CTR068169_Contract_Amendment_No._1.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR068169
- Contract number
- CTR068169
- Issued by
- Arizona
About this file
This is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services (ADHS) and Mohave County Department of Public Health. The contract (No. CTR068169) is specifically an Amendment No. 1 related to Sexually Transmitted Infection Investigations. The federal funding for this agreement comes from the Centers for Disease Control and Prevention (CDC), with a grant number of 6 NH25PS005157-05-11, categorized under Preventive Health Services for Sexually Transmitted Diseases Control Grants.
The amendment establishes a total annual budget of $101,949.25 for Mohave County, broken down into cost reimbursement line items: $93,949.25 for Personnel Services & Employee Related Expenses, $2,000 for Professional & Outside Services, $1,000 for Travel, $0 for Supplies, and $5,000 for Other Operating Expenses. The contract period runs from 1/1/19 to 2/28/26, with the federal award date of 3/14/2025. The project's specific purpose is "Strengthening Sexually Transmitted Disease Prevention and Control in AZ", and the agreement allows for budget transfers up to 30% between funded line items with prior written approval.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 7.1.2025 COI.pdf | ||
| CTR068169 Contract Amendment No. 2.pdf | ||
| CTR068169 Pricing A1.pdf | ||
| CTR068169 Pricing.pdf | ||
| 2024-04-10_COI.pdf | ||
| CTR068169_STI_Mohave_Executed.pdf | ||
| CTR068169 Pricing A2.pdf | ||
| CTR068169_STI_Mohave_Executed (1).pdf |
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Text version
MOHAVE, COUNTY OF
Unique Entity ID
V35YJGS4W9Y1
CAGE / NCAGE
4ANR9
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Apr 25, 2026
Physical Address
700 W Beale ST
Kingman, Arizona 86401-5711
United States
Mailing Address
PO Box 7000
Kingman, Arizona 86402-7000
United States
Business Information
Doing Business as
(blank)
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 09
State / Country of Incorporation
(blank) / (blank)
URL
http://www.mohave.gov
Registration Dates
Activation Date
Apr 29, 2025
Submission Date
Apr 25, 2025
Initial Registration Date
Jun 6, 2005
Entity Dates
Entity Start Date
Jul 1, 1864
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 Carissa Eaves on Apr 25, 2025 at 06:37 PM MOHAVE, COUNTY OF
Jul 01, 2025 10:05:19 PM GMT https://sam.gov/entity/V35YJGS4W9Y1/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
4ANR9
Points of Contact
Electronic Business
CARISSA EAVES, ACCOUNTING MANAGER
PO Box 7000
Kingman, Arizona 86402
United States
SHERYL RALPH, ACCOUNTING MANAGER PO Box 7000
Kingman, Arizona 86402
United States
Government Business
CARISSA EAVES, ACCOUNTING MANAGER
PO Box 7000
Kingman, Arizona 86402
United States
SHERYL RALPH, ACCOUNTING MANAGER PO Box 7000
Kingman, Arizona 86402
United States
Past Performance
Luke Mournian, Chief Financial Officer PO Box 7000
Kingman, Arizona 86402
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 Carissa Eaves on Apr 25, 2025 at 06:37 PM MOHAVE, COUNTY OF
Jul 01, 2025 10:05:19 PM GMT https://sam.gov/entity/V35YJGS4W9Y1/coreData?status=null Page 2 of 2
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