CTR050593_Apache_County_Price_Sheet_FY25.pdf
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- Attached to
- Master Agreement AZ|CTR050593
- Contract number
- CTR050593
- Issued by
- Arizona
About this file
This document is a Cost Reimbursement Line Item Budget for the Apache County Health Department, with a contract number CTR050593. The contract involves the Apache County Health Department and the Arizona Department of Health Services (ADHS), which will issue purchase orders authorizing services and reimbursement.
The total annual contract amount is not to exceed $134,000, with budget allocations including $82,785 for Personnel, $34,068 for Employee Related Expenses (ERE), $2,520 for In-State Travel Expenses, and $14,627 for Other Operating expenses. The contract allows the contractor to transfer up to 10% between funded line items with prior written approval from the Program Manager. Services are authorized only through ADHS-issued purchase orders, which specify the contract number and authorized dollar amount, with no legal obligation to pay beyond the specified purchase order amount.
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Text version
APACHE COUNTY HEALTH DEPARTMENT CTR050593
COST REIMBURSEMENT LINE ITEM BUDGET
ACCOUNT CLASSIFICATION AMOUNT
Personnel $82,785.00
ERE $34,068.00
Professional and Outside Services $0.00
Travel Expenses (In-State) $2,520.00
Out of State Travel $0.00
Occupancy $0.00
Other Operating $14,627.00
Capital Outlay $0.00
Indirect (if Authorized) $0.00
Other $0.00
TOTAL: Annual Amount Not To Exceed $134,000.00
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 .