CTR056722_Pricing.pdf
PDF 441 KB Posted
- Attached to
- Master Agreement AZ|CTR056722
- Contract number
- CTR056722
- Issued by
- Arizona
About this file
This document is an Interagency Service Agreement (ISA) Amendment from the Arizona Department of Health Services (ADHS), Office of Procurement, located in Phoenix, Arizona. The amendment is associated with Agreement No. CTR056722 and is specifically Amendment No. Three (3), revised on July 23, 2024.
The amendment details a cost reimbursement contract with a total not-to-exceed amount of $34,212.50, broken down into several line items: Personnel Services/Employee Related Expense at $12,340.00, Professional & Outside Services Expense at $1,250.00, Travel Expense at $2,500.00, Other Operating Expense at $13,660.00, and Other Indirect Costs not to exceed 15% of the total sum at $4,462.50. The contractor is authorized to transfer up to 10% of the total budget amount between line items with written approval from an ADHS program representative, with transfers exceeding 10% or to non-funded line items requiring a formal amendment. The document maintains that all other previous provisions of the original agreement remain in their entirety.
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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.: CTR056722 AMENDMENT NO.: Three (3) Revised July 23, 2024
Procurement Officer Karen D. Ingram
PRICE SHEET
Cost Reimbursement Line Item Budget Line Total
Personnel Services/Employee Related Expense (ERE)* $12,340.00
Professional & Outside Services Expense* $1,250.00
Travel Expense* $2,500.00
Other Operating Expense* $13,660.00
Other Indirect Costs (Not to Exceed 15% of total sum*) $4,462.50
Total Contract Amount (Not to Exceed) $34,212.50 If applicable, the Contractor is authorized to transfer up to a maximum of 10_% of the total budget amount between line items with the written approval from an ADHS program representative.
Transfers exceeding 10_% or to a non-funded line item shall require an Amendment.
*Indicated indirect rate calculation
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
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