CTR050593 Pricing A4.pdf

This document is a Contract Amendment (Amendment No. 4) issued by the Arizona Department of Health Services' Office of Procurement for the Apache County Health Department, with the original contract number CTR050593. The amendment relates to a cost reimbursement line item budget for the county health department.

The amendment establishes a total annual budget not to exceed $134,000.00, with specific allocations including $82,785.00 for Personnel, $34,068.00 for Professional and Outside Services, $2,520.00 for Out of State Travel, and $14,627.00 for Capital Outlay. The document authorizes the contractor to transfer up to 10% between funded line items with prior written approval from the Program Manager. Authorization for purchasing services is contingent upon the Arizona Department of Health Services (ADHS) issuing a specific Purchase Order, which will indicate the contract number and authorized dollar amount. The contractor is only permitted to perform services up to the Purchase Order amount, with no further payment obligations by ADHS.