CTR050597_Amendment_4_executed.pdf

This document is a Contract Amendment (Amendment No. 4) issued by the Arizona Department of Health Services Office of Procurement for Contract No. CTR050597 with Maricopa Community Health Center. The amendment is for a Cost Reimbursement contract and involves the Arizona state government, specifically the Arizona Department of Health Services (ADHS), and the contractor Maricopa Community Health Center.

The amendment modifies the existing contract to change the contract type to Cost Reimbursement and updates the Special Terms and Conditions. The contract is for a one-year term with the potential for up to five years of extensions in twelve-month increments. The current amendment covers the State Fiscal Year 2024 period from 7/1/23 to 6/30/24, with a total authorized budget of $232,535.00. The budget breakdown includes $175,322.00 for Personnel, $49,090.00 for ERE (Employer Related Expenses), $2,457.00 for In-State Travel, and $5,666.00 for Operating Expenses. The contract requires authorization from ADHS for purchases via Purchase Orders, and the contractor must comply with various state and federal regulations, including HIPAA requirements and pandemic performance standards.