CTR050592 A5.pdf

This document is a Contract Amendment (Amendment No. 5) issued by the Arizona Department of Health Services, Office of Procurement, for contract CTR050592 with Adelante Healthcare, a domestic nonprofit corporation located in Phoenix, Arizona. The amendment involves the Health Start Program and is signed by the Procurement Officer Karen D. Ingram and the contractor representative.

The amendment extends the contract through July 5, 2025 (Contract Year Five) and revises the Price Sheet. The total annual amount not to exceed is $102,000.00, with a detailed budget breakdown including $75,692.00 for Personnel, $13,625.00 for ERE, $3,975.00 for Travel Expenses (In-State), $7,868.00 for Other Operating expenses, and $840.00 for Capital Outlay. The contract allows for transfers of up to 10% between funded line items with prior written approval, and authorizes purchase of services only upon issuance of a signed Purchase Order by an authorized ADHS agent.