CTR061681 A4 - Pricing.pdf
PDF 93 KB Posted
- Attached to
- Master Agreement AZ|CTR061681
- Contract number
- CTR061681
- Issued by
- Arizona
About this file
This document is Amendment No. 04 to Interagency Service Agreement (ISA) CTR061681 between the Arizona Department of Health Services (ADHS), Office of Procurement, and an unnamed contractor. The agreement is administered by Procurement Officer Brittany Manuel at the ADHS Office of Procurement located at 150 N 18th Ave., Suite #530, Phoenix, Arizona 85007.
The annual price sheet for the period July 1, 2025 through June 30, 2026 establishes a cost reimbursement contract with a total annual not-to-exceed amount of $321,912.00. Budget allocation by account classification includes: Personnel Services & ERE at $30,418.00; Professional and Outside Services at $138,972.00; Travel Expenses at $39,160.00; Equipment at $220.00; Supplies at $11,586.00; Other Expenses at $72,291.00; and Indirect Costs at 10% totaling $29,265.00. The contractor is authorized to transfer up to 50% of the total budget amount between line items with written approval from an ADHS program representative. Transfers exceeding 50% or to non-funded line items require an Agreement Amendment.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR061681 A2_Executed.pdf | ||
| CTR061681 A4 FE.pdf | ||
| CTR061681 A1_Executed.pdf | ||
| CTR061681 A3_Executed.pdf | ||
| CTR061681_A3_Pricing.pdf | ||
| CTR061681_Contract_Document.pdf |
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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.: CTR061681 AMENDMENT NO.: 04 Procurement Officer:
Brittany Manuel
Revised 04/08/2024
Price Sheet
Cost Reimbursement Contract Annual Price Sheet
July 1, 2025 – June 30, 2026
ACCOUNT CLASSIFICATION LINE-ITEM TOTALS
Personnel Services & ERE* $ 30,418.00
Professional and Outside Services* $ 138,972.00
Travel Expenses* $ 39,160.00
Equipment* $220.00
Supplies* $ 11,586.00
Other Expenses* $ 72,291.00
INDIRECT COSTS (10%) $29,265.00
Total Annual not to exceed: $321,912.00
If applicable, the Contractor is authorized to transfer up to a maximum of fifty percent (50%) of the total budget amount between line items with the written approval from an ADHS program representative.
Transfers exceeding fifty percent (50%) or to a non-funded line item shall require an Agreement Amendment.
*Indicated indirect rate calculation
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