CTR060358_Contract_Amendment_3.pdf
PDF 145 KB Posted
- Attached to
- Master Agreement AZ|CTR060358
- Contract number
- CTR060358
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security (ADES) for Contract Number CTR060358, Amendment Number Three. The contract involves Human Services Campus, Inc. as the contractor, specifically for Homeless Youth Street Outreach Services.
The amendment revises the Itemized Service Budget for the period of July 1, 2023 through June 30, 2024, increasing the total contract value from $148,436.00 to $208,126.70. This increase includes an estimated carryover funding of $59,690.70 from State Fiscal Year 2023. The amendment is executed pursuant to ADES Special Terms and Conditions, Section 26 (Levels of Service), and will be finalized through electronic approval in an application system. All other contract requirements, specifications, and terms remain unchanged.
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR060358 Three (3)
DESCRIPTION/ LABEL: Homeless Youth Street Outreach Services
CONTRACTOR NAME: Human Services Campus, Inc.
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
Pursuant to the ADES Special Terms and Conditions, Section 26., Levels of Service, the purpose is to revise the Itemized Service Budget for the period of July 1, 2023 through June 30, 2024.
The total value of the budget is revised from $148,436.00 to $208,126.70 as detailed in the attached itemized Service Budget. This amount includes the estimated carryover funding from State Fiscal Year 2023 in the amount of $59,690.70.
Therefore, the revised Itemized Service Budget is added and attached.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
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