CTR068280 A2.pdf

PDF 1 MB 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 is an Intergovernmental Agreement (IGA) Amendment No. 2 between the Arizona Department of Health Services (ADHS) and the Mohave County Medical Reserve Corps (MRC), which includes Mohave County's Tribal Nations, Representative Organizations for Next Generation (STTONG). The amendment is specifically for the Mohave County Department of Public Health, located in Kingman, Arizona, and involves the Arizona Department of Health Services' Office of Procurement.

The amendment modifies a previous contract (CTR068280) effective June 1, 2025, with a total contract value of $126,500.00. The funds are allocated for two primary purposes: $10,000.00 for deliverables, tasks, and activities related to the Mohave County Department of Public Health, contingent on ADHS budget and workplan approval, and $116,500.00 to enhance MRC statewide project activities per the attached deliverable document and monthly Contractor Expenditure Reports (CERs). The amendment specifically removes the reference to the Budget Period 2023-2024, indicating a continuation or modification of the existing agreement's financial terms.

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Other files

File	Type	Posted
CTR068280 A1.pdf	PDF	Jun 1, 2023
CTR068280 A2 Pricing.pdf	PDF	Jun 1, 2023
CTR068280 Pricing.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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COUNTY OF MOHAVE

Unique Entity ID

KKE6CJTM8CS1

CAGE / NCAGE

37FX0

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

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

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

Jul 24, 2025

Submission Date

Jul 22, 2025

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 Jul 22, 2025 at 05:17 PM COUNTY OF MOHAVE

Sep 25, 2025 05:09:44 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

Debt Subject To Offset

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 Jul 22, 2025 at 05:17 PM COUNTY OF MOHAVE

Sep 25, 2025 05:09:44 PM GMT https://sam.gov/entity/KKE6CJTM8CS1/coreData?status=null Page 2 of 2

CTR068280 A2

Arizona Corporation Commission

OIG Search Results

EntityInformation_20250925-100942

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