CTR050592_A5_Executed1.pdf

This document is a Contract Amendment (Amendment No. 5) issued by the Arizona Department of Health Services, Office of Procurement, for Contract No. 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 authorized representatives from Adelante Healthcare.

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 budget breakdown that includes $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 transfer of up to 10% of funds between line items with prior written approval, and authorizes purchases only upon issuance of a signed Purchase Order by an authorized ADHS agent.