CTR076383 PCASH CWPC A2 FEwdeb.pdf

INVITATION FOR BID

GONTRAGT AMENDMENT

AR]ZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona85007

CONTRACT NO.; CTR076383 AMENDMENT NO.:2 PROCUREMENT OFFICER:

Brandon Durick

PEST CONTROL SERVICES FOR THE ARIZONA STATE HOSPITAL

Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:

t. Pursuan[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 Specifications are hereby revised and replaced to update the service schedule in section 4.7

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

ALL CHANGES ARE REFLECTED IN RED

The above referenced Contract Amendment is hereby executed this _ day of Phoenix, Arizona

(To be filled out by Procurement Office)

20_ at 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

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CITY WIDE PEST CONTROL INC.

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Revised 06.18.2024

Denel Pickerin g

Digitally signed by Denel Pickering Date: 2025.05.20 16:16:25 -07'00'

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

PROCUREMENT OFFICER:

Brandon Durick

Revised 06.18.2024

I. SPECIFICATIONS

1. BACKGROUND

1.1. The Arizona State Hospital (ASH) is a Division of the Department of Health Services (ADHS). It is established and operated under A.R.S. § 36-202 et. seq. “for the care and treatment of persons with mental disorders and persons with other personality disorders or emotional conditions who will benefit from care and treatment.” The Arizona State Hospital is the State’s only Hospital dedicated to the care of the seriously mentally ill. The Hospital serves to provide evidenced based treatment in a recovery paradigm utilizing a multidisciplinary team approach.

1.2. The Hospital provides treatment and rehabilitative services to the most severely mentally ill persons in the State. This is a court-ordered, civil, and forensic committed treatment center. Individuals must be suffering from a behavioral health illness, which has severely impaired their functioning and ability to live within their family and community. The Hospital’s current population is approximately two hundred sixty patients in thirteen (13) separate units divided into three (3) separate areas. This Contract is a key component to ensure that the Hospital meets its statutory mandate.

1.3. The Arizona State Legislature enacted A.R.S. § 36-3701 in the 1997 legislative session requiring the housing of “sexually violent persons” (SVP) at the Hospital in the Arizona Community Protection and Treatment Center (ACPTC) program. ACPTC provides for a secure treatment environment for sexually violent persons (residents) who have been determined to have a mental disorder and need to be committed to protecting the health and safety of others in the community. The ACPTC’s current population is approximately 100 residents in three (3) separate units.

1.4. ASH and ACPTC, otherwise known as the “Hospital”, are located at 2500 East Van Buren

Street, Phoenix, Arizona 85008 with the physical entrance located at 501 N. 24th Street. The Hospital operates twenty-four (24) hours per day, three hundred sixty-five days per year.

2. OBJECTIVE

To secure a Contract with a supplier to provide pest control services at the Hospital to be submitted as “all inclusive” which shall include all chemicals, materials, equipment, services, labor, travel, insurances, and workers compensation fee, profits, and overhead expenses.

3. SPECIFICATIONS

The Contractor shall:

3.1. Provide services to the locations identified in Arizona State Hospital Current Square Footage Summary and Service Frequency Exhibit One (1) once per quarter including the interior and exterior with the exception of the Kitchens which shall be serviced monthly.

Contractor shall divide the campus into manageable areas and treat those distinct areas on a monthly rotation. For example, Civil Hospital in January, Forensic Hospital in February, ACPTC in March, etc.

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

3.2. Inspect and treat the interior and exterior according to current industry standards as identified in Specifications section 4.1 and ensure that each area identified in Exhibit One

(1) are properly treated not less than once per quarter.

3.3. Render exterminating service to control and/or eliminate pests on a monthly basis (Kitchens):

3.3.1. Cholla 1,313 Sq. Ft.

3.3.2. Civil 3,756 Sq. Ft.

3.3.3. Main 13,790 Sq. Ft.

3.4. Render exterminating service for general areas per Exhibit One (1) to control and/or eliminate the following but not limited to:

3.4.1. Roaches.

3.4.2. Ants.

3.4.3. Silverfish.

3.4.4. Spiders (all species).

3.4.5. Crickets.

3.4.6. Flying Insects.

3.4.7. Scorpions.

3.4.8. Ticks.

3.4.9. Rodents (Rats or Mice) as needed.

3.4.10. All other common and non-common insects.

3.5. Special attention shall be paid to areas that are historically conductive to harborage and breeding.

3.6. At the request of the Hospital, provide a quote, for additional services as identified herein to be required on an as needed basis. Prior to services being obtained a Purchase Order shall be issued for additional services authorizing service to begin.

3.7. Provide technicians that are familiar in providing services in a secured Hospital setting so as not to interfere with the Hospital’s clinical programs or disrupt the patient care environment.

3.8. The Contractor shall keep the Hospital informed of the dates and times that their staff will be present on Hospital grounds and the area(s) they will be treating. Services to be provided as identified herein and on an agreed upon schedule between the Contractor and

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

the Hospital. Contractor shall confirm availability in accordance with 4.1.7 with the Hospital no later than five (5) days after the award of a Contract.

3.9. Additional services identified below to be required on an as needed basis includes but not limited to. Any additional services not related to pest control identified will be purchased on a quote basis and approved by the Chief Operating Officer (COO) at the Hospital or their designee:

3.9.1. Exterior Power Spraying shall be performed on an as needed basis to create a wider chemical barrier for the insects to cross before reaching the building.

3.9.2. Power spraying shall be done around each building standard to the industry, kitchen docks, trash areas and include hills as founded.

3.9.3. Pigeons and/or other bird and/or bats.

3.9.4. Termite Treatment Control.

3.9.5. Fogging Service all areas, including the kitchen areas when requested.

3.9.6. Gopher and Ground squirrel control.

3.9.7. Treatment of Sewers (manholes) for roaches and crickets.

3.9.8. Spray for Bees, Africanized and Domestic.

3.9.9. Removal of beehives.

3.9.10. Snake removal.

3.9.11. Wall and attic baiting for rodent control.

3.9.12. Plumbing Chases Dusting: Contractor shall treat the plumbing for the control of roaches on as needed basis. (Price shall be per linear foot).

3.9.13. Respond to requests made by the Hospital for emergency treatment outside of the routine schedule within twenty-four (24) hours.

4. REQUIREMENTS

The Contractor shall:

4.1. Comply with all requirements, and provide documentation as evidence of compliance upon request, of applicable standards of:

4.1.1. The Joint Commission, Health Care Financing Agency (HCFA).

4.1.2. Occupational Safety Hazard Association (OSHA).

4.1.3. National Fire Protection Association (NFPA).

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

4.1.4. Environmental Protection Agency (EPA).

4.1.5. Centers for Prevention and Disease Control (CDC).

4.1.6. any other federal, state and local regulatory agency.

4.2. Sign in and out with the Hospital Facilities’ front gate office upon arrival and at departure from the Hospital.

4.3. Respond to inquiries (Scheduled/unscheduled services and questions within twenty-four

(24) hours) directly via phone or email.

4.4. Shall be onsite and perform service within twenty-four (24) hours based on agreed upon schedule.

4.5. If services cannot be provided on the scheduled day and time, the Contractor shall contact the Hospital and re-schedule within twenty-four (24) hours to complete and perform the service. Continual re-scheduling may be construed as Contract default after three (3) times.

4.6. Services shall have guaranteed results for a minimum of thirty (30) days after service and minimum one year for spot treatment (termite control treatment) for all locations of the Hospital identified herein. Call back service within the month shall be provided at no additional charge and the technician shall be onsite within twenty-four (24) hours to perform and complete the call back service.

4.7. Strictly adhere to the following schedule as it relates to providing pest control services on-site excluding state observed holidays per Exhibit Two (2):

4.7.1. Ancillary buildings: Monday through Friday - Any time of day is permitted.

4.7.2. Civil and Forensic Dorms: Monday through Friday from 3am to 6pm.

4.7.3. Civil and Forensic Day Rooms: Monday through Friday before 6am or after 9pm

4.7.4. Civil and Forensic Rehab areas: Monday through Friday before 6am or after 9pm

4.7.5. Civil and Forensic Administration: Monday through Friday – Any time of day is permitted.

4.7.6. ACPTC Interior: Monday through Friday before 6am or after 9pm.

4.7.7. ACPTC Exterior: Monday through Friday before 6am or after 9 pm.

4.7.8. Kitchens Mondays through Friday before 4:30 am or after 9 pm.

4.7.9. Hours may change depending upon business need. Current typical schedule is Fridays at 3am.

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

4.8. Be licensed by all applicable regulatory authorities to provide the services outlined in this Contract, and be a business in good standing in the State of Arizona.

4.9. Use approved and acceptable pesticides or extermination methods.

4.10. Applications shall be in highly-regulated patient care and food preparation areas; any products used must be suitable and appropriate for those sites.

4.11. Provide an invoice to be submitted not later than the close of business on the fifteenth

(15th) working business day of each month, following the month of service. The Contractor Manager, or Designee, will approve the invoice. Approved invoices shall be paid by ADHS within thirty (30) days of receipt.

4.12. All exterminations shall be properly disposed of off Hospital grounds.

4.13. Provide and maintain a copy of Pest Control license to ensure it meets the Specifications.

4.14. Provide a current and valid Certificate of Insurance (COI) as specified in the Special Terms and Conditions within ten (10) days of Contract award. Service will not be permitted without a Purchase Order issued by ADHS. A Purchase Order will not be issued to the Contractor without a valid and current COI on file with ADHS throughout the term of the Contract.

4.15. Technicians working under this Contract shall be properly trained and knowledgeable of safety regulations for both the products being used and the application process.

4.16. Technician shall be certified applicators in the certification category for which services are being provided, in accordance with Arizona Administrative Code (A.A.C.) R3-8-201(C)(4) https://agriculture.az.gov/sites/default/files/A.A.C._Title_3_Chapter_8_- _Pest_Management_Division.pdf.

4.17. Provide Safety Data Sheets (PSDS) for all products used upon request.

4.18. Provide a Plan of Correction (POC) as requested by the Hospital when deficiencies have been identified by the Hospital or an external regulatory agency.

4.19. Obey all posted speed limits on Hospital grounds, to include all Contractor staff and employees.

4.20. Ensure no cameras, including cell phones with built-in cameras, are permitted on patient treatment units.

4.21. Ensure that all Contractor’s employees obey Hospital policy that establishes Hospital grounds as drug, alcohol, weapon and tobacco-free.

4.22. Ensure that all Contractor’s employees obey state law and Hospital policy prohibiting firearms on Hospital property.

4.23. Sign and maintain compliance with the Health Insurance Portability and Accountability Act

(HIPAA) Business Associate Agreement (BAA) Attachment G.

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

5. REPORTING

The Contractor shall submit reports to the Hospital Business Office with the monthly invoices that include the date, time and area of the Hospital treated, unless otherwise noted.

6. DELIVERABLES

The Contractor shall submit:

6.1. Monthly invoices with above-noted reports that include the date, time and location treated at the Hospital.

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR076383 AMENDMENT NO.: 2

7. NOTICES, CORRESPONDENCE, REPORTS AND INVOICES

7.1. Notices, Correspondence, and reports from the Contractor shall be sent to:

Arizona Department of Health Services Arizona State Hospital Shanda Payne Chief Operating Officer (COO) 501 N. 24th Street, Phoenix AZ, 85008 Phone: 602.220.6006 Email: shanda.payne@azdhs.gov

7.2. Invoices shall be sent to invoices@azdhs.gov.

7.3. The Contractor shall submit reports to the Hospital Business Office with the monthly invoices that include the date, time and area of the Hospital treated, unless otherwise noted.

7.4. Automated Clearing House.

7.4.1. ADHS may pay invoices for some or all Orders through an Automated Clearing

House (ACH). In order to receive payments in this manner, the Contractor must complete an ACH Vendor Authorization Form (form GAO-618) within thirty (30) days after the effective date of the Contract. The form is available online at:

https://gao.az.gov/sites/default/files/GAO- 618%20ACH%20Authorization%20Form%20101019.pdf

7.4.2. ACH Vendor Authorization Form shall be emailed to

Vendor.Payautomation@azdoa.gov

CITY WIDE PEST CONTROL, INC

Unique Entity ID

CJ84ZGNRKX15

CAGE / NCAGE

0VRR9

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Apr 25, 2026

Physical Address

22405 N 18TH DR

Phoenix, Arizona 85027-1355

United States

Mailing Address

22405 N 18TH DR

Phoenix, Arizona 85027-1355

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 01

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Apr 29, 2025

Submission Date

Apr 25, 2025

Initial Registration Date

Dec 4, 2014

Entity Dates

Entity Start Date

Jan 1, 1986

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 (Not Tax Exempt)

Entity Type

Business or Organization

Organization Factors

Subchapter S Corporation

Profit Structure

For Profit Organization

Last updated by Steve Skiba on Apr 25, 2025 at 02:26 PM CITY WIDE PEST CONTROL, INC

May 27, 2025 10:04:20 PM GMT https://sam.gov/entity/CJ84ZGNRKX15/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

0VRR9

Points of Contact

Electronic Business

Steven R. Skiba, Mr.

22405 N 18TH Drive

Phoenix, Arizona 85027

United States

Government Business

Steven R. Skiba, Mr.

22405 N 18TH Drive

Phoenix, Arizona 85027

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

561710

NAICS Title

Exterminating And Pest Control Services

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Steve Skiba on Apr 25, 2025 at 02:26 PM CITY WIDE PEST CONTROL, INC

May 27, 2025 10:04:20 PM GMT https://sam.gov/entity/CJ84ZGNRKX15/coreData?status=null Page 2 of 2

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ENTITY INFORMATION

Search Date and Time: 5/27/2025 3:04:54 PM

Entity Details

Entity Name:

CITY WIDE PEST CONTROL, INC.

Entity ID:

02396150

Entity Type:

Domestic For-Profit (Business) Corporation

Entity Status:

Active

Formation Date:

2/18/1992

Reason for Status:

In Good Standing

Approval Date:

2/22/1992

Status Date:

10/9/2023

Original Incorporation Date:

2/18/1992

Life Period:

Perpetual

Business Type:

Other - Other - PEST CONTROL SERVICE

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

9/18/2025

Years Due:

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Title Name Attention Address Date of Taking

Office

Last

Updated

Shareholder Steven P Skiba

4420 Andrea Dr, CAVE CREEK, AZ, 85331, Maricopa County, USA

12/31/2022 10/9/2023

Shareholder Michael W Skiba

2024 W Gloria Lane, PHOENIX, AZ, 85085, Maricopa County, USA

12/31/2022 11/15/2023

President Steven P Skiba

4420 Andrea Dr, CAVE CREEK, AZ, 85331, Maricopa County, USA

12/31/2022 10/9/2023

President Michael W Skiba

2024 W Gloria Lane, PHOENIX, AZ, 85085, Maricopa County, USA

12/31/2022 11/15/2023

Original Publish Date:

4/7/1992

Statutory Agent Information

Name:

CSA Solutions, LLC

Appointed Status:

Active 11/3/2021

Attention:

Address:

14555 N. Scottsdale Road, Ste 320, SCOTTSDALE, AZ 85254, USA

Agent Last Updated:

9/13/2024

E-mail:

Attention:

Mailing Address:

County:

Maricopa

Principal Information

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Title Name Attention Address Date of Taking

Office

Last

Updated

Director Steven P Skiba

4420 Andrea Dr, CAVE CREEK, AZ, 85331, Maricopa County, USA

12/31/2022 10/9/2023

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Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention:

Address: 22405 N 18TH DR, PHOENIX, AZ, 85027, USA

County: Maricopa

Last Updated: 9/13/2024

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

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