CTR059352 Price Sheet Amendment 1.pdf
PDF 151 KB Posted
- Attached to
- Master Agreement AZ|CTR059352
- Contract number
- CTR059352
- Issued by
- Arizona
About this file
This document is an Intergovernmental Agreement (IGA) Amendment No. 1 for the Arizona Department of Health Services, specifically from the Office of Procurement located in Phoenix, Arizona. The contract is identified by the number CTR059352 and involves an amendment to an existing agreement, with Delilah Gonzalez listed as the Procurement Officer.
The amendment includes an Annual Price Sheet detailing budget line items with a total budget amount of $251,982.00. The budget is broken down into cost reimbursement line items, including Personnel Services ($136,302.00), Employee Related Expenses ($47,978.00), Travel Expenses ($1,001.00), and Indirect Costs ($66,701.00). The document specifies that the Contractor is authorized to transfer up to 36% of the total Agreement amount among categorical line items with prior written approval from the HIV Prevention Program Manager. Transfers exceeding 36% or to non-funded line items require a written Agreement.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR059352 Amendment 1.pdf | ||
| CTR059352 Contract amendment No. 2.pdf | ||
| Debarment 3.2023.pdf | ||
| IGA_CTR059352_Executed__1_.pdf | ||
| Initial Pricing.pdf | ||
| Procurement Request.pdf |
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Text version
INTERGOVERNMENTAL AGREEMENT (IGA)
Amendment
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007
Contract No.: CTR059352 IGA Amendment No: 1 Procurement Officer:
Delilah Gonzalez
Revised 05/29/2024
Annual Price Sheet
Budget Line Items
Cost Reimbursement Line Items Budget Amount
1. Personnel Services* $136,302.00
2. Employee Related Expenses* $47,978.00
2. Professional & Outside Services* $0.00
3. Travel Expenses* $1,001.00
4. Other Operating Expense* $0.00
5. Capital Outlay Expense* $0.00
6. Other (Indirect Costs) $66,701.00
Total Budget Amount $251,982.00
* Indicates indirect cost calculation
ITEMIZED SERVICE BUDGET (ISB) RESTRICTIONS:
With prior written approval from the HIV Prevention Program Manager, the Contractor is authorized to transfer up to a maximum of thirty-six percent (36%) 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 ISB. Transfer exceeding thirty-six percent (36%) of the Agreement amount, or to a non-funded line item, shall require a written Agreement.
CTR059352 Amendment 1
File details come from the government source that posted it. Updated .