CTR076779_Pre-Contract_Documents.pdf

Katie Hobbs Governor

Michael Wisehart Director

1789 W. Jefferson, Mail Drop 1541, Phoenix, AZ 85007 P.O. Box 6123, Mail Drop 1541, Phoenix, AZ 85005 Telephone (602) 364-0170 Fax (602) 542-4496 https://des.az.gov/

PROCUREMENT FILE MEMORANDUM

Date: May 12, 2025

To: Yesenia Sandoval, Chief Procurement Officer

From: Kelli Engelhart, Sr. Procurement Specialist

Subject: Procurement Code Exemption - Child Care at Residential Shelter

The Arizona Department of Economic Security (ADES), Child and Community Services Division (CCSD) provides financial support to increase the availability and improve the quality of child care.

CCSD is funded through the U.S. Department of Health and Human Services, Child Care Development Block Grant (CCDBG) which requires state agencies to coordinate child care services supported by Child Care Development Funds (CCDF) with programs operating at local levels for children experiencing homelessness (§ 98.14(a)(1)) Arizona Revised Statutes (A.R.S.)

§ 41-2501(Q)(1) authorizes the CCSD to directly contract with homeless and/or domestic violence shelters that provide child care services and exempts ADES from the Arizona Procurement Code for contracts entered into with a provider licensed or certified by an agency of the State of Arizona to provide child day care services.

CCSD currently has three (3) direct contracts for residential homeless and/or domestic violence shelters for the purpose of administering services to children of families who are provided with child care services, including guidance, recreation, socialization, employment and education case management. These services expire June 30, 2025 with a maximum contract term of five (5) years. ADES is in the process of issuing new contracts to be effective July 1, 2025 with the option to extend for a maximum contract term of five (5) years through the following:

CTR076779 - Homeward Bound CTR006778 - Phoenix Rescue Mission CTR076777 - Sojourner Center

Through these contracts, CCSD is able to work with the contractors who provide child care for children and assist their parents or guardians in attaining necessary life-skill training and obtaining employment to become self-sufficient and allows CCSD to continue providing essential services to the population in need.

_________________________________ Date: __________________________

Yesenia Sandoval Chief Procurement Officer Arizona Department of Economic Security cc: Procurement File

Page 1 of 2PUR-1031A FORFF (5-24) ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Financial Operations

Office of Procurement

PROCUREMENT ASSISTANCE (PA) REQUEST

1. PROCUREMENT UNIT NAME: 2. PA NUMBER/SUB-NUMBER: 3. REQUEST DATE:

4. DIVISION/ADMINISTRATION/PROGRAM: 5. DIVISION CONTACT PERSON: 6. TELEPHONE NUMBER:

7. TYPE OF REQUEST/AGREEMENT (check all that apply):

Scope of Work Review

Solicitation

CI /SS /NPTQ Review

Amendment

Extension Yrs/Mos

Corrective Action

Assignment

Contract (Competitive Award)

Direct Contract

Intergovernmental Agreement (IGA)

Interagency Service Agreement (ISA)

Memorandum of Understanding (MOU)

Task Order

IT Agreement/EULA

Set-Aside

COOP

Grant Agreement

If Exempt by Statute A.R.S. No.:

Other

8. DETAILED DESCRIPTION OF REQUEST OR NEED:

9. OTHER DOCUMENTS AND INFORMATION:

Certificate of Insurance (COI) Compliant and Included If CI /SS /NPTQ, No.:

Business Associate Agreement/Data Sharing Agreement Central Registry Check/Fingerprinting Sign and Date when Checked

10. FUNDING SOURCE & AMOUNT (check the appropriate boxes):

Federal State Grant Other Estimated aggregate spend $499K or less

Estimated aggregate spend $500K or more

11. DESCRIPTION OF SERVICES OR CONTRACT TITLE: 12. CONTRACT NUMBER:

13. CONTRACTOR NAME/DBA: 14. FEIN NUMBER:

15. CONTRACTOR CONTACT PERSON’S NAME AND TITLE:

16. E-MAIL ADDRESS/TELEPHONE NO.:

17. CONTRACT ORIGINAL START DATE: 18. MAXIMUM END DATE:

19. CONTRACT CURRENT END DATE: 20. AMENDED END DATE:

21. SINGLE AUDIT STATUS:

Contractor/Vendor

Subrecipient N/A

22. LEGAL AD AUTHORIZATION:

FUNCTION CODE: OBJECT CODE: DEPARTMENT OBJECT CODE:

BA SIGNATURE FOR APPROVAL (Legal Ads):

23. AUTHORIZATIONS (Signatures, NO Initials) & DATES:

24. AUTHORIZED DIVISION REQUESTOR: 25. FINANCIAL SERVICES ADMINISTRATION:

26. ATTORNEY GENERAL (IGA, 3rd Party, etc.): 27. PROCUREMENT OFFICER:

28. PROCUREMENT OFFICER COMMENTS:

Team Nate DCC-25-017 04/07/2025

DCC Taylor Grogan (480) 201-5063

Request OP's review of 1 or 3 direct contracts for Child Care at Residential Shelters. Per OP these direct contracts are exempt from the procurement code and do not need a CI.

Child Care at Residential Shelters TBD

Homeward Bound 86-0660875

Trina Jenkins Curry t.curry@homewardboundaz.org

07/01/2025 06/30/2030

06/30/2026

Page 2 of 2PUR-1031A FORFF (5-24) INSTRUCTIONS

1. PROCUREMENT UNIT NAME – enter name of the assigned procurement team.

2. PA NUMBER / SUB-NUMBER – enter the Program-assigned Procurement Assistance (PA) number, and Sub-number number, if applicable.

Examples: After the SOW is finalized, if there are multiple contracts / agreements awarded for the same service; or a solicitation results in multiple awards, the procurement officer adds /1, /2, /3, etc.

3. REQUEST DATE – enter date program contracts officer begins processing.

4. DIVISION / ADMINISTRATION / PROGRAM – enter abbreviations for the division, administration and program submitting the request to OP.

5. DIVISION CONTACT PERSON – enter the name of the program contracts officer associated with this request.

6. TELEPHONE NUMBER – enter the telephone number of the of the contact person.

7. TYPE OF REQUEST / AGREEMENT – Check ALL applicable boxes considering there should be one PA per procurement action from the moment a need has been identified, until the action is completed i.e. solicitation awarded, contract fully executed, assignment completed.

Examples:

a) For a new solicitation, under section seven (7), the following boxes should be checked:

Scope of Work Review Solicitation

b) For new direct contract, under section seven (7), the following boxes should be checked:

Cl /SS /NPTQ Review Scope of Work Review Direct Contract

c) For new task order, under section seven (7), the following boxes should be checked:

Scope of Work Review Task Order

d) For a direct contract amendment which requires SOW revision, under section seven (7), the following boxes should be checked:

Cl /SS /NPTQ Review Scope of Work Review Amendment Direct Contract

e) For an IGA extension, under section seven (7), the following boxes should be checked:

Extension Yrs/Mos Intergovernmental Agreement (IGA)

f) For a contract action against competitively awarded contract, under section seven (7), the following boxes should be checked:

Contract Action Contract (competitive award)

g) For a competitively awarded contract amendment, under section seven (7), the following boxes should be checked:

Amendment Contract (competitive award)

8. DETAILED DESCRIPTION OF REQUEST OR NEED – provide details of the request. Use memo to expand if necessary.

9. OTHER DOCUMENTS & INFORMATION:

Certificate of Insurance (COI) Compliant and Included – Mark that the certificate of insurance is included and compliant, if applicable.

Business Associate Agreement / Data Sharing Agreement – Check if BAA / DSA is required for the request.

If CI / SS / NPTQ, No – If there is an existing limited competition determination, specify the number and provide electronic copy.

Central Registry Check / Fingerprinting – Division’s contracts officer shall sign and date when check has been completed, if applicable.

10. FUNDING SOURCE & AMOUNT – check the appropriate funding source(s) for the request & check if the total value of the Agreement/Contract. Is estimated aggregate spend $499K or less OR $500K or more?

11. DESCRIPTION OF SERVICES OR CONTRACT TITLE – provide service description or title of contract, as defined in the SOW.

12. CONTRACT NUMBER – enter the contract number, if applicable. If multiple contracts, create separate PAs for each contract.

13. CONTRACTOR NAME / DBA – enter the Contractor name and the doing business as (DBA) name, if applicable.

14. FEIN NUMBER – enter the Federal Employer Identification Number of the contractor, if applicable.

15. CONTRACTOR CONTACT PERSON’S NAME AND TITLE – enter the name and title of the contractor’s designated contact person.

16. E-MAIL ADDRESS / TELEPHONE NUMBER – enter the e-mail address and telephone number of the contractor’s designated contact person.

17. CONTRACT ORIGINAL START DATE – enter the first date when services can be rendered against the contract, if applicable.

18. MAXIMUM END DATE – enter the last possible date that service can be rendered against the contract, if applicable.

19. CONTRACT CURRENT END DATE – enter the last date of the current contract term, if applicable.

20. AMENDED END DATE – enter the amended term end date, if applicable.

21. SINGLE AUDIT STATUS – division staff check the appropriate box. Required only for service/taxonomy contracts

22. LEGAL AD AUTHORIZATION – function code, object code, and department object code provide from the Business Administrator (BA) and BA’s signature for funding approval

23. AUTHORIZATIONS & DATES – signatures of authorized individuals from the respective areas & dates of authorized individuals from the respective areas.

24. AUTHORIZED DIVISION REQUESTOR – signatures and dates of authorized individuals from the respective areas.

25. FINANCIAL SERVICES ADMINISTRATOR (IGA, ISA, IT Projects (including agreements, software, hardware, contractors (Non- FTE)), and non IT procurements with an aggregated spend of $500K and more) - signatures and dates of authorized individuals from the respective areas.

26. ATTORNEY GENRAL (IGA, 3rd PARTY, ETC) – signatures and dates of authorized individuals from the respective areas.

27. PROCUREMENT OFFICER – signatures and dates of authorized individuals from the respective areas.

28. PROCUREMENT OFFICER COMMENTS – Complete as needed.

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Core Data

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Points of Contact

Assertions

Reps and Certs

Exclusions

Responsibility / Qualification

Entity Registration

Core Data

Active Registration

Expiration Date

HOMEWARD BOUND

Entity Information

Unique Entity ID

Z45NP5LMRCP3

CAGE/NCAGE

(blank) Sep 19, 2025

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BUSINESS INFORMATION

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.

Physical Address

2302 W Colter ST Ofc Phoenix, Arizona 85015-0632, United States

Mailing Address 868 E University DR Mesa, Arizona 85203, United States

Purpose of Registration Federal Assistance Awards Only

Version

Current Record

Doing Business As (blank)

URL

(blank)

Division Name (blank)

Division Number (blank)

Congressional District Arizona 03

State/Country of Incorporation Arizona, United States

Owner CAGE Legal Business Name

Immediate Owner

(blank) (blank)

Highest Level Owner

(blank) (blank)

Registration Dates

Entity Dates

Activation Date Sep 23, 2024

Submission Date Sep 19, 2024

Initial Registration Date Dec 15, 2022

Entity Start Date Jun 6, 1990

Fiscal Year End Close Date Jun 30

5/20/25, 10:01 AM SAM.gov https://sam.gov/entities/view/Z45NP5LMRCP3/coreData?status=Active&emrKeyValue=18453484~1726748425958685 2/5

SAM SEARCH AUTHORIZATION

Yes

ENTITY TYPES

FINANCIAL INFORMATION

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Business Types

Entity Structure Corporate Entity (Tax Exempt)

Entity Type Business or Organization

Profit Structure Non-Profit Organization

Organization Factors

(blank)

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.

Other Entity Qualifiers

Domestic Shelter

Payments

Accepts Credit Card Payments No

Debt Subject To Offset No https://sam.gov/entities/view/Z45NP5LMRCP3/coreData?status=Active&emrKeyValue=18453484~1726748425958685 3/5

ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code (blank)

POINTS OF CONTACT

Electronic Business

Government Business

Primary Point of Contact

Heather Josowitz Allen

Address 2302 W Colter ST.

Phoenix, Arizona 85015 United States

Primary Point of Contact

Heather Josowitz Allen

Address 2302 W Colter ST.

Phoenix, Arizona 85015 United States https://sam.gov/entities/view/Z45NP5LMRCP3/coreData?status=Active&emrKeyValue=18453484~1726748425958685 4/5

WARNING

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Help

Check Entity Status

Federal Service Desk

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Contact

This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution.

This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy.

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Expiration Date

A NEW LEAF, INC.

Entity Information

Unique Entity ID

MLZVKA7M2219

CAGE/NCAGE

4TPX6 Jul 22, 2025

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BUSINESS INFORMATION

Executive Compensation

Physical Address

868 E University DR Mesa, Arizona 85203-8033, United States

Mailing Address 868 E University DR Mesa, Arizona 85203-8033, United States

Purpose of Registration Federal Assistance Awards Only

Version

Current Record

Doing Business As (blank)

URL

http://www.turnanewl eaf.org

Division Name (blank)

Division Number (blank)

Congressional District Arizona 04

State/Country of Incorporation Arizona, United States

Owner CAGE Legal Business Name

Immediate Owner

(blank) (blank)

Highest Level Owner

(blank) (blank)

Registration Dates

Entity Dates

Activation Date Jul 24, 2024

Submission Date Jul 22, 2024

Initial Registration Date Jul 25, 2007

Entity Start Date Apr 1, 1971

Fiscal Year End Close Date Jun 30

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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.

SAM SEARCH AUTHORIZATION

Yes

ENTITY TYPES

FINANCIAL INFORMATION

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Business Types

Entity Structure Corporate Entity (Tax Exempt)

Entity Type Business or Organization

Profit Structure Non-Profit Organization

Organization Factors

(blank)

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.

Other Entity Qualifiers

Domestic Shelter

Payments

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ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code 4TPX6

POINTS OF CONTACT

Electronic Business

Accepts Credit Card Payments No

Debt Subject To Offset No

Primary Point of Contact

Larry Grubbs, Director of Government Grants and Contracts

Address 868 East University Mesa, Arizona 85203-8033 United States

Alternate Point of Contact

Catherine Dyciewski, Chief Administrative Officer

Address 868 East University Drive Mesa, Arizona 85203-8033 United States https://sam.gov/entities/view/MLZVKA7M2219/coreData?status=Active&emrKeyValue=1927432~1721665980425828 4/6

Government Business

Past Performance

Primary Point of Contact

Larry Grubbs, Grants & Contracts Director

Address 868 East University Mesa, Arizona 85203-8033 United States

Alternate Point of Contact

Catherine Dyciewski, CAO

Address 868 East University Drive Mesa, Arizona 85203-8033 United States

Primary Point of Contact

Catherine Dyciewski, Chief Administrative Officer

Address 868 East University Drive Mesa, Arizona 85203-8033 United States

Alternate Point of Contact

Larry Grubbs, Grant and Contract Director

Address 868 E. University Drive https://sam.gov/entities/view/MLZVKA7M2219/coreData?status=Active&emrKeyValue=1927432~1721665980425828 5/6

WARNING

SAM.gov An official website of the U.S. General Services Administration

Mesa, Arizona 85203-8033 United States

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About This Site

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Release Notes

System Alerts

Our Partners

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Policies

Terms of Use

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Customer Service

Help

Check Entity Status

Federal Service Desk

External Resources

Contact

This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution.

This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy.

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ENTITY INFORMATION

Search Date and Time: 5/12/2025 2:19:09 PM

Entity Details

Entity Name: HOMEWARD BOUND Entity ID: 02241722

Entity Type: Domestic Nonprofit Corporation Entity Status: Active

Formation Date: 6/6/1990 Reason for Status: In Good Standing

Approval Date: 6/8/1990 Status Date:

Original Incorporation

Date:

6/6/1990 Life Period: Perpetual

Business Type: Other - Other -

CHARITABLE

Last Annual Report

Filed:

Domicile State: Arizona Annual Report Due

Date:

10/6/2025

Years Due:

Original Publish Date: 7/6/1990

Statutory Agent Information

Name: CLF SERVICE CO., LLC Appointed Status: Active 6/10/2024

Attention:

Address: 63 EAST MAIN STREET, SUITE 501, MESA, AZ 85201, USA

Agent Last Updated: 9/26/2024 E-mail:

Attention: Mailing Address:

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

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Title Name Attention Address Date of

Taking Office

Last

Updated

Director Anne Bennett- Perez

868 E. University Drive, MESA, AZ, 85201, Maricopa County, USA

6/10/2024

Director Betty Lynch 868 E. University Drive, MESA, AZ, 85201, Maricopa County, USA

6/10/2024

Director Carolyn Iacobelli

868 E. University Drive, MESA, AZ, 85201, Maricopa County, USA

6/10/2024

Director Chris Trendler 868 E. University Drive, MESA, AZ, 85201, Maricopa County, USA

6/10/2024

Director Christina Worden

868 E. University Drive, MESA, AZ, 85201, Maricopa County, USA

6/10/2024

County: Maricopa

Principal Information

Address

Attention:

Cathy Dyciewski

Address: 868 E. University Drive, MESA, AZ, 85201, USA

County:

Maricopa Last Updated:

9/26/2024

Entity Principal Office AddressPrivacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

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

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