CTR073341 A1.pdf
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- Attached to
- AZ|CTR073341
- Contract number
- CTR073341
- Issued by
- Arizona
About this file
This document is a Competition Impractical Contract Amendment issued by the Arizona Department of Health Services' Office of Procurement, involving the Arizona Hospital and Healthcare Association (AzHHA) and the Arizona Coalition for Healthcare Emergency Response. The contract amendment is related to a federal grant (Grant Number 1U3REP240740-01-00) for the Hospital Preparedness Program, which is part of the Public Health Emergency Preparedness initiative.
The contract amendment covers a subaward period from 7/1/2024 to 6/30/2029, with a total federal award amount of $5,195,124.00. The immediate contract amendment includes $125,000.00 obligated to AzHHA and an additional $1,180,000.00 obligated to the Arizona Coalition for Healthcare Emergency Response. The total amount of federal funds currently available is $2,427,530.00. The contract appears to be focused on emergency preparedness and response capabilities for hospitals and healthcare systems in Arizona, with a specific focus on public health and hospital preparedness programming. The amendment revises Exhibits Four and Five of the original contract, updating the pass-through entity requirements under 2 CFR 200.332.
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COMPETITION IMPRACTICAL
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530
Phoenix, Arizona 85007
CONTRACT NO.: CTR073341 AMENDMENT NO.: One (1) Procurement Officer:
Kristine Yaw
Revised 06/24/2024
Exhibit Four (4) - 2 CFR 200.332
COMPETITION IMPRACTICAL
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530
Phoenix, Arizona 85007
CONTRACT NO.: CTR073341 AMENDMENT NO.: One (1) Procurement Officer:
Kristine Yaw
Revised 06/24/2024
Exhibit Five (5) - 2 CFR 200.332
ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION
Unique Entity ID
UAELEZBGU2M1
CAGE / NCAGE
41JC7
Purpose of Registration
All Awards
Registration Status
Active Registration
Expiration Date
Sep 25, 2026
Physical Address
2800 N Central AVE STE 1450
Phoenix, Arizona 85004-1054
United States
Mailing Address
2800 N Central AVE STE 1450
Phoenix, Arizona 85004-1054
United States
Business Information
Doing Business as
(blank)
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 03
State / Country of Incorporation
Arizona / United States
URL
www.azhha.org
Registration Dates
Activation Date
Sep 29, 2025
Submission Date
Sep 25, 2025
Initial Registration Date
Jun 28, 2005
Entity Dates
Entity Start Date
Aug 26, 1954
Fiscal Year End Close Date
Dec 31
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
Corporate Entity (Tax Exempt)
Entity Type
Business or Organization
Organization Factors
(blank)
Profit Structure
Non-Profit Organization
Last updated by Karla Hartline on Sep 25, 2025 at 09:46 PM ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION
Oct 09, 2025 07:27:50 PM GMT https://sam.gov/entity/UAELEZBGU2M1/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.
Financial Information
Accepts Credit Card Payments
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
41JC7
Points of Contact
Electronic Business
Karla Hartline, Vice President of Finance and
Operations
2800 North Central Avenue Suite 1450
Phoenix, Arizona 85004
United States
LAURA DICKSCHEID, VICE PRESIDENT,
MEMBER SERVICES
2800 N Central AVE, STE 1450
Phoenix, Arizona 85004
United States
Government Business
KARLA HARTLINE, Vice President of Finance and Operations
2800 North Central Avenue Suite 1450
Phoenix, Arizona 85004
United States
LAURA DICKSCHEID, VICE PRESIDENT,
MEMBER SERVICES
2800 N Central AVE, STE 1450
Phoenix, Arizona 85004
United States
Past Performance
LAURA DICKSCHEID, VICE PRESIDENT,
MEMBER SERVICES
2800 N Central AVE, STE 1450
Phoenix, Arizona 85004
United States
LAURA DICKSCHEID, VICE PRESIDENT,
MEMBER SERVICES
2800 N Central AVE, STE 1450
Phoenix, Arizona 85004
United States
Service Classifications
NAICS Codes
Primary
Yes
NAICS Codes
813910
NAICS Title
Business Associations
Disaster Response
Yes, this entity appears in the disaster response registry.
Bonding Levels Dollars
(blank) (blank)
States
Arizona
Counties
(blank)
Metropolitan Statistical Areas
AZ: null
Last updated by Karla Hartline on Sep 25, 2025 at 09:46 PM ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION
Oct 09, 2025 07:27:50 PM GMT https://sam.gov/entity/UAELEZBGU2M1/coreData?status=null Page 2 of 2
Entity Information Search Date and Time:
10/9/2025 12:21:23 PM
Entity Details
Entity Name:
ARIZONA HOSPITAL AND HEALTHCARE ASSOCIATION
Entity ID:
00455612
Entity Type:
Domestic Nonprofit Corporation
Entity Status:
Active
Formation Date:
8/26/1954
Reason for Status:
In Good Standing
Approval Date:
8/26/1954
Status Date:
10/16/2019
Original Incorporation Date:
8/26/1954
Life Period:
Perpetual
Business Type:
Other - Other - Other - HOSPITAL/HEALTH CARE
Last Annual Report Filed:
Domicile State:
Arizona
Annual Report Due Date:
10/26/2026
Title Name Attention Address Date of Taking Office
Last Updated
Director Mimi Coomler 5301 E. Grant Road, TUCSON, AZ, 85712, USA
10/1/2022 9/22/2023
Director Brian Sinotte 1980 W. Hospital Dr, TUCSON, AZ, 85704, USA
10/1/2022 9/22/2023
Director Krystal Burge 3845 Stockton Hill Road, KINGMAN, AZ, 86409, USA
10/1/2022 9/22/2023
Chairman of the Board of Directors
Robert Trenschel
2400 SOUTH AVENUE A, YUMA,
AZ, 85364, USA
1/1/2016 8/13/2025
Director STEVE PURVES
2601 E ROOSEVELT ST,
PHOENIX, AZ, 85008, USA
1/1/2014 8/13/2025
Director
JEFF
CHRISTENSEN
2650 N WYATT DRIVE, TUCSON,
AZ, 85712, USA
12/9/2021 9/6/2022
Years Due:
Original Publish Date:
Statutory Agent Information
Name:
CB SERVICE ENTITY LLC
Appointed Status:
Active 8/26/1954
Attention:
Address:
2800 N. CENTRAL AVENUE, SUITE 1900, Suite 1900, PHOENIX, AZ 85004, USA
Agent Last Updated:
8/13/2025
E-mail:
Attention:
Mailing Address:
County:
Maricopa
Principal Information
< Previous ... 1 2 3 4 ... Next > Page 1 of 4, records 1 to 5 of 17 Go to Page
Title Name Attention Address Date of Taking Office
Last Updated
Director NEAL JENSEN
5880 SOUTH HOSPITAL DRIVE,
GLOBE, AZ, 85501, USA
1/1/2016 8/13/2025
President/CEO Ann-Marie Alameddin
2800 N Central Ave, Suite 1450, PHOENIX, AZ, 85004, USA
4/2/2019 10/16/2019
Treasurer Roland Knox 901 W Rex Allen Dr, WILLCOX, AZ, 85643, USA
1/1/2015 9/22/2023
Director Jackie Lundblad 2800 North Central Avenue, Suite
1450, PHOENIX, AZ, 85004, USA
12/1/2023 10/7/2024
Director Richard Gray 5777 E. Mayo Blvd, PHOENIX, AZ, 85054, USA
10/1/2022 9/22/2023
Director Bruce Waldo 6015 W. Peoria Ave, Glendale, AZ, 85032, USA
1/1/2020 10/6/2020
Director Rhonda Anderson 21813 N. 39th Street, PHOENIX, AZ, 85050, USA
10/1/2022 9/22/2023
Director Chris Ruble 2800 North Central Avenue, Suite
1450, PHOENIX, AZ, 85004, USA
12/1/2024 8/13/2025
Director Dawn Tschabrun 2800 North Central Avenue, Suite
1450, PHOENIX, AZ, 85004, USA
12/1/2024 8/13/2025
Director Erica Brown 2800 North Central Avenue, Suite
1450, PHOENIX, AZ, 85004, USA
12/1/2024 8/13/2025
Director Vicki Began 2800 North Central Avenue, Suite
1450, PHOENIX, AZ, 85004, USA
12/1/2024 8/13/2025
Entity Known Place of Business
Attention: Karla Hartline
Address: 2800 N. Central Avenue, Suite 1450, PHOENIX, AZ, 85004, USA
County: Maricopa
Last Updated: 8/13/2025
Entity Principal Office Address
Attention:
javascript:$xhtml.paging(2) javascript:$xhtml.paging(3) javascript:$xhtml.paging(4) javascript:$xhtml.paging(2)
Address:
County:
Last Updated:
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