CTR068546 A2.pdf

PDF 869 KB Posted Jun 1, 2023

Attached to: Master Agreement AZ|CTR068546
Contract number: CTR068546
Issued by: Arizona

About this file

Written by GovTribe AI · Sep 26, 2025

This document is an Intergovernmental Agreement (IGA) Amendment No. 2 for the Yavapai County Medical Reserve Corps (MRC) State, Territory and Tribal Nations, Representative Organizations for Next Generation (MRC STRONG) program. The amendment involves the Arizona Department of Health Services Office of Procurement and Yavapai County Community Health Services, located in Prescott, Arizona. The contract is identified with the number CTR068546 and involves multiple signatories including Leslie Horton (Director), Colby Morris (Deputy Yavapai County Attorney), Elise Phalen (Assistant Attorney General), and Kristine Yaw (signed digitally).

The amendment revises the Price Sheet to remove the reference to the Budget Period 2023-2024 and establishes two primary funding allocations: $10,000 for deliverables upon ADHS budget and workplan approval, and $166,500 to enhance MRC statewide project activities per the attached ADHS AZ-MRC STTRONG Grant Deliverable document. The total contract amount not to exceed is $176,500, contingent upon ADHS approval of monthly Contractor Expenditure Reports (CERs). The effective date of this amendment is June 1, 2025, and all other provisions of the original agreement remain unchanged.

View the file

Other files

File	Type	Posted
CTR068546 A1.pdf	PDF	Jun 1, 2023
CTR068546 A2 Pricing.pdf	PDF	Jun 1, 2023
CTR068546 Pricing.pdf	PDF	Jun 1, 2023
Procurement Request PRS-288fd411.pdf	PDF	Jun 1, 2023
CTR068546_Yavapai_County_MRC_STTRONG_fully_executed.pdf	PDF	Jun 1, 2023

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

	��
��	��

��	�� !�	��
"	�	� ��#��$%�

Kristine Yaw

Digitally signed by Kristine Yaw Date: 2025.08.27 07:59:07 -07'00'

YAVAPAI COUNTY GOVERNMENT PRESCOTT

Unique Entity ID

FBXDMQUBMWV6

CAGE / NCAGE

431P1

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Nov 22, 2025

Physical Address

1090 Commerce DR

Prescott, Arizona 86305-3700

United States

Mailing Address

1090 Commerce Drive

Prescott, Arizona 86305-3700

United States

Business Information

Doing Business as

(blank)

Division Name

Yavapai County Community Health Services

Division Number

(blank)

Congressional District

Arizona 02

State / Country of Incorporation

(blank) / (blank)

URL

(blank)

Registration Dates

Activation Date

Nov 26, 2024

Submission Date

Nov 22, 2024

Initial Registration Date

Aug 8, 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?

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 Kathy Yancy on Nov 22, 2024 at 02:19 PM YAVAPAI COUNTY GOVERNMENT PRESCOTT

Aug 28, 2025 10:14:37 PM GMT https://sam.gov/entity/FBXDMQUBMWV6/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

Yes

Debt Subject To Offset

EFT Indicator

CAGE Code

431P1

Points of Contact

Electronic Business

Willa Miller, Asst Director 1090 Commerce Drive

Prescott, Arizona 86305

United States

Government Business

Leslie Horton, Director 1090 Commerce Drive

Prescott, Arizona 86305

United States

Past Performance

Daniel Rusing, Business/Finance Manager 1090 Commerce Drive

Prescott, Arizona 86305

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 Kathy Yancy on Nov 22, 2024 at 02:19 PM YAVAPAI COUNTY GOVERNMENT PRESCOTT

Aug 28, 2025 10:14:37 PM GMT https://sam.gov/entity/FBXDMQUBMWV6/coreData?status=null Page 2 of 2

��../01232 4565758�9:;<=4�5>>:985=8:<�?:@�@A=5@BAB�98=8CA<>�D'E�F��GFFHG�I�J'E�F��GFFK�L�MG��&�NOGIP../01232QRR��L�IN��L�PSTUV�WSJU0XYZK�IS[JS.W\]Z�̂_SVGXIẐ ]̀L0a_�H_]I�bLcdN �1ceJ/OY_cO\Kbfgĥ.cc223c1 4565758�9:;<=4�5;9=8:<�9A<=A@i�8<9j�D'E�F��GFFHG�I�J'E�F��GFFK�L�MG��&�NOGIP.cc223c1QRR��L�IN��L�PSTUV�WSJU0XYZK�IS[JS.W\]Z�̂_SVGXk�[.̂H_Y�Gc/l̂ZO3KEL]]Rgm�hĉ 1̂gGhRc� c..cZca 4nonpnq�9rstuv�5sur�wxnyy�zz9�D'E�F��GFFHG�I�J'E�F��GFFK�L�MG��&�NOGIP c..cZcaQRR��L�IN��L�PSTUV�WSJU0XYZK�IS[JS.{cm̂�IR�e0�|Z}�kl~[��}Y�k0dIlc��\SI2̂lR[�~\L�S Z\\̂ Ydg�/�̂�JL&�HZ/0c03 4565758�9:;<=4��58z��:<B>�D'E�F��GFFHG�I�J'E�F��GFFK�L�MG��&�NOGIPHZ/0c03QRR��L�IN��L�PSTUV�WSJU0XYZK�IS[JS.W\]Z�̂_SVGX|�YZcOEl|F�V̂ T_l�\H�[��}G{�_b̂�0�kaOb��I��!��DJ��''�̀��T��'�I��g��!��WF�DJ��''�̀��T��'��I��I��F'��I��I��g��F�

�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5 ��677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>F;8F%08FG@9HIJK�LFAMG(%GGNO�=+PQ"FGR'M

MAS�

�TUTVTW��XYZ[\��TVW[T]�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5'M

MAS�

677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>RR!L-!><7Ĉ_9̀�P�abM$JL;>�N>9Oc8I>0cdA��e�Pe� ��f��g��hiij��k��fg��l��k�m�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5A��e�Pe�677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>M�̀, 7H.@n=("(L̀a_S-&cb+G*3=*=.JH=;:o*'M�M� �M �TUTVTW��XYZ[\��WUW]�pqrqZsq�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5'M�M� �M677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=-;,t!.N:3?�$CHK1*CcE,7R̂ânKdc&NCR?KLG?J=*B-oMeNu

PS�MAP ��l��k��fg��v��v�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5

PS�MAP677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>+*0t-G#7�̀M̀S ,%d�PC#'̀D@MaQ;�K((2'E�?

PS�MAP ��l��k��g�k��fg��v��v�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5

PS�MAP677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>S!1D̂";OMS̀9C&St�c&R.�N.SI?�#ceJJ@#++2 ��M�M�S ��ww��g��g�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)52

��M�M�S677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>D

8!RB#>EMMPL2#_%$d�1(I34@PC3%Io�AA��PP �� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5AA��PP 677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>*E1PC=OĤC"_̂a;*o;SSo4.<?<(Ma�.;bP?

��S��e� ��pg��g�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5 ��S��e�677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>AAE<H$'��Ec@P�@t?4$?e$E,4?3;cK0NJBa!̀A��S�� gp��w�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5A��S��677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>4L>t<M, c(I+nt#Mcco<2$0nt�B_B91,_̂)"F@

�S�P�M ��gp��k��p��x��y�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5

�S�P�M677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>E'oALI'-:>ML#N�?Q= _SBaGJ7K(&�Qd %=N8�P�� e�� TUTVTW��XYZ[\�gzY{T[WXZT]��q{|ZX]X}\��XZsX~[WY�x��Z{y�� !"#$%&##'&()*+ !"#$%&##,%-./&%0$012"34&)5�P�� e��677%*-.)3$%-.589:;<=8+:�>?�,<)8@+8A=BC�0DE8;&>P=:!>H$G'*N'�t%=FG9K>BCD;�1)cG_̀J�FK)$<(*1�K.N$*1��+00J� (R**�9.< J)$<(*1nJ.N$*1u��b.%0(*0�=#��+00J� (R**�9.< *.)J.)(0$.%# *.)J.)(0$.%n*.%0(*0#u

"#��$�%& "#��$��'�()*+��, -./.0.1�234567�89:;6<1;�=>?@ABCDAA(DEFGH>?@ABCDAAICJKLDCMBMNO@PQDFR()*+��,STTCGJKFPBCJKRUVWXYZUHW[\]�IYFÛHU+Z_̀ �MaNbI�XPZ�Jc@dWIJ�efgXhZ�GijYCi@?\Wgklm*+Wno()+,[[[� -./.0.1�234567�p.1<�=>?@ABCDAA(DEFGH>?@ABCDAAICJKLDCMBMNO@PQDFR()+,[[[�STTCGJKFPBCJKRUVWXYZUHW[\]�IYFÛHU+Z_̀ �MabUXD\QqaiCWO��r,*n@D[?V�rMJẀBr]sX�AfZWrFW�@G�++�),�)+ -tutvtw�2xyz{-�ptw|�t}}x2wt{wxz�=>?@ABCDAA(DEFGH>?@ABCDAAICJKLDCMBMNO@PQDFR++�),�)+STTCGJKFPBCJKRUVWXYZUHW[\]�IYFÛHU+Z_̀ �MabUXD\~�r̀J~̂ �̂JDFjỲh̀+̂k̂,BBNf(�a�̀�U�,̀��*),��, -tutvtw�2xyz{-�pt|��t�|w2y�{y|8�t}}x2wt{wxz��wz2��=>?@ABCDAA(DEFGH>?@ABCDAAICJKLDCMBMNO@PQDFR��*),��,STTCGJKFPBCJKRUVWXYZUHW[\]�IYFÛHU+Z_̀ �MabUXD\cJlfAP�iYnnDk_d]*KdỲh�VrJ,QKg*mFfKO) aDM@FC�MK�(DEFGH jFBYEGN�jKqBGN�=HMMs�>>E~GG�VKY>sFBYEGN�sKqBGNo��KCMEGM�ZA�=HMMs�>>E~GG�VKY>GKFsKFEMBKCA>GKFsKFEMBKC�GKCMEGMAo

�� !"#$%&'$�()*+!,�-)$#".$/�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_� ��abcabcdce�fghegdd�ij��_k��l�m�n�� ababcdce�hdgdhgdd�̀j��_kB��_�

��o��_� ��p��q��r��sabcabce��tghe�ij l�m�_� ��B��

�� gbb�� b_� ��B�� hbh

CTR068546 A2

EntityInformation_20250828-031429

Arizona Corporation Commission

OIG Search Results

File details come from the government source that posted it. Updated Sep 26, 2025.