CTR068540 A2.pdf

PDF 1 MB Posted

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

About this file

This document is an Intergovernmental Agreement (IGA) Amendment No. 2 between the Arizona Department of Health Services (ADHS) and the Maricopa County Medical Reserve Corps State, Territory and Tribal Nations, Representative Organizations for Next Generation (MRC STRONG). The amendment involves the Maricopa County Department of Public Health, located in Phoenix, Arizona, and is part of a contract numbered CTR068540.

The amendment modifies the existing agreement to update the price sheet and remove the reference to Budget Period 2023-2024. The total contract value is $582,500, broken down into two line items: $10,000 for deliverables, tasks, and activities upon ADHS approval of budget and work plan, and $572,500 to enhance MRC statewide project activities per the deliverables in the attached document and monthly Contractor Expenditure Reports. The amendment is effective June 1, 2025, and has been signed by various officials from Maricopa County, including the Chairman of the Board of Supervisors, an Assistant Attorney General, and the Procurement Officer.

View the file

Other files

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

MARICOPA, COUNTY OF

Unique Entity ID

LM85MG1513K5

CAGE / NCAGE

3QJA2

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Aug 20, 2026

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

www.maricopa.gov

Registration Dates

Activation Date

Aug 26, 2025

Submission Date

Aug 20, 2025

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 Cheryl Bucalo on Aug 20, 2025 at 05:44 PM MARICOPA, COUNTY OF

Oct 09, 2025 09:46:26 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

John Lick, Grant Unit Manager 4041 N Central AVE Suite 1400

Phoenix, Arizona 85012

United States

Government Business

John Lick, Grant Unit Manager 4041 N Central AVE Suite 1400

Phoenix, Arizona 85012

United States

Cheryl Bucalo, Purchasing and Contracts

Supervisor

4041 N. Central AVE. Suite 1400

Phoenix, Arizona 85012

United States

Past Performance

John C Lick, Grant Unit Manager 4041 N. Central AVE.

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

Q999 Medical- Other

Disaster Response

Yes, this entity appears in the disaster response registry.

Bonding Levels Dollars

(blank) (blank)

States

Arizona

Counties

(blank)

Metropolitan Statistical Areas

(blank)

Last updated by Cheryl Bucalo on Aug 20, 2025 at 05:44 PM MARICOPA, COUNTY OF

Oct 09, 2025 09:46:26 PM GMT https://sam.gov/entity/LM85MG1513K5/coreData?status=null Page 2 of 2

#)//01123/ 4546789�:;�876<54=�>5<7?57:;�84@<5:A4�5:B?C9D(E�F��GFFHG���I(E�F��GFFJ�K�LG�����'��MG�N//01123/O P��GF���'�����K��Q���������� R������� R��������Q�����RGS���"�H���G�� H��������!TG�� J�����UG//V1WX3Y 487@<54?�4>>:5<4C<:?�:;876<54=�4>><>C4?C>Z�>C4C7�:;4@<[:?4D(E�F��GFFHG���I(E�F��GFFJ�K�LG�����'��MG�N//V1WX3YO P��GF���'�����K��Q���������� J�����UG\��U����\�"����DI���]((�̂��_T�U(���U���̀��"���O�a�Q�������bF�DI���]((�̂��_T�U(�����������F(�����������̀�������FO cdefeghi�gjkh�lm nopqrst�urovrotwprs�urxxpyyprs zwwvyjee{|rov}tq||}~r�e�swpw��{to|ze�s�{� cek

����������� ����� ����!"�#�$ !�%�� &'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<��������= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ BC3DE9B@EAAF93GHIEF9>BG3E9 .7/7)7508BJ-,7 3,/17+K-�LMLN�L� ����� ���O��%�� ��� PQ�"&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<�LMLN�L�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ CE9BR>�S.TCBI39EU3@D .7/7)7508BJ-,7 B17+K-��NV��L� ����� ��W�XX$ �%Y�Z�[�\"�#Q%Y]�� Ŵ&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<��NV��L�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ .GT_T9�CS3@̀T9. .7/7)7508BJ-,7 3,/17+K-��Na�N�� ����� ��b�!"�%c� b&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<��Na�N��= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ dBAT.�GUTB_TC .7/7)7508BJ-,7 3,/17+K-���VMVM� ����� ��e��f�%�� ��##�WQ�"�""�W��%�� &'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<���VMVM�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ (C3B9BCA(CF.GTC .7/7)7508BJ-,7 B17+K-���a��V� ����� ��"e��%"�� !Q %Q�%�� XQ %�W�XX�""�� &'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<���a��V�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ >3B9B�9�(BR3@g .7/7)7508BJ-,7 B17+K-��V���a� ����� ��[�XQ h"��QW�OQ�YWQ %Q�&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<��V���a�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ (-K-0i8�U52i-07 .7/7)7508BJ-,7 B17+K-������M� f$�Q�$��#�XQ!�W�ZQW� �X�W"�jklmnlopnq&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<������M�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ dEg9A@TRR3rEGG .7/7)7508BJ-,7 3,/17+K-��M�L��� Wc�e����Z�"eQW��Z�eQ��%�� "�e�""Q&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<��M�L���= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ >-,,+*�>5,5s+1t .7/7)7508BJ-,7 B17+K-��LL�Na� W�XX$ �%Y�ZQP�Z�"Q�O�WQ"&'()*+,-**.-/012'()*+,-**3,456-,7+789):;-0<��LL�Na�= >5:-*7+195,?054+7@50?50/7+5, A/0+15?/ .2/05,�Tu.-0J-,7 .7/7)7508BJ-,7 B17+K-S0+K/18�S5i+18�&277?v''/w11uJ5K'?0+K/18x?5i+18=�y�@5,7/17�F*�&277?v''/w11uJ5K'150?50/7+5,*'150?50/7+5,x15,7/17*= z{|}|~���~������ ������������������������������

, -./.01�234355.06/�7./1.08�9:/.:;<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++���� ,S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE TEBACX�W�YABXCN DMEM?MKFNZ[CBM ZGMA\C++���� , -]̂]_̀�2abacc]_d̂�7]̂ ]̀_e9f̂]f9<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++���� ,S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE TEBACX�W�YABXCN DMEM?MKFNZ[CBM IBEGMA\C++g+hh + id9j]_k̂�2]è]_l�me2n<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++g+hh +S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE OZoIpOZqrstIDosrsTZtsOoD�IOV DMEM?MKFNZ[CBM IBEGMA\C++g+hh + id9j]_̂<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++g+hh +S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE OZoIpOZqrstIDosrsTZtsOoD�IOV DMEM?MKFNZ[CBM ZGMA\C++g+hh + id9j]_̂�2]è]_�ud_�̀v]vae-m2ajj]-l�me2n<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++g+hh +S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE OZoIpOZqrstIDosrsTZtsOoD�IOV DMEM?MKFNZ[CBM ZGMA\C++g+hh + id9j]_̂�2]è]_�ud_�̀v]vae-m2ajj]-l�me2n<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++g+hh +S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE OZoIpOZqrstIDosrsTZtsOoD�IOV DMEM?MKFNZ[CBM IBEGMA\C++g+hh + id9j]_̂�vabmcm̀àmde�2]è]_<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR++g+hh +S TKPC@MAGOKBUFKJAMVKFUKFEMAKB WEFAGKUE OZoIpOZqrstIDosrsTZtsOoD�IOV DMEM?MKFNZ[CBM IBEGMA\C+ w

� i_ae-�2aexde�̂yfa_]�-ae2]â d̂2màmde<=>?@ABC@@DCEFGH=>?@ABC@@IBJKLCBMAMNO?PQCFR+ w

�S TKPC@MAGOKBUFKJAMVKFUKFEMAKB zE\EUEA VHEFXC@�WEG{CN DMEM?MKFNZ[CBM ZGMA\C rCM?FB�MK�DCEFGH|FA\EGN�|KXAGN�<HMMU}==E~GG�[K\=UFA\EGN�UKXAGNS���VKBMEGM��@�<HMMU}==E~GG�[K\=GKFUKFEMAKB@=GKFUKFEMAKB�GKBMEGM@S

���������������������
���������
�����������������
���������
�����

������ !��"# �$% &'()*+,�-*'.*',/(*+�-*00(11(*+

2//.1"��34*'.5,)4456*7�8+/(/9:3,'42�;+<3= #�#

������������������ !"#$%&'$�()*+!,�-)$#".$/�0123456785�9:;<2=�>:543?5@��'.%.%)$08?6?6:5��A��B��� ��������CD�EF�GHIJKLI�MGH�DFJENO�LPQI�QENQRQNJMK�FG�HELQLS�TQD�QL�QI�ME�HELQLS�IHMGUPV�QI�EFL�UJGGHELKS�HWUKJNHNX�YGQEL�LPQI�ZH[�\M]H�DFG�SFJGNFUĴ HELMLQFE_� ��������������abcdcebef�fghfgef�ij��_k����l�m�n������� �������dcabcebef�dgbagbb�̀j��_kB���������_�

����������������o������_� ����������������p���q����������r����sabcdcef��eghf�ij l�m�_� ����B���

��� �gcc��� ������������������c_� ���B��� � � aca

CTR068540 A2
EntityInformation_20251009-024625
Arizona Corporation Commission
OIG Search Results

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