CTR068852 Amendment 01_Executed w_Debarment.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR068852
- Contract number
- CTR068852
- Issued by
- Arizona
About this file
This document is an Intergovernmental Agreement (IGA) Amendment for Contract No. CTR068852 between the Arizona Department of Health Services, Office of Procurement and Pima County Health Department. The amendment revises the price sheet for sexually transmitted infection investigations services effective January 1, 2024 through January 31, 2025. Pima County Health Department is located at 3050 S. County Club Rd, Suite 100, Tucson, Arizona 85714. The amendment was signed on August 13, 2024, by Adelita S. Grijalva, County Authorized Signature on behalf of Pima County, and by Selena Leon, Procurement Officer, on behalf of the Arizona Department of Health Services.
The amended contract establishes a total annual budget not to exceed $380,541.00 for the one-year period. Cost reimbursement line items include Personnel Services at $247,815.00; Employee Related Expenses at $76,301.00; Professional & Outside Services at $0.00; Travel at $2,057.00; Supplies at $0.00; Other Operating at $19,774.00; Capital Outlay Expenses at $0.00; Indirect (10%) at $34,594.70; and Other at $0.00. The agreement permits up to 30 percent of the total budget to be transferred between funded line items with prior written approval from the STI Control Office Chief Program, with transfers exceeding 30 percent requiring a written amendment. This budget is contingent on funding and subject to potential changes in subsequent years.
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Text version
PIMA COUNTY
Unique Entity ID
FVS1C9XG5748
CAGE / NCAGE
3VUH5
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Aug 2, 2025
Physical Address
32 N Stone AVE STE 1400
Tucson, Arizona 85701-1451
United States
Mailing Address
32 N Stone AVE STE 800
Tucson, Arizona 85701-1403
United States
Business Information
Doing Business as
(blank)
Division Name
Administration
Division Number
(blank)
Congressional District
Arizona 07
State / Country of Incorporation
(blank) / (blank)
URL
http://www.pcao.co.pima.az.us
Registration Dates
Activation Date
Aug 6, 2024
Submission Date
Aug 2, 2024
Initial Registration Date
May 20, 2004
Entity Dates
Entity Start Date
Feb 14, 1912
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?
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
US State Government
Organization Factors
(blank)
Profit Structure
(blank)
Last updated by Vanessa Santa Cruz on Aug 02, 2024 at 04:29 PM PIMA COUNTY
Aug 20, 2024 10:10:54 PM GMT https://sam.gov/entity/FVS1C9XG5748/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
U.S. State Government
County
Financial Information
Accepts Credit Card Payments
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
3VUH5
Points of Contact
Electronic Business
Zachary Mack 32 North Stone 19TH Floor
Tucson, Arizona 85701
United States
Zachary Mack 32 N Stone 19TH Floor
Tucson, Arizona 85701
United States
Government Business
Regina Kelly 97 E Congress
Tucson, Arizona 85701
United States
Jeannette Montano 97 E Congress
Tucson, Arizona 85701
United States
Past Performance
Vanessa Santa Cruz 130 W. Congress 3RD Floor
Tucson, Arizona 85713
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 Vanessa Santa Cruz on Aug 02, 2024 at 04:29 PM PIMA COUNTY
Aug 20, 2024 10:10:54 PM GMT https://sam.gov/entity/FVS1C9XG5748/coreData?status=null Page 2 of 2
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