CTR068550 A1.pdf

INTERGOVERNMENTAL AGREEMENT (IGA)

AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007

CONTRACT NO.:

CTR068550 IGA AMENDMENT NO: 1

PROCUREMENT

OFFICER:

Hana Hehman

Revised 05/29/2024

SAN CARLOS APACHE TRIBE MEDICAL RESERVE CORPS STATE, TERRITORY AND

TRIBAL NATIONS, REPRESENTATIVE ORGANIZATIONS FOR NEXT GENERATION (MRC

STTRONG)

Effective June 1, 2025 it is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:

1. Pursuant to Terms and Conditions, Provision Four (4), subsection 4.2 Contract Renewal, the Contract is hereby extended through May 31, 2028.

All other provisions of this agreement remain unchanged.

San Carlos Apache Tribe

Contractor Name: Authorized Signature

P.O. Box 0 Address: Print Name

San Carlos AZ 85550 City State Zip Title and Date

Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona

This Intergovernmental Agreement Amendment shall be effective the date indicated. The Public Agency is hereby cautioned not to commence any billable work or provide any material, service or construction under this IGA until the IGA has been executed by an authorized ADHS signatory.

State of Arizona

Signature Date Signed this day of 2025.

Print Name Procurement Officer

Contract No.: CTR068550, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona.

Signature Date

Assistant Attorney General Print Name gnature 6/30/25

Auuuuuttthttttttttttttttttt orized Signature

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: 2025.07.11 12:46:03 -07'00'

Kristine Yaw Digitally signed by Kristine Yaw Date: 2025.08.01 11:03:14 -07'00'

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: August 1, 2025

To: Memo to Procurement File

From: Hana Hehman, Procurement Specialist

Regarding: CTR068550, San Carlos Apache Tribe Medical Reserve Corps State, Territory and Tribal Nations, Representative Organizations for Next Generation (MRC STTRONG) – San Carlos Apache Tribe

Subject: Amendment One (1) – Contract Extension

CTR068550 for San Carlos Apache Tribe 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 the remaining term. On April 11, 2025, the PRS was reassigned due to a vacancy. Amendment One (1) was sent to the supplier for signature on May 12, 2025 and was received on July 11, 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: 2025.08.01 09:12:16 -07'00'

Gina Corwin Digitally signed by Gina Corwin Date: 2025.08.01 09:35:16 -07'00'

SAN CARLOS APACHE TRIBAL COUNCIL

Unique Entity ID

MSRJNX85HTV3

CAGE / NCAGE

3WZP2

Purpose of Registration All Awards

Registration Status Active Registration

Expiration Date Sep 24, 2025

Physical Address 3A San Carlos AVE San Carlos, Arizona 85550 United States

Mailing Address 3A San Carlos AVE.

P.O. Box 0 San Carlos, Arizona 85550 United States

Business Information

Doing Business as (blank)

Division Name (blank)

Division Number (blank)

Congressional District Arizona 02

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

URL

(blank)

Registration Dates

Activation Date Sep 26, 2024

Submission Date Sep 24, 2024

Initial Registration Date Jun 22, 2004

Entity Dates

Entity Start Date Jun 18, 1934

Fiscal Year End Close Date Sep 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?

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 Other

Entity Type Tribal Government

Organization Factors (blank)

Profit Structure (blank)

Last updated by Janet Casoose on Sep 24, 2024 at 05:04 PM SAN CARLOS APACHE TRIBAL COUNCIL

May 08, 2025 03:29:23 PM GMT https://sam.gov/entity/MSRJNX85HTV3/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

Tribal Government

Other Government Entities

Council of Governments

Federally Recognized Native American Entity

Indian Tribe (Federally Recognized)

Financial Information

Accepts Credit Card Payments Yes

Debt Subject To Offset No

EFT Indicator

CAGE Code

3WZP2

Points of Contact

Electronic Business

Janet Casoose, Acting Tribal Comptroller 3A San Carlos AVE.

San Carlos, Arizona 85550 United States

Janet L CASOOSE, Acting Tribal Comptroller PO Box 0 San Carlos, Arizona 85550 United States

Government Business

Dennis Irby, Treasurer 3A San Carlos AVE.

P.O. Box 0 San Carlos, Arizona 85550 United States

Janet L CASOOSE, Acting Tribal Comptroller PO Box 0 San Carlos, Arizona 85550 United States

Service Classifications

NAICS Codes

Primary Yes

NAICS Codes 921150

NAICS Title American Indian And Alaska Native Tribal Governments

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Janet Casoose on Sep 24, 2024 at 05:04 PM SAN CARLOS APACHE TRIBAL COUNCIL

May 08, 2025 03:29:23 PM GMT https://sam.gov/entity/MSRJNX85HTV3/coreData?status=null Page 2 of 2

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