CTR051841 A3 Pricing.pdf
PDF 81 KB Posted
- Attached to
- Master Agreement AZ|CTR051841
- Contract number
- CTR051841
- Issued by
- Arizona
About this file
This document is an Interagency Service Agreement (ISA) Amendment No. 3 issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The agreement is identified by the contract number CTR051841 and is an amendment to an existing contract.
The amendment covers Year Two of the contract, spanning from 04/29/2021 to 04/28/2022, with a total budget not to exceed $220,000. The budget includes $173,597 for Personnel/ERE (Employees Related Expenses), $1,000 for Travel Expenses, $25,953 for Supplies, and $19,450 for Indirect costs. An additional $50,000 in unobligated funds is allocated for the period 11/1/2021 to 04/28/2022. The contract provides funding for FTE increases, including 0.20 to 0.25 FTE for a Project Director, 0.5 to 1.0 FTE for a Project Coordinator, and 0.5 to 1.0 FTE for a Clinical Research Coordinator. The contractor is authorized to transfer up to 10% of the total agreement amount among categorical line items, with transfers exceeding this percentage requiring an agreement amendment.
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Text version
INTERAGENCY SERVICE AGREEMENT (ISA)
AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
AGREEMENT NO.:
CTR051841 AMENDMENT NO.: 3 Procurement Officer
Karla Varela
PRICE SHEET
Year Two (2) 04/29/2021 - 04/28/2022
Contract Expenses Cost
1. Personnel/ERE $173,597
2. Professional & Outside Services $0
3. Travel Expenses $1,000
4. Supplies $25,953
5. Other Operating $0
6. Indirect $19,450
Total (Not to Exceed) $220,000
HPBH Unobligated Funds 11/1/2021 - 04/28/2022
Contract Expenses Cost
1. Personnel/ERE $45,500
2. Professional & Outside Services $0
3. Travel Expenses $0
4. Supplies $0
5. Other Operating $0
6. Indirect $4,500
Total (Not to Exceed) $50,000
Personnel/ERE includes: Funding for FTE increases for project staff; 0.20 to 0.25 FTE for Project Director,
0.5 to 1.0 FTE for Project Coordinator, and 0.5 to 1.0 FTE for a Clinical Research Coordinator to be hired.
The Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total Agreement amount among the categorical line items. Transfers of funds are only allowed among funded line items as detailed in the original ISA. Transfers exceeding ten percent (10%) of the contracted amount, or to non-funded line items, shall require an Agreement Amendment.
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