CTR060358_Contract_Amendment_5.pdf

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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 Five. The contract is with Human Services Campus, Inc., a nonprofit organization providing services in Arizona.

The amendment adds an initial contract reimbursement ceiling of $148,436.00 for the period of July 1, 2024 through June 30, 2025, specifically for Homeless Youth Street Outreach and Drop-In Center Services. The amendment follows ADES Special Terms and Conditions, Section 26 on Levels of Service, and indicates that an Itemized Service Budget for the specified period has been added and attached. All other contract requirements, specifications, and terms remain unchanged, and the amendment will be executed through electronic approval in an application system.

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CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR060358 Five (5)

DESCRIPTION/ LABEL: Homeless Youth Street Outreach and Drop-In Center Services

CONTRACTOR NAME: Human Services Campus, Inc.

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

In accordance with the ADES Special Terms and Conditions, Section 26. Levels of Service, the purpose of this amendment is to add the initial contract reimbursement ceiling for the period of July 1, 2024 through June 30, 2025 in the amount of $148,436.00.

Therefore, the Itemized Service Budget for the period of July 1, 2024 through June 30, 2025 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.

File details come from the government source that posted it. Updated .