CTR070145 A3.pdf

PDF 11 MB Posted

Attached to
Master Agreement AZ|CTR070145
Contract number
CTR070145
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services (ADHS), specifically the Office of Injury and Violence Prevention, and the Mohave County Department of Public Health. The agreement is part of the CDC Overdose Data to Action (OD2A) Cooperative Agreement, focusing on enhancing the state and local capacity to track and prevent both fatal and nonfatal overdoses.

The contract provides $80,000 in annual funding to support overdose prevention strategies, with specific objectives including implementing surveillance strategies, reducing overdose morbidity and mortality, and addressing the opioid crisis. Key activities include developing public safety partnerships, promoting harm reduction, enhancing community-based linkages to care, and collaborating with local entities such as the Hualapai Tribe, emergency departments, schools, and justice system organizations. The funding covers various expenses including personal services, employee-related expenses, professional services, travel, and other operating costs. The amendment allows for up to 10% budget transfers between line items with prior approval, and focuses on targeted interventions for opioid and stimulant misuse prevention, naloxone distribution, and supporting individuals with substance use disorders.

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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: 2025.09.17 15:42:41 -07'00'

Denel M Pickerin g

Digitally signed by Denel M Pickering Date:

2025.09.25 08:25:41 -07'00'

COUNTY OF MOHAVE

Unique Entity ID

KKE6CJTM8CS1

CAGE / NCAGE

37FX0

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Jul 22, 2026

Physical Address

700 W Beale ST

Kingman, Arizona 86401-5711

United States

Mailing Address

P.O. Box 7000

Kingman, Arizona 86402-7000

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 09

State / Country of Incorporation

(blank) / (blank)

URL

(blank)

Registration Dates

Activation Date

Jul 24, 2025

Submission Date

Jul 22, 2025

Initial Registration Date

Mar 15, 2005

Entity Dates

Entity Start Date

Jul 1, 1998

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

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Michael Smith on Jul 22, 2025 at 05:17 PM COUNTY OF MOHAVE

Jul 24, 2025 08:23:34 PM GMT https://sam.gov/entity/KKE6CJTM8CS1/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

Other Government Entities

Housing Authorities Public/Tribal

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

37FX0

Points of Contact

Electronic Business

Michael Smith Mohave County Community Services

700 W. Beale Street

Kingman, Arizona 86402

United States

Government Business

Michael Smith Mohave County Community Services

700 W. Beale Street

Kingman, Arizona 86402

United States

Terry Baughn 700 W. Beale ST

P.O. Box 7000

Kingman, Arizona 86402

United States

Past Performance

Michael Smith Mohave County Community Services

700 W. Beale Street

Kingman, Arizona 86402

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 Michael Smith on Jul 22, 2025 at 05:17 PM COUNTY OF MOHAVE

Jul 24, 2025 08:23:34 PM GMT https://sam.gov/entity/KKE6CJTM8CS1/coreData?status=null Page 2 of 2

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CTR070145 A3.
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