CTR050597__Price_Sheet A4.pdf

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Attached to
Master Agreement AZ|CTR050597
Contract number
CTR050597
Issued by
Arizona

About this file

This document is a Cost Reimbursement Line Item Budget for Mariposa Community Health Center (Contract CTR050597) for State Fiscal Year 2024, covering the period from July 1, 2023, to June 30, 2024. The contract appears to be issued by ADHS (Arizona Department of Health Services), representing a state-level government agency providing funding and oversight for community health services.

The total contract budget is $232,535.00, with the majority allocated to Personnel ($175,322.00) and Employee-Related Expenses (ERE) ($49,090.00). Additional budget line items include $2,457.00 for In-State Travel Expenses and $5,666.00 for Operating Expenses. The contract includes provisions for budget transfers up to 10% between funded line items with prior written approval, and requires official Purchase Orders from ADHS to authorize service purchases. No funds are allocated for Professional & Outside Services, Out of State Travel, Occupancy, Capital Outlay, or Indirect costs in this fiscal year's budget.

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Text version

Mariposa Community Health Center CTR050597

COST REIMBURSEMENT LINE ITEM BUDGET : SFY 2024 (7/1/23-6/30/24)

ACCOUNT CLASSIFICATION AMOUNT

Personnel $175,322.00

ERE $49,090.00

Professional & Outside Serivces $0.00

Travel Expense (In-State) $2,457.00

Out of State Travel $0.00

Occupancy $0.00

Operating Expenses/ Other Operating $5,666.00

Capital Outlay Expense $0.00

Indirect (if authorized) $0.00

Other $0.00

TOTAL $232,535.00

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 .