CTR072825_ContractExtension_Amd3.pdf
PDF 106 KB Posted
- Attached to
- Master Agreement AZ|CTR072825
- Contract number
- CTR072825
- Issued by
- Arizona
About this file
This is Contract Amendment No. 3 issued by the Arizona Department of Administration, State Procurement Office, for a Master Service Agreement between the State of Arizona and FAIR Health Inc. under contract number CTR072825.
The amendment extends the contract end date from September 12, 2025 to September 12, 2026. The original Master Service Agreement became effective on September 13, 2022, and covers Workers' Compensation Bill Review Services. Amendment No. 1 extended the term through September 12, 2024, and Amendment No. 2 extended the term through September 12, 2025 while modifying the cost summary, pricing fee schedule, scope of services, and scope of work. All other contract requirements, specifications, terms, and conditions remain unchanged under this amendment.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR062093Contract_Amendment_2.pdf | ||
| CTR062093_Pricing.xlsx | XLSX spreadsheet | |
| 2023_11_30_COI.pdf | ||
| 2023_Jun_24_COI_O_E_Liability.pdf | ||
| Contract_Extension_2023.pdf | ||
| 2022_Dec_07_COI_GL__AL.pdf | ||
| CTR072825_Amd4_Adding_Dental.pdf |
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Text version
Contract Amendment Arizona Department of
Administration State Procurement Office
1802 W Jackson St. Suite 100 Phoenix, AZ 85007
CTR072825 Contract Amendment No. 3
Available online at app.az.gov Page | 1
Workers’ Compensation Fee Schedule Development and Consultation FAIR Health Inc.
In accordance with the Special Terms and Conditions, Section 3.2 Contract Extensions and Section
5.1 Amendments, this contract is hereby amended to extend the initial end date as follows:
The initial end date is extended from September 12, 2025 to September 12, 2026.
RECITALS
The State and Supplier entered into that certain agreement title Master Service Agreement and was effective on September 13, 2022 pursuant to which Supplier is to provide Workers’ Compensation Bill Review Services.
THEREAFTER, contract amendment No. 1 extended the term of the contract from September 12, 2023 to September 12, 2024.
THEREAFTER, contract amendment No. 2 extended the term of the contract from September 12, 2024 to September 12, 2025 and to modify the Summary for Cost and Program Timeline, Pricing Fee Schedule, Scope of Services and Scope of Work.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED
https://app.az.gov/
| Workers’ Compensation Fee Schedule Development and Consultation |
| FAIR Health Inc. |
| In accordance with the Special Terms and Conditions, Section 3.2 Contract Extensions and Section 5.1 Amendments, this contract is hereby amended to extend the initial end date as follows: |
| The initial end date is extended from September 12, 2025 to September 12, 2026. |
| RECITALS |
| The State and Supplier entered into that certain agreement title Master Service Agreement and was effective on September 13, 2022 pursuant to which Supplier is to provide Workers’ Compensation Bill Review Services. |
| THEREAFTER, contract amendment No. 1 extended the term of the contract from September 12, 2023 to September 12, 2024. |
| THEREAFTER, contract amendment No. 2 extended the term of the contract from September 12, 2024 to September 12, 2025 and to modify the Summary for Cost and Program Timeline, Pricing Fee Schedule, Scope of Services and Scope of Work. |
| ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED |
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