CTR067941 A3.pdf

PDF 17 MB Posted

Attached to
Master Agreement AZ|CTR067941
Contract number
CTR067941
Issued by
Arizona

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Other files

File Type Posted
CTR067941 Pricing.pdf PDF
CTR067941 A1.pdf PDF
CTR067941 A2.pdf PDF
CTR067941 Pricing A1.pdf PDF
CTR067941 Pricing A2.pdf PDF
CTR067941 Pricing A3.pdf PDF
CTR067941_-_fully_executed.pdf PDF
P.R.S. Request.pdf PDF

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Kristine Newton Digitally signed by Kristine Newton Date: 2025.11.13 16:40:54 -07'00'

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.

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County of Mohave, Department of Public Health

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Search conducted 11/14/2025 11:47:55 AM EST on OIG LEIE Exclusions database.

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11/14/25, 9:48 AM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1 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

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Core Data

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Core Data

Active RegistrationCOUNTY OF MOHAVE Entity Information

11/14/25, 9:46 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1753204390310261 1/6 https://sam.gov/ https://sam.gov/ javascript:void(0) javascript:void(0) https://sam.gov/ https://sam.gov/search/ https://sam.gov/reports/awards/standard https://sam.gov/data-services https://sam.gov/help https://sam.gov/workspace/profile/feeds https://sam.gov/workspace/profile/feeds/notification https://sam.gov/workspace/profile/workspace javascript:void(0) javascript:void(0);

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BUSINESS INFORMATION

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

Unique Entity ID

KKE6CJTM8CS1

CAGE/NCAGE

37FX0 Jul 22, 2026

Physical Address

700 W Beale ST Kingman, Arizona 86401-5711, United States

Mailing Address P.O. Box 7000 Kingman, Arizona 86402-7000, United States

Purpose of Registration Federal Assistance Awards Only

Version

Current Record

Doing Business As (blank)

URL

(blank)

Division Name (blank)

Division Number (blank)

Congressional District Arizona 09

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

Owner CAGE Legal Business Name

Immediate Owner

(blank) (blank)

Highest Level Owner

(blank) (blank)

Registration Dates

Entity Dates

Activation Date Jul 24, 2025

Submission Date Jul 22, 2025

Initial Registration Date Mar 15, 2005

Entity Start Date Jul 1, 1998

Fiscal Year End Close Date Jun 30

11/14/25, 9:46 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1753204390310261 2/6

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.

SAM SEARCH AUTHORIZATION

Yes

ENTITY TYPES

FINANCIAL INFORMATION

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Business Types

Entity Structure U.S. Government Entity

Entity Type US Local Government

Profit Structure (blank)

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(blank)

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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

Other Government Entities Housing Authorities Public/Tribal https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1753204390310261 3/6

ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code 37FX0

POINTS OF CONTACT

Electronic Business

Government Business

Payments

Accepts Credit Card Payments No

Debt Subject To Offset No

Primary Point of Contact

Michael Smith

Address Mohave County Community Services 700 W. Beale Street Kingman, Arizona 86402-7000 United States

Primary Point of Contact https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1753204390310261 4/6

Past Performance

Michael Smith

Address Mohave County Community Services 700 W. Beale Street Kingman, Arizona 86402-7000 United States

Alternate Point of Contact

Terry Baughn

Address 700 W. Beale ST P.O. Box 7000 Kingman, Arizona 86402-7000 United States

Primary Point of Contact

Michael Smith

Address Mohave County Community Services 700 W. Beale Street Kingman, Arizona 86402 United States

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11/14/25, 9:46 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1753204390310261 6/6 https://sam.gov/about/this-site https://interact.gsa.gov/group/integrated-award-environment-iae-industry-community https://www.fsd.gov/gsafsd_sp?id=kb_category&kb_category=ccf4380a1ba67410fe314000f54bcb16&kb_id=f66d8e6cdb76d4100d73f81d0f9619c https://sam.gov/alerts https://acquisition.gov/ https://usaspending.gov/ https://grants.gov/ https://sam.gov/about/partners https://sam.gov/about/terms-of-use https://sam.gov/about/terms-of-use#privacy https://sam.gov/about/terms-of-use#restricted https://www.gsa.gov/reference/freedom-of-information-act-foia https://sam.gov/about/accessibility https://sam.gov/help https://sam.gov/content/status-tracker https://www.fsd.gov/gsafsd_sp https://sam.gov/about/external-resources https://sam.gov/about/contact https://www.gsa.gov/

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