CTR068540 A1.pdf

PDF 734 KB Posted

Attached to
Master Agreement AZ|CTR068540
Contract number
CTR068540
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services and the Maricopa County Department of Public Health, specifically for the Maricopa County Medical Reserve Corps State, Territory and Tribal Nations, Representative Organizations for Next Generation (MRC STTRONG) program. The amendment is identified as Amendment No. 1 to Contract No. CTR068540, involving the Arizona Attorney General's Office and Maricopa County.

The amendment extends the original contract through May 31, 2028, and revises the price sheet. The total contract value for this amendment is $582,500.00, which includes $10,000.00 for Budget Period (BP) 2023-2024 deliverables upon ADHS budget and workplan approval, and $572,500.00 to enhance MRC statewide project activities through an AZ-MRC STTRONG Grant Deliverable document. The amendment was processed after the original contract expired, with the intent to continue needed services. The contract was originally established on June 1, 2023, for an initial two-year period with the potential to renew for up to five years total.

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Other files

File Type Posted
PRS-1e65493b.pdf PDF
CTR068540 A2.pdf PDF
CTR068540 Pricing.pdf PDF
CTR068540 A1 Pricing.pdf PDF
CTR068540_fully_executed.pdf PDF
CTR068540 A2 Pricing.pdf PDF

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Digitally signed by Alice Perepech DN: cn=Alice Perepech, o=Arizona Attorney General's Office, email=Alice.Perepech@azag.gov, c=US Date: 2025.07.10 15:36:10 -07'00'

Kristine Yaw Digitally signed by Kristine Yaw Date: 2025.07.10 16:12:54 -07'00'

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PLANNING & OPERATIONS

Katie Hobbs | Governor Sheila Sjolander | Interim Director

150 North 18th Avenue, Suite 530, Phoenix, AZ 85007-3247 P | 602-542-1025 F | 602-542-0883 W | azhealth.gov

Health and Wellness for all Arizonans

Memorandum | Office of Procurement

Date: July 28, 2025

To: Memo to Procurement File

From: Hana Hehman, Procurement Specialist

Regarding: CTR068540, Maricopa County Medical Reserve Corps State, Territory and Tribal Nations, Representative Organizations for Next Generation (MRC STTRONG) – Maricopa County

Subject: Amendment One (1) – Extension and Price Sheet Revision

CTR068540 for Maricopa County Medical Reserve Corps State, Territory and Tribal Nations, Representative Organizations for Next Generation (MRC STTRONG) was established through an Intergovernmental Agreement (IGA) and became effective on June 1, 2023 for an initial two (2) year period, with contract renewal, not to exceed five (5) years.

On February 24, 2025 the program submitted a new procurement request to extend the Agreement for an additional year and revise the Price Sheet. On April 11, 2025, the PRS was reassigned due to a vacancy.

Amendment One (1) was sent to the supplier for signature on May 8, 2025 and was received on June 17, 2025 after the contract had expired. As the intent was to extend the contract and services are still needed, it is in the best interest of the State to reinstate this contract for the remaining available renewal period through May 31, 2028.

Prepared By: Hana Hehman, Procurement Specialist Date

Approved By: Gina Corwin, CPPB, NIGP-CPP, Chief Procurement Officer Date

Hana Hehman

Digitally signed by Hana Hehman Date: 2025.07.28 15:11:54 -07'00'

Gina Corwin Digitally signed by Gina Corwin Date: 2025.07.28 15:17:53 -07'00'

MARICOPA, COUNTY OF

Unique Entity ID

LM85MG1513K5

CAGE / NCAGE

3QJA2

Purpose of Registration All Awards

Registration Status Active Registration

Expiration Date Oct 21, 2025

Physical Address 4041 N Central AVE STE 1400 Phoenix, Arizona 85012-3314 United States

Mailing Address 4041 N Central AVE STE 1400 Phoenix, Arizona 85012-3314 United States

Business Information

Doing Business as Maricopa County Department of Public Health

Division Name (blank)

Division Number (blank)

Congressional District Arizona 03

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

URL

(blank)

Registration Dates

Activation Date Oct 23, 2024

Submission Date Oct 21, 2024

Initial Registration Date Feb 2, 2004

Entity Dates

Entity Start Date Jul 1, 1957

Fiscal Year End Close Date Jun 30

Immediate Owner

CAGE

3PZS5

Legal Business Name

MARICOPA COUNTY

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 Nina Lindsey on Oct 21, 2024 at 04:29 PM MARICOPA, COUNTY OF

May 08, 2025 03:45:13 PM GMT https://sam.gov/entity/LM85MG1513K5/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

3QJA2

Points of Contact

Electronic Business

Cheryl Bucalo, Purchasing and Contracts Supervisor

4041 N. Central AVE. Suite 1400 Phoenix, Arizona 85012 United States

Government Business

Cheryl Bucalo, Purchasing and Contracts Supervisor

4041 N Central AVE Suite 1400 Phoenix, Arizona 85012 United States

Past Performance

Cheryl Bucalo, Purchasing and Contracts Supervisor

4041 N. Central AVE. Suite 1400 Phoenix, Arizona 85012 United States

Service Classifications

NAICS Codes

Primary Yes

NAICS Codes 923120

NAICS Title Administration Of Public Health Programs

622110 General Medical And Surgical Hospitals

Product and Service Codes

PSC PSC Name

Q201 Medical- General Health Care

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Nina Lindsey on Oct 21, 2024 at 04:29 PM MARICOPA, COUNTY OF

May 08, 2025 03:45:13 PM GMT https://sam.gov/entity/LM85MG1513K5/coreData?status=null Page 2 of 2

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CTR068540 A1
Memo to File CTR068540 A1 FE
Entity Data Detailed Results
Arizona Corporation Commission
OIG Search Results

File details come from the government source that posted it. Updated .