CTR068280 A1.pdf

PDF 958 KB Posted Jun 1, 2023

Attached to: Master Agreement AZ|CTR068280
Contract number: CTR068280
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 17, 2025

This document is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services' Office of Procurement and the Mohave County Medical Reserve Corps (MRC Strong), representing state, territorial, and tribal nations. The amendment is specifically for Contract No. CTR068280 and involves the Mohave County Department of Public Health, located at 700 W. Beale St. in Kingman, Arizona.

The amendment extends the existing contract through May 31, 2028, as outlined in Provision Four (4), subsection 4.2 Contract Renewal. All other provisions of the original agreement remain unchanged. The document bears digital signatures from various officials, including representatives from the Arizona Attorney General's Office, Mohave County, and the Arizona Department of Health Services, indicating formal approval of the contract extension. The amendment appears to be a standard administrative process to continue an existing intergovernmental collaboration, though the specific services or goods are not detailed in the provided documents.

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Other files

File	Type	Posted
CTR068280 Pricing.pdf	PDF	Jun 1, 2023
CTR068280 A2 Pricing.pdf	PDF	Jun 1, 2023
CTR068280 A2.pdf	PDF	Jun 1, 2023
CTR068280_Mohave_County_MRC_STTRONG_fully_executed.pdf	PDF	Jun 1, 2023
Procurement Request PRS-8103cb42.pdf	PDF	Jun 1, 2023

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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: 2025.06.19 10:41:33 -07'00'

Kristin e Yaw

Digitally signed by Kristine Yaw Date: 2025.06.27 07:59:49 -07'00'

COUNTY OF MOHAVE

Unique Entity ID

KKE6CJTM8CS1

CAGE / NCAGE

37FX0

Purpose of Registration Federal Assistance Awards Only

Registration Status Active Registration

Expiration Date Aug 1, 2025

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

Mailing Address P.O. 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

(blank)

Registration Dates

Activation Date Aug 5, 2024

Submission Date Aug 1, 2024

Initial Registration Date Mar 15, 2005

Entity Dates

Entity Start Date Jul 1, 1998

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?

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 Michael Smith on Aug 01, 2024 at 05:49 PM COUNTY OF MOHAVE

May 08, 2025 03:51:37 PM GMT https://sam.gov/entity/KKE6CJTM8CS1/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

Other Government Entities

Housing Authorities Public/Tribal

Financial Information

Accepts Credit Card Payments No

Debt Subject To Offset No

EFT Indicator

CAGE Code

37FX0

Points of Contact

Electronic Business

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

Government Business

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

Terry Baughn 700 W. Beale ST P.O. Box 7000 Kingman, Arizona 86402 United States

Past Performance

Michael Smith Mohave County Community Services 700 W. Beale Street 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 Michael Smith on Aug 01, 2024 at 05:49 PM COUNTY OF MOHAVE

May 08, 2025 03:51:37 PM GMT https://sam.gov/entity/KKE6CJTM8CS1/coreData?status=null Page 2 of 2

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CTR068280 Contract Amendment 1 PE ky

Entity Data Detailed Results

Arizona Corporation Commission

OIG Search Results

File details come from the government source that posted it. Updated Oct 17, 2025.