CTR051841 A5.pdf
PDF 130 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, specifically Amendment No. 5, issued by the Arizona Department of Health Services through its Office of Procurement, located in Phoenix, Arizona. The agreement is identified by contract number CTR051841 and is overseen by Procurement Officer Anthony Beckum.
The amendment covers Year Four of the contract, spanning the period from 04/29/2023 to 04/28/2024, with a total not-to-exceed amount of $244,992.00. The budget is broken down into several cost categories: Personnel/ERE at $197,843.00, Professional & Outside Services at $11,877.00, Other Operating expenses at $13,000.00, and an indirect cost rate of 10% totaling $22,272.00. The contractor is permitted to transfer up to 10% of the total agreement amount among categorical line items, with transfers exceeding this percentage or involving non-funded line items requiring a formal 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.: 5 Procurement Officer Anthony Beckum
PRICE SHEET
Year Four (4)
04/29/2023 - 04/28/2024
Contract Expenses Cost
Personnel/ERE* $197,843.00
Professional & Outside Services* $11,877.00
Travel Expenses $0
Other Operating* $13,000.00
Indirect (10%) $22,272.00
Total (Not to Exceed) $244,992.00 *Indicates indirect calculation
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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