CTR050596 A5.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR050596
- Contract number
- CTR050596
- Issued by
- Arizona
About this file
This is a Contract Amendment (Amendment No. 5) from the Arizona Department of Health Services, Office of Procurement, for Contract No. CTR050596 with Mohave County. The amendment was signed on May 14, 2024, by Jean Bishop, Vice-Chair of Mohave County, and involves the Health Start Program.
The amendment extends the contract through July 5, 2025, and revises the Price Sheet. The total annual budget for the contract is $203,700.00, broken down into line items including $143,272.00 for Personnel, $49,081.00 for ERE (Employer-Related Expenses), $3,141.00 for In-State Travel Expenses, and $8,206.00 for Other Operating expenses. The contractor is authorized to transfer up to 10% between funded line items with prior written approval from the Program Manager. Authorization for service purchases will be made through ADHS-issued Purchase Orders, which will specify the exact dollar amount of funds authorized.
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Text version
Gina Corwin
Digitally signed by Gina Corwin Date:
2024.05.15 14:43:39 -07'00'
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR050596 AMENDMENT NO.: 5 Procurement Officer:
Karen D. Ingram
Mohave County CTR050596
COST REIMBURSEMENT LINE ITEM BUDGET:
ACCOUNT CLASSIFICATION AMOUNT
Personnel $143,272.00
ERE $49,081.00
Professional and Outside Services $0.00 Travel Expenses (In-State) $3,141.00 Out of State Travel $0.00 Occupancy $0.00 Other Operating $8,206.00 Capital Outlay $0.00 Indirect (if Authorized) $0.00 Other $0.00 TOTAL: Annual Amount Not To Exceed $203,700.00
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.
CTR050596 – Mohave County 2024
File details come from the government source that posted it. Updated .