CTR067942 A2.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR067942
- Contract number
- CTR067942
- Issued by
- Arizona
About this file
This document is an Intergovernmental Agreement (IGA) Amendment from the Arizona Department of Health Services, specifically IGA Amendment Two for Contract No. CTR067942. The amendment involves the Arizona Department of Health Services as the primary agency and Apache County Public Health Services District as the subrecipient, located in St. Johns, Arizona. The contract is associated with the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), funded through the United States Department of Agriculture's Food and Nutrition Service.
The amendment covers WIC and Breastfeeding Peer Counseling Services for the period from October 1, 2024 to September 30, 2025, with a total federal award amount of $175,974.00. The budget is primarily allocated to WIC Services, with $119,986.00 for personnel expenses, $50,251.00 for employee-related expenses, and $4,232.00 for other operating expenses. The assigned caseload for Federal Fiscal Year 2025 is 400 participants. The agreement allows for potential increases in the purchase order and number of participants if additional administrative funds become available through state or federal grants. The indirect cost rate is set at 0%, and the federal grant number is 216AZ008W1003.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| P.R.S. Request.pdf | ||
| CTR067942 A1.pdf | ||
| CTR067942 A1_Pricing.pdf | ||
| CTR067942_-_Apache_County_WIC_Services_-_Executed.pdf | ||
| CTR067942 A2 Pricing.pdf | ||
| CTR067942 A3 Pricing.pdf | ||
| CTR067942 A3.pdf | ||
| CTR067942 Pricing.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.
Exclusions Search Results: Exclusions Search Results: EntitiesEntities
No Results were found for
Apache County Public Health Services District
If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation
Search Again
Search conducted 12/13/2024 12:45:14 PM EST on OIG LEIE Exclusions database.
Source data updated on 12/10/2024 7:00:00 AM EST
Return to Search
An official website of the United States government. Here's how you know >
12/13/24, 10:45 AM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1 https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp
An official website of the United States government Here’s how you know
Entity Validation Show Details Nov 20, 2024
Databank: Delay on First Use Show Details Aug 26, 2024
See All Alerts
Home Search Data Bank Data Services Help
Core Data
Business Information
Entity Types
Financial Information
Points of Contact
Assertions
Reps and Certs (FAR/DFARS)
Reps and Certs (Financial Assistance)
Exclusions
Responsibility / Qualification
Entity Registration
Core Data
Active RegistrationAPACHE COUNTY Entity Information
12/13/24, 10:43 AM SAM.gov https://sam.gov/entities/view/DJ1FMTLJL4V6/coreData?status=Active&emrKeyValue=1393304~1727774338695206 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);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
javascript:void(0);
Expiration Date
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
DJ1FMTLJL4V6
CAGE/NCAGE
3S6W2 Oct 1, 2025
Physical Address
75 W Cleveland Saint Johns, Arizona 85936-4699, United States
Mailing Address P. O. Box 428 St Johns, Arizona 85936-0428, United States
Purpose of Registration All Awards
Version
Current Record
Doing Business As (blank)
URL
(blank)
Division Name (blank)
Division Number (blank)
Congressional District Arizona 02
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 Oct 8, 2024
Submission Date Oct 1, 2024
Initial Registration Date Mar 23, 2004
Entity Start Date Feb 24, 1879
Fiscal Year End Close Date Jun 30
12/13/24, 10:43 AM SAM.gov https://sam.gov/entities/view/DJ1FMTLJL4V6/coreData?status=Active&emrKeyValue=1393304~1727774338695206 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)
Organization Factors
(blank)
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
Payments https://sam.gov/entities/view/DJ1FMTLJL4V6/coreData?status=Active&emrKeyValue=1393304~1727774338695206 3/6
ACCOUNT DETAILS
EFT Indicator 0000 CAGE Code 3S6W2
POINTS OF CONTACT
Electronic Business
Accepts Credit Card Payments No
Debt Subject To Offset No
Primary Point of Contact
Steve Anderson, Assist. Finance Director
Address 75 West Cleveland 85936, Arizona 85936-0428 United States
Alternate Point of Contact
STEVE KIZER
Address P. O. Box 428 St Johns, Arizona 85936-0428 United States https://sam.gov/entities/view/DJ1FMTLJL4V6/coreData?status=Active&emrKeyValue=1393304~1727774338695206 4/6
Government Business
Past Performance
Primary Point of Contact
RYAN PATTERSON, COUNTY MANAGER
Address P. O. Box 428 St Johns, Arizona 85936-0428 United States
Primary Point of Contact
RYAN PATTERSON
Address P. O. Box 428 St Johns, Arizona 85936-0428 United States
Alternate Point of Contact
RYAN PATTERSON
Address P. O. Box 428 St Johns, Arizona 85936-0428 United States https://sam.gov/entities/view/DJ1FMTLJL4V6/coreData?status=Active&emrKeyValue=1393304~1727774338695206 5/6
WARNING
SAM.gov An official website of the U.S. General Services Administration
Our Website
About This Site
Our Community
Release Notes
System Alerts
Our Partners
Acquisition.gov
USASpending.gov
Grants.gov
More Partners
Policies
Terms of Use
Privacy Policy
Restricted Data Use
Freedom of Information Act
Accessibility
Customer Service
Help
Check Entity Status
Federal Service Desk
External Resources
Contact
This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution.
This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy.
12/13/24, 10:43 AM SAM.gov https://sam.gov/entities/view/DJ1FMTLJL4V6/coreData?status=Active&emrKeyValue=1393304~1727774338695206 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/?id=gsa_landing https://sam.gov/about/external-resources https://sam.gov/about/contact https://www.gsa.gov/
File details come from the government source that posted it. Updated .