CTR076390_Amendment_One__1__fully_executed.pdf
PDF 355 KB Posted
- Attached to
- Master Agreement AZ|CTR076390
- Contract number
- CTR076390
- Issued by
- Arizona
About this file
This document is a Request for Proposal Contract Amendment issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The amendment involves Mayo Collaborative Services – Mayo Clinic Laboratories, with the specific contract number changing from CTR075690 to CTR076390 due to a modification in the Arizona Procurement Portal (APP) Supplier Profile.
The contract pertains to a Newborn Screening Reference Laboratory service, with the amendment focusing solely on updating the contract number. All other provisions of the original contract remain unchanged. The amendment is effective upon signature by both parties, with the contractor's signature dated 4/3/2025 and the procurement officer's digital signature also dated 4/3/2025. The document ensures continuity of the existing contract while making an administrative adjustment to the contract identification number.
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Other files
| File | Type | Posted |
|---|---|---|
| 2026-01-01 COI GL PL.pdf | ||
| CTR075690_Pricing.xlsx | XLSX spreadsheet | |
| 2026-01-01 COI WC.pdf | ||
| CTR075690_Contract_Documents.pdf |
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Text version
REQUEST FOR PROPOSAL
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR076390 AMENDMENT NO.: One (1) PROCUREMENT OFFICER:
Kristine Newton
Revised 06.18.2024
Newborn Screening Reference Laboratory
Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:
1. Pursuant 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 Contract number is changed from CTR075690 to CTR076390 due to a change in the Arizona Procurement
Portal (APP) Supplier Profile for Mayo Collaborative Services – Mayo Clinic Laboratories.
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
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
The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona
(To be filled out by Procurement Office)
Contractor Signature
Contractor Signature Date
Authorized Signatory’s Name and Title
Mayo Collaborative Services – Mayo Clinic Laboratories
Contractor’s Name Procurement Officer Signature
Docusign Envelope ID: E7F9DCBA-9D91-4D51-B084-622FCF3F17C9
4/3/2025
| 2025-04-03T12:56:27-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
| 2025-04-03T14:40:23-0700 | |
| Kristine Newton |
File details come from the government source that posted it. Updated .