CTR070059 A3.pdf

PDF 697 KB Posted Feb 26, 2024

Attached to: Master Agreement AZ|CTR070059
Contract number: CTR070059
Issued by: Arizona

About this file

Written by GovTribe AI · Dec 4, 2025

This document is a Contract Amendment No. 3 for the Well Woman Healthcheck Program (WWHP) issued by the Arizona Department of Health Services, Office of Procurement. The amendment involves the Maricopa County Special Health Care District (Valleywise), a local government entity located in Phoenix, Arizona. The contract number is CTR070059, and the amendment is being processed through the state's procurement office.

The amendment extends the existing contract through February 25th, 2027, which represents the maximum five-year extension period as outlined in the Special Terms and Conditions, Provision Three. The document indicates this is a healthcare services contract, specifically for the Well Woman Healthcheck Program, and involves a local health care district. The amendment appears to be a routine administrative extension to continue providing health services, with all other provisions of the original contract remaining unchanged. The contractor, Maricopa County Special Health Care District, is registered in the System for Award Management (SAM) with an active status and is classified as a US Local Government entity with a focus on hospital and outpatient care services.

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BPM005681 Memo to File - 3 day Requirement.docx executed.pdf	PDF	Feb 26, 2024
BPM005681 Memo to File - R2-7-C318 Mistake Discovered After Award EXECUTED.pdf	PDF	Feb 26, 2024
CTR070059_Contract_Documents.pdf	PDF	Feb 26, 2024
CTR070059_MIHS_dba_Valleywise__WWHP__-_Original_Pricing.xlsx	XLSX spreadsheet	Feb 26, 2024
CTR070059 MIHS dba Valleywise (WWHP) A1 EXECUTED.pdf	PDF	Feb 26, 2024
COI_Well_Women_-_ADHS_12.1.24_-_12.1.25.pdf	PDF	Feb 26, 2024
Well_Women_-_ADHS.pdf	PDF	Feb 26, 2024
CTR070059 MIHS dba Valleywise (WWHP) A2_EXECUTED w Debarments Memo.pdf	PDF	Feb 26, 2024
Additional Insured Exception Request- ADHS CTR070059.pdf	PDF	Feb 26, 2024
Additional_Insured_Exception_Request-_ADHS_CTR070059_030725.pdf	PDF	Feb 26, 2024
CTR070059 A1 Pricing.pdf	PDF	Feb 26, 2024
CTR070059 MIHS dba Valleywise (WWHP) - Original Pricing.xlsx	XLSX spreadsheet	Feb 26, 2024
DHS Temp Delegation 25M 2.23.2024.pdf	PDF	Feb 26, 2024
COI - ADHS Well Woman VWH.pdf	PDF	Feb 26, 2024
CTR070059 2025-12-01 GL AL WC PL.pdf	PDF	Feb 26, 2024

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MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Unique Entity ID

J2RHHVGKRH11

CAGE / NCAGE

334W0

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Dec 20, 2025

Physical Address

2601 E Roosevelt ST

Phoenix, Arizona 85008-4973

United States

Mailing Address

2601 E. Roosevelt ST.

Phoenix, Arizona 85008-4973

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

(blank) / (blank)

URL

http://www.valleywisehealth.org/

Registration Dates

Activation Date

Dec 24, 2024

Submission Date

Dec 20, 2024

Initial Registration Date

Nov 23, 2004

Entity Dates

Entity Start Date

Jan 1, 1877

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 Jennifer Joiner on Dec 20, 2024 at 03:33 PM MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Dec 01, 2025 08:40:02 PM GMT https://sam.gov/entity/J2RHHVGKRH11/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

Local Government Owned

Other Entity Qualifiers

Hospital

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

EFT Indicator

CAGE Code

334W0

Points of Contact

Electronic Business

Claire Agnew, CFO 2601 E. Roosevelt

Phoenix, Arizona 85008

United States

Government Business

Jennifer Joiner 2601 E. Roosevelt ST

Phoenix, Arizona 85008

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

622110

NAICS Title

General Medical And Surgical Hospitals

621498 All Other Outpatient Care Centers

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Jennifer Joiner on Dec 20, 2024 at 03:33 PM MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Dec 01, 2025 08:40:02 PM GMT https://sam.gov/entity/J2RHHVGKRH11/coreData?status=null Page 2 of 2

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CTR070059 A3 for debarment

SAM.gov

OIG Search Results

Arizona Corporation Commission

File details come from the government source that posted it. Updated Dec 4, 2025.