CTR070145 Contract Amendment 2.pdf

PDF 17 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) and the Mohave County Department of Public Health. The agreement is part of the CDC Overdose Data to Action (OD2A-S) initiative, with funding provided through the Centers for Disease Control and Prevention. The contract is specifically focused on addressing the opioid epidemic in Arizona, particularly in Mohave County.

The amendment provides $80,000 in federal funding for the fiscal year, with a total available financial obligation of $574,821. The scope of work involves implementing strategies to reduce opioid misuse and overdose deaths, including public safety partnerships, harm reduction efforts, and community-based linkages to care. Key activities include partnering with the justice system, hospitals, and local organizations to provide naloxone training, distribute naloxone and fentanyl test strips, offer prevention education, and support justice-involved individuals. The agreement covers the period from September 1, 2023 to August 31, 2028, with the current budget period running from September 1, 2024 to August 31, 2025. The indirect cost rate is set at 10%, and the funding is specifically designated for opioid prevention and intervention efforts.

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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: 2025.04.23 11:48:40 -07'00'

Nathaniel Thomas

Digitally signed by Nathaniel Thomas Date: 2025.04.24 08:41:29 -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

Aug 1, 2025

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

Aug 5, 2024

Submission Date

Aug 1, 2024

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 Aug 01, 2024 at 05:49 PM COUNTY OF MOHAVE

Feb 25, 2025 05:09:59 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 Aug 01, 2024 at 05:49 PM COUNTY OF MOHAVE

Feb 25, 2025 05:09:59 PM GMT https://sam.gov/entity/KKE6CJTM8CS1/coreData?status=null Page 2 of 2

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CTR070145 Mohave County - A2 Executed
Sam.gov
OIG Search Results

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