16-05-ED_Amendment_6_FE.pdf
PDF 447 KB Posted
- Attached to
- Master Agreement AZ|CTR043817
- Contract number
- CTR043817
- Issued by
- Arizona
About this file
This document is a Contract/Agreement Amendment from the Arizona Department of Education's Procurement Section, involving Northern Arizona University (NAU) as the contractor. The amendment is for Agreement No. 16-05-ED, specifically Amendment No. 6, which pertains to an Evidence Based Practice (EBP) Conference co-sponsored by the Arizona Department of Education and NAU.
The amendment extends the agreement period from October 1, 2020 to September 30, 2021, with a total budget of $45,854.42. The budget breakdown includes $8,000 for non-instructional salaries, $5,672.80 for employee benefits, $4,500 for supplies and materials, $23,000 for purchased services/consultant fees, $1,000 for printing and reproduction, and $285 for utilities and communications. An indirect cost of $3,396.62 (8% of subtotal) is also included. The purpose of the amendment is to update the budget and extend the agreement for the specified period, with the conference referred to as the "IHD/AT Disability Conference".
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 16-05-ED_FE_Amendment_4.pdf | ||
| FE_16-05-ED_Amendment_8.pdf | ||
| 16-05-ED_AMD_5_FE.pdf | ||
| 16-05-ED_FE_Amendment11.pdf | ||
| FE_16-05-ED_Amendment_10.pdf | ||
| 16-05-ED_FE_Amendment_9.pdf | ||
| 16-05-ED_Fully_Executed.pdf | ||
| FE_16-05-ED_Amendment_12.pdf | ||
| FE_16-05-ED_Amendment_7.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ARIZONA DEPARTMENT OF EDUCATION
Procurement Section
1535 West Jefferson Street, Bin #37 Phoenix, Arizona 85007-3209
CONTRACT/AGREEMENT AMENDMENT
10. EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT/AGREEMENT NOT HERETOFORE CHANGED
AND/OR AMENDED REMAIN UNCHANGED AND IN FULL EFFECT.
IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.
CONTRACTOR ARIZONA DEPARTMENT OF EDUCATION
(SIGNATURE OF AUTHORIZED INDIVIDUAL)
NAME (Typed/Printed):
(SIGNATURE)
NAME: Steven Paulson TITLE: TITLE: Chief Procurement Officer
DATE: DATE:
1. AGREEMENT NO.:
16-05-ED
2. AMENDMENT NO.:
3. EFFECTIVE DATE:
Upon Execution
4. PROGRAM:
EBP Conference
5. CONTRACTOR NAME:
Northern Arizona University P.O. Box 4130 Flagstaff, AZ 86011-4130
6. AUTHORITY FOR AMENDMENT: Paragraph 7, “Changes”, Paragraph 3,"Renewal of Agreement"
7. PURPOSE OF AMENDMENT: Updated Budget, Extension
8. DESCRIPTION OF THE SERVICE: Co-Sponsor Annual Evidence Based Practice Conference with NAU
9. THE ABOVE REFERENCED AGREEMENT IS HEREBY AMENDED AS FOLLOWS:
a. In accordance with paragraph 7, Changes, the budget is hereby replaced by Attachment B:
b. Pursuant to the Agreement, Paragraph 3 “Renewal of Agreement”, I hereby extend the agreement for the periods of October 1, 2020 to September 30, 2021.
Sr. Sponsored Projects Officer
09/28/2020
ARIZONA DEPARTMENT OF EDUCATION
Procurement Section
1535 West Jefferson Street, Bin #37 Phoenix, Arizona 85007-3209
CONTRACT/AGREEMENT ATTACHMENT B
ARIZONA DEPARTMENT OF EDUCATION INTERAGENCY
SERVICE/INTERGOVERNMENTAL AGREEMENT BUDGET/
ESTIMATED NEEDS PAYMENT SCHEDULE FOR
INSTITUTIONS OF HIGHER EDUCATION, STATE AGENCIES
AND OTHER AGENCIES
INSTRUCTIONS
Submit original to ADE Contracts Management Unit as part of proposed Agreement/amendment. Final Agreement will contain instructions for submission of periodic/completion reports
A. AGREEMENT IDENTIFICATION FOR THE BUDGET PERIOD FROM : 10/01/2020 TO: 9/30/2021
1. Applicant Agency:
IHD/NAU
2. Contact Person: Jill Pleasant Phone No: 602-728-9532
3. Agreement No.: 16-05-ED
Index No.: 4. Funding Source (Chapter 1, etc.)
ADE
5. Date submitted 9/21/2020
6. Proposal Name (if any):
IHD/AT Disability Conference
7. Check ONE ☐ New ☐ Renewal Application
☐ Completion Report ☒ Amendment ☐ADE Revision
B. AGREEMENT BUDGET
*EXPENDITURE CATEGORIES
BUDGET
(1)
REQUEST
CHANGES
(2)
AMENDED
BUDGET
(3)
EXPENDITURE
TO DATE
(4)
BUDGET
BALANCE
(5)
8. Salaries – Instructional
9. Salaries – Non-Instructional 8,000
10. Employee Benefits 5,672.80
11. Travel
12. Supplies and Materials 4,500
13. Purch Services/Consultant Fees 23,000
14. Tuition
15. Printing and Reproduction 1,000
16. Utilities and Communications 285
17. Other:
18. SUBTOTAL 42,457.80
19. Indirect Cost (8% of Line 18) 3,396.62
20. Capital Outlay
21. TOTAL 45,854.42
22. Administrative Costs
23. Cash Balance (For Completion Purposes)
*SEE INSTRUCTIONS ON REVERSE SIDE
C. COMPLETION REPORT SIGNATURE (Blue Ink Only) I hereby certify that this is a reasonable statement of total expenditures for this contract.
Applicant Authorized Agent Date
D. SUMMARY OF AVAILABLE FUNDS INCLUDED IN BUDGET ABOVE
Prior FY C/O + FY State C/O + FY (New)+ Other = TOTAL FY
| 2020-09-29T08:42:28-0700 | |
| Steven Paulson |
File details come from the government source that posted it. Updated .