CTR075257_Contract_Amendment_1.pdf

PDF 385 KB Posted

Attached to
Master Agreement AZ|CTR075257
Contract number
CTR075257
Issued by
Arizona

About this file

This document is a Request for Proposal Contract Amendment from the Arizona Department of Health Services' Office of Procurement, specifically for the Arizona Ecumenical Council (doing business as Arizona Faith Network). The contract amendment involves the Cooling Centers Operation and is identified by contract number CTR075257, with this being amendment number one.

The amendment extends the existing contract through April 30, 2027, pursuant to the Special Terms and Conditions, Provision Three, which allows for a maximum 5-year contract extension. The contractor is the Arizona Ecumenical Council, a non-profit religious organization incorporated in Arizona in 1957, with its principal office located in Phoenix. The organization is registered in the System for Award Management (SAM) with an active status and appears in the disaster response registry. The specific details of the cooling centers operation are not elaborated in the provided documents, but the contract extension suggests an ongoing service relationship with the Arizona Department of Health Services.

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Text version

ARIZONA ECUMENICAL COUNCIL

Unique Entity ID

XJFNMW4BPPM5

CAGE / NCAGE

4TRQ0

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Mar 10, 2026

Physical Address

1550 E Meadowbrook AVE

Phoenix, Arizona 85014-4040

United States

Mailing Address

PO Box 60953

Phoenix, Arizona 85082-0953

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.azfaithnetwork.org

Registration Dates

Activation Date

Mar 11, 2025

Submission Date

Mar 10, 2025

Initial Registration Date

Aug 25, 2023

Entity Dates

Entity Start Date

May 14, 1957

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 Tamera Zivic on Mar 10, 2025 at 08:53 AM ARIZONA ECUMENICAL COUNCIL

Oct 01, 2025 11:03:01 PM GMT https://sam.gov/entity/XJFNMW4BPPM5/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

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4TRQ0

Points of Contact

Electronic Business

Karen McLaughlin, Treasurer PO Box 60953

Phoenix, Arizona 85082

United States

Government Business

Karen McLaughlin, Treasurer PO Box 60953

Phoenix, Arizona 85082

United States

Katie Sexton, Executive Director PO Box 60953

Phoenix, Arizona 85082

United States

Past Performance

Tamera Zivic, Treasurer PO Box 60953

Phoenix, Arizona 85082

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

813110

NAICS Title

Religious Organizations

Disaster Response

Yes, this entity appears in the disaster response registry.

No, this entity does not require bonding to bid on contracts.

Bonding Levels Dollars

(blank)

States

Arizona

Counties

(blank)

Metropolitan Statistical Areas

(blank)

Last updated by Tamera Zivic on Mar 10, 2025 at 08:53 AM ARIZONA ECUMENICAL COUNCIL

Oct 01, 2025 11:03:01 PM GMT https://sam.gov/entity/XJFNMW4BPPM5/coreData?status=null Page 2 of 2

Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.

Exclusions Search Results: Exclusions Search Results: EntitiesEntities

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Arizona Ecumenical Council

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

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Search conducted 10/1/2025 7:03:48 PM EST on OIG LEIE Exclusions database.

Source data updated on 9/10/2025 9:01:00 AM EST

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An official website of the United States government. Here's how you know >

10/1/25, 4:03 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1 https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

ENTITY INFORMATION

Search Date and Time: 10/1/2025 4:05:19 PM

Entity Details

Entity Name:

ARIZONA ECUMENICAL COUNCIL

Entity ID:

00492404

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

5/14/1957

Reason for Status:

In Good Standing

Approval Date:

5/14/1957

Status Date:

12/21/2020

Original Incorporation Date:

5/14/1957

Life Period:

Perpetual

Business Type:

Other - Other - Other - RELIGIOUS

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

4/14/2026

Years Due:Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/1/25, 4:05 PM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00492404 1/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

Title Name Attention Address Date of Taking Office

Last Updated

Director

TAMERA L

ZIVIC

AEC dba

AFN

1407 N 2nd St, PHOENIX, AZ, 85004, Maricopa County, USA

1/1/2019 2/25/2025

Secretary Gerrit M Steenblik

AEC dba

AFN

1407 N 2nd St, PHOENIX, AZ, 85004, Maricopa County, USA

1/1/2025 2/25/2025

President Gerald Richards

1407 N 2nd St, PHOENIX, AZ, 85004, Maricopa County, USA

1/1/2025 2/25/2025

Treasurer Karen McLaughlin

1407 N 2nd St, PHOENIX, AZ, 85004, Maricopa County, USA

1/1/2025 2/25/2025

Vice- President

Lisa Derrick 1407 N 2nd St, PHOENIX, AZ, 85004, Maricopa County, USA

1/1/2025 2/25/2025

Original Publish Date:

6/25/1957

Statutory Agent Information

Name:

TAMERA L ZIVIC

Appointed Status:

Active 12/21/2020

Attention:

Address:

4000 N 7th St Ste 118, PHOENIX, AZ 85014, USA

Agent Last Updated:

2/25/2025

E-mail:

Attention:

Mailing Address:

PO Box 60953, PHOENIX, AZ 85082, USA

County:

Maricopa

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/1/25, 4:05 PM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00492404 2/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

Page 1 of 1, records 1 to 5 of 5

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Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention: AEC dba AFN

Address: 1407 N 2nd St, PHOENIX, AZ, 85004, USA

County: Maricopa

Last Updated: 2/25/2025

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

10/1/25, 4:05 PM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00492404 3/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

CTR075257 A1 Executed
EntityInformation_20251001-040259
OIG Search Results
Arizona Corporation Commission

File details come from the government source that posted it. Updated .