CTR050592 A5 Pricing.pdf
PDF 83 KB Posted
- Attached to
- Master Agreement AZ|CTR050592
- Contract number
- CTR050592
- Issued by
- Arizona
About this file
This document is a Cost Reimbursement Line Item Budget for a contract between Adelante Healthcare and ADHS (Arizona Department of Health Services), identified by contract number CTR050592. The budget details financial allocations across various expense categories for what appears to be a healthcare-related service or program.
The total annual contract amount is not to exceed $102,000.00, with budget line items including $75,692.00 for Personnel, $13,625.00 for Employee Related Expenses (ERE), $3,975.00 for In-State Travel Expenses, and $7,868.00 for Other Operating expenses. The contract allows for up to a 10% transfer of funds between line items with prior written approval from the Program Manager, and any transfers exceeding 10% or to non-funded line items will require a contract amendment. Authorization for service purchases is contingent upon ADHS issuing a signed Purchase Order that specifies the contract number and authorized dollar amount.
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Text version
Adelante Healthcare CTR050592
COST REIMBURSEMENT LINE ITEM BUDGET
ACCOUNT CLASSIFICATION
Personnel $75,692.00
ERE $13,625.00
Professional and Outside Services $0.00 Travel Expenses (In-State) $3,975.00 Out of State Travel $0.00 Occupancy $0.00 Other Operating $7,868.00 Capital Outlay $840.00 Indirect (if Authorized) $0.00 Other $0.00 TOTAL: Annual Amount Not to Exceed $102,000.00
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between funded line items.
Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.
Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order that is signed by an authorized agent. The Purchase Order will indicate the Contract number and the dollar amount of funds authorized. The Contractor shall only be authorized to perform services up to the amount on the Purchase Order. ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order. No further obligation for payment shall exist on behalf of ADHS unless a.) the Purchase Order is modified with an official ADHS Procurement Change Order, and/or b.) an additional Purchase Order is issued for purchase of services under this Contract.
File details come from the government source that posted it. Updated .