispensary LLC

(/BusinessSearch/BusinessInfo?

entityNumber=23154628)

Domestic

LLC

Maricopa

ROCKET

LAWYER

CORPORATE

SERVICES

LLC

Statutory Agent

Inactive

19041626

GILA COUNTY ECONOMIC

GROWTH CORPORATION

(/BusinessSearch/BusinessInfo?

entityNumber=19041626)

Domestic Nonprofit Corporation

Gila Jared R Owens

Statutory Agent

Active

18856839

GILA COUNTY FAIR INC.

(/BusinessSearch/BusinessInfo?

entityNumber=18856839)

Domestic Nonprofit Corporation

Gila H. M.

Gilbert JR

Statutory Agent

Active

21981078

GILA COUNTY FARM BUREAU

(/BusinessSearch/BusinessInfo?

entityNumber=21981078)

Domestic Nonprofit Corporation

Maricopa Philip C Bashaw

Statutory Agent

Active

00712090

GILA COUNTY FINE ARTS

ASSOCIATION, INC.

(/BusinessSearch/BusinessInfo?

entityNumber=00712090)

Domestic Nonprofit Corporation

Inactive

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/EntitySearch/Index 3/4

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