CTR050598 A6 Pricing.pdf
PDF 144 KB Posted
- Attached to
- Master Agreement AZ|CTR050598
- Contract number
- CTR050598
- Issued by
- Arizona
About this file
This document is a Request for Proposal Contract Amendment from the Arizona Department of Health Services (ADHS), Office of Procurement, located in Phoenix, Arizona. The contract amendment is identified as Amendment No. 6 to Contract No. CTR050598, specifically focused on a cost reimbursement line-item budget for the period of July 1, 2025 through September 30, 2025.
The contract amendment details a total annual budget not to exceed $80,382.25, broken down across various expense categories including Personnel ($45,925.00), Employee-Related Expenses (ERE) ($3,972.50), Professional and Outside Services ($4,525.00), Travel Expenses (In-State) ($4,867.00), Occupancy ($780.00), Other Operating ($11,805.25), Capital Outlay ($1,200.00), and Indirect Costs ($7,307.50). The document stipulates that the contractor may transfer up to 10% between funded line items with prior written approval, and any purchases of services must be authorized through a specific Purchase Order issued by ADHS, which will indicate the contract number and authorized dollar amount.
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Text version
REQUEST FOR PROPOSAL
CONTRACT AMENDMENT
CONTRACT NO.: CTR050598 AMENDMENT NO.: 6
COST REIMBURSEMENT LINE-ITEM BUDGET
Price Sheet for July 1, 2025 - September 30, 2025
ACCOUNT CLASSIFICATION AMOUNT
Personnel
ERE
Professional and Outside Services
Travel Expenses (In-State)
Out of State Travel
Occupancy
Other Operating
Capital Outlay
Indirect (if Authorized)
Other
TOTAL: Annual Amount Not To Exceed
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 181h Ave., Ste. #530
Phoenix, Arizona 85007
PROCUREMENT OFFICER:
Lucas Terry
$45,925.00
$3,972.50
$4,525.00
$4,867.00
$0.00
$780.00
$11,805.25
$1,200.00
$7,307.50
$0.00
$80,382.25
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/orb.) an additional Purchase Order is issued for purchase of services under this Contract.
Revised 06.18 2024
File details come from the government source that posted it. Updated .