CTR070563_Medialab_A1_Executed.pdf
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- Attached to
- AZ|CTR070563
- Contract number
- CTR070563
- Issued by
- Arizona
About this file
This is a Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, for Contract No. CTR070563, Amendment No. 1. The amendment involves Medialab Solutions LLC as the contractor, with Kaitlin Burreson serving as the Procurement Officer. The document is dated 04.29.2024 and pertains to a Laboratory Quality Management System.
The contract amendment includes a revised Price Sheet with various software modules and services. The items include Compliance & CE (1 site, 200 users), Document Control (1 site, 150 users), IQE (1 site), and Molecular Exam Simulator (10 seats), each priced for a one-year term. The contract also covers temporary increases for Compliance & CE (+50 users) and Molecular Exam Simulator from 9/20/2024 to 11/19/2024. Standard support is included at no cost, with additional module purchases not to exceed $2,200.00 annually per quote. The total contract value is set at a Not to Exceed (NTE) amount of $52,200.00.
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Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR070563 AMENDMENT NO.: 1 PROCUREMENT OFFICER
Kaitlin Burreson
Revised 04.29.2024
LABORATORY QUALITY MANAGEMENT SYSTEM
Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:
1. Pursuant to the Uniform Terms and Conditions, Provision Five (5), Contract Changes, Section 5.1, the Contract is hereby revised with the following:
1.1 The Price Sheet is revised and replaced.
ALL CHANGES ARE REFLECTED IN RED
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date
The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona
(To be filled out by Procurement Office)
Contractor Signature
Contractor Signature Date
Authorized Signatory’s Name and Title
Medialab Solutions LLC
Contractor’s Name Procurement Officer Signature
Docusign Envelope ID: C76133BD-A8B3-45B2-B2A7-E373123D3D61
9/23/2024
CEOTom Ormondroyd
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR070563 AMENDMENT NO.: 1 PROCUREMENT OFFICER
Kaitlin Burreson
Revised 04.29.2024
Contract Price Sheet
ITEM QUANTITY PRICE NOT TO
EXCEED (NTE)
Compliance & CE [1 site, 200 users] One (1) Year $1,862.00 Document Control [1 site, 150 users] One (1) Year $4,282.00 IQE [1 site] One (1) Year $795.00 Molecular Exam Simulator [10 seats] One (1) Year $1,190.00 Compliance & CE Increase [+50 users] 9/20/2024 - 11/19/2024 $45.10 Molecular Exam Simulator [10 seats] 9/20/2024 - 11/19/2024 $195.16 Standard Support $0.00
Additional Module Purchases NTE $2,200.00 Annually PER QUOTE
CONTRACT TOTAL NTE $52,200.00
Docusign Envelope ID: C76133BD-A8B3-45B2-B2A7-E373123D3D61
| 2024-09-23T19:39:35-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
| 2024-09-25T09:36:43-0700 | |
| Kristine Newton |
File details come from the government source that posted it. Updated .