CTR050606 A4.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR050606
- Contract number
- CTR050606
- 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 a contract with Yuma County Public Health Services District. The contract number is CTR050606 and is identified as a "Health Start" contract. The amendment is executed under the Arizona Procurement Code and involves the State of Arizona's Department of Health Services (ADHS).
The amendment modifies the existing contract to change from a Fixed Price Sheet to a Cost Reimbursement Price Sheet for State Fiscal Year 2024 (7/1/23-6/30/24). The total contracted budget is $245,679.60, broken down across several cost categories including Personnel ($137,028.00), ERE (Employer Related Expenses) ($60,018.00), Travel Expenses ($5,436.00), Occupancy ($2,460.00), Other Operating Expenses ($17,121.00), Capital Outlay Expense ($3,912.00), and Indirect Costs ($19,704.60). The contract allows the contractor to transfer up to 10% between funded line items with prior written approval from the Program Manager, with transfers exceeding 10% requiring a formal contract amendment.
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Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEAL TH SERVICES
OFFICE OF PROCUREMENT
150 N 181h Ave., Ste. #530
Phoenix, Arizona 85007
CONTRACT NO.: CTR050606 AMENDMENT NO.: 4
Procurement Officer:
Lucas Terry
HEALTH START
Effective upon signature by both parties it is mutually agreed that the Contract referenced in this Amendment One (1) is amended as follows:
1. Pursuant to the Uniform Terms and Conditions, Provision Five (5), Contract Changes, Section 5.1, the Contract is hereby revised with the following:
1.1. The Special Terms and Conditions are revised and replaced; and
1.2. The Fixed Price Sheet is revised and replaced with the Cost Reimbursement Price Sheet
ALL CHANGES ARE REFLECTED IN RED
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date
Contractor Signature
Contractor Signature )ate
Authorized Signatory's Name and Title
Yuma County Public Health Services District
Contractor's Name
The above referenced Contract Amendment is hereby executed this __ day of ____ 20 ___ at Phoenix, Arizona
(To be filled out by Procurement Office)
Chief Procurement Officer Signature
| 2023-10-27T16:51:15-0700 | |
| Gina Corwin |
File details come from the government source that posted it. Updated .