CTR050597_Price_Sheet_Mariposa_A5.pdf
PDF 100 KB Posted
- 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, referencing contract number CTR050597. The contract involves Mariposa Community Health Center as the contractor and ADHS (likely Arizona Department of Health Services) as the contracting agency.
The total annual contract amount is $232,535.00, with budget allocations broken down across several line items: Personnel ($176,341.00), Employee Related Expenses (ERE) ($49,376.00), In-State Travel Expenses ($3,117.00), and Other Operating Expenses ($3,701.00). The budget allows for up to 10% transfers between funded line items with prior written approval from the Program Manager. Authorization for service purchases is contingent upon ADHS issuing a signed Purchase Order, which will specify the contract number and authorized dollar amount. The contractor is only permitted to perform services up to the amount indicated on the Purchase Order, with no legal obligation for ADHS to pay beyond that specified amount.
View the file
Other files
Show all 18
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Mariposa Community Health Center CTR050597
COST REIMBURSEMENT LINE ITEM BUDGET
ACCOUNT CLASSIFICATION AMOUNT
Personnel $176,341.00
ERE $49,376.00
Professional and Outside Services $0.00 Travel Expenses (In-State) $3,117.00 Out of State Travel $0.00 Occupancy $0.00 Other Operating $3,701.00 Capital Outlay $0.00 Indirect (if Authorized) $0.00 Other $0.00 TOTAL: Annual Amount Not To Exceed $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 .