CTR050596 Pricing A4.pdf
PDF 148 KB Posted
- Attached to
- Master Agreement AZ|CTR050596
- Contract number
- CTR050596
- Issued by
- Arizona
About this file
This document is a Contract Amendment (Amendment No. 4) issued by the Arizona Department of Health Services, Office of Procurement, for Mohave County, with the contract number CTR050596. The amendment is specific to the State Fiscal Year 2024, covering the period from July 1, 2023, to June 30, 2024.
The amendment details a cost reimbursement line-item budget totaling $203,700.00, broken down across several expense categories: Personnel ($158,969.00), Employee-Related Expenses (ERE) ($33,384.00), Travel Expense (In-State) ($2,654.00), Operating Expenses ($4,020.00), and Capital Outlay Expense ($4,673.00). The contract allows the contractor to transfer up to 10% of the total budget amount between funded line items with prior written approval from the Program Manager, with transfers exceeding 10% or to non-funded line items requiring a formal amendment.
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Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR050596 AMENDMENT NO.: 4 Procurement Officer:
Lucas Terry
Mohave County CTR050596
COST REIMBURSEMENT LINE-ITEM BUDGET: SFY 2024 (7/1/23-6/30/24)
ACCOUNT CLASSIFICATION AMOUNT
Personnel $158,969.00
ERE $33,384.00
Professional & Outside Services $0.00
Travel Expense (In-State) $2,654.00
Occupancy $0.00
Operating Expenses/ Other Operating $4,020.00
Capital Outlay Expense $4,673.00
Indirect (if authorized) $0.00
TOTAL $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.
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