CTR078895_PreContract_Documents.pdf

PDF 1 MB Posted Oct 8, 2025

Attached to: AZ|CTR078895
Contract number: CTR078895
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 14, 2025

This document is a Procurement Assistance (PA) Request from the Arizona Department of Economic Security's Division of Financial Operations and Office of Procurement. The request involves a direct contract with the Arizona Center for Afterschool Excellence (AzCase), a domestic nonprofit corporation, for the Child and Community Services Division. The contract is associated with the Out-of-School Time Grant Program and is being processed by Team Nate Hudson with a PA Number of DCC-26-013.

The contract is set to begin on 10/01/2025 and has a maximum end date of 09/30/2030, with an initial current end date of 09/30/2026. The contractor, AzCase, is a nonprofit organization with a Federal Employer Identification Number (FEIN) of 86-1009220. The contract's executive contact is Courtney Sullivan, Executive Director, who can be reached at csullivan@azafterschool.org. While specific pricing details are not provided, the funding appears to be from a grant source, and the contract involves the Out-of-School Time Grant Program. A Central Registry Check/Fingerprinting has been completed, and the contract has been marked as a direct contract to be executed on 10/8/25.

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Other files

File	Type	Posted
CTR078895_Determination.pdf	PDF	Oct 8, 2025
CTR078895_Contract_Documents.pdf	PDF	Oct 8, 2025

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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 Hudson DCC-26-013 09/22/2025

Child and Community Services Division Lydia Garcia (602) 856-8024

Requesting OP's assistance executing a new Direct Contract, effective 10/01/2025, pertaining to the Out-of-School Time Grant Program. Nate Hudson and Michael Sadoway have asked that this review be expedited; and if anyone has any questions, please contact either of those two gentlemen. Thank you.

CI26006

Lydia Garcia 09/12/2025

Out-of-School Time Grant Program TBD

Arizona Center for Afterschool Excellence (AzCase) 86-1009220

Courtney Sullivan, Executive Director csullivan@azafterschool.org / 602-734-5434

10/01/2025 09/30/2030

09/30/2026

CSW04601 6841 6841

RITM0073457 REQ0072078 -- Direct contract executed 10/8/25 nrh

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PAR DCC-26-013 - AzCASE DirContract - Grant Program OP CLOSED

Arizona Corporation Commission

Debarred and Suspended Firms _ State Procurement Office

File details come from the government source that posted it. Updated Oct 14, 2025.