PRS-f0832221.pdf

This document is a Procurement Request Summary (PRS) for a new Intergovernmental Agreement (CI) contract between the State of Arizona Department of Health Services (AZDHS), Bureau of Workforce and Community Health (BWCH), and American Medical Response of Maricopa. The request, identified as PRS-f0832221, was created on February 18, 2025, and assigned to procurement officer Lucas Terry on February 28, 2025. The contract is intended to replace the expiring contract CTR049640 with an estimated date needed of April 19, 2025. The procurement status is currently pending acceptance.

The contract is structured as a fixed-price agreement funded entirely through state funds for a contractor (not a subrecipient). The services provided relate to HRPP Hospital Services, though the specific estimated annual amount is not disclosed in this document. The supplier ID for American Medical Response of Maricopa is IV0000011534. The requestor is Mitchell Goldberg (mitchell.goldberg@azdhs.gov), and no match funding requirement or 2 CFR 200.332 form is indicated.