CTR073226_Contract_Amendment__2.pdf
PDF 138 KB Posted
- Attached to
- Master Agreement AZ|CTR073226
- Contract number
- CTR073226
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Administration's State Procurement Office for Contract #CTR073226, involving Banner Occupational Health Arizona, LLC. The amendment is for Employee Medical Examination Services and is effective as of 8/15/2025, with the contract originally established on September 1, 2024.
The amendment adds an additional line item named "Other Services as Quoted" to the contract on the Arizona Procurement Portal (APP). The contract period was previously extended through Amendment Number One from September 1, 2025 to August 31, 2026, which was executed on May 13, 2025. The amendment maintains all other existing requirements, specifications, terms, and conditions of the original contract unchanged. The contract is available online at app.az.gov and is specifically for medical examination services provided by Banner Occupational Health Arizona, LLC to the state of Arizona.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 01.01.26_COI_AL_WC.pdf | ||
| 7-1-25_COI_GL.pdf | ||
| Attachment_08_Organization_Profile-COMPLETED.docx | DOCX document | |
| Listing_of_all_Service_Locations.xlsx | XLSX spreadsheet | |
| Attachment_13_Pricing_Document-BAFO.xlsx | XLSX spreadsheet | |
| 1-1-25_COI_AL_WC.pdf | ||
| 7-1-25_COI_Cyber.pdf | ||
| Attachment_12_Business_Associates_Addendum__HIPAA_-FILLED_-_Copy.pdf | ||
| CTR073226_Banner_Health_Employee_Med_Exam_Svcs.pdf | ||
| 07.01.26_COI_GL.pdf | ||
| Attachment_09_Service_Locations-Completed.xlsx | XLSX spreadsheet | |
| CTR073226_Contract_Amendment__1.pdf |
Show all 12
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Text version
Contract Amendment Arizona Department of
Administration
State Procurement Office
100 N. 15th Avenue
Phoenix, AZ 85007
Contract #: CTR073226 Contract Amendment: Two (2)
Effective Date: 8/15/2025
Available online at app.az.gov
Employee Medical Examination Services
Banner Occupational Health Arizona, LLC
The purpose of this amendment is to add an additional line item to the contract on the Arizona Procurement Portal (APP)
In accordance with the Uniform and Conditions, Section 5.1, Amendments, an additional line item named “Other Services as Quoted” was added to the contract on APP.
RECITALS
The State and Supplier entered into that certain agreement titled Master Agreement effective as of
September 1, 2024, pursuant to which Supplier is to provide Employee Medical Exam Services.
Thereafter Amendment Number One (1) to extend the contract period from September 1, 2025 to August 31, 2026 was executed on May 13, 2025.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED
https://app.az.gov/
File details come from the government source that posted it. Updated .