CTR062830_Contract_Amendment_2.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

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

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR062830 Two (2)

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

CONTRACTOR NAME: Arizona Youth Partnership

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

Pursuant to 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, 2023 through June 30, 2024 in the amount of $216,081.00.

Therefore, the Itemized Service Budget for the period of July 1, 2023 through June 30, 2024 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.

TOTAL FTE Level (i.e., 1.0, 0.5, 0.25)

Service Code (O or D) Position Title TOTAL COST ADES COST

0.05 O Program Director 3,750.00$ 3,750.00$

0.05 D Program Director -$ -$

0.5 O Program Specialist 11,375.00$ 11,375.00$

0.5 D Program Specialist 9,100.00$ 9,100.00$

0.75 O Program Coordinator 23,712.00$ 23,712.00$

0.25 D Program Coordinator 19,760.00$ 19,760.00$

0.75 O Program Coordinator 23,712.00$ 23,712.00$

0.25 D Program Coordinator 15,808.00$ 15,808.00$

O FICA/Medicare (7.65% of total salaries) 4,785.00$ 4,785.00$

D FICA/Medicare (7.65% of total salaries) 3,417.00$ 3,417.00$

O SUTA (1.53% of 1st $7000 gross wages x 3.1 FTE) 273.00$ 273.00$

D SUTA (1.53% of 1st $7000 gross wages x 3.1 FTE) 59.00$ 59.00$

O FUTA (.8% of 1st $7000 gross wages x 3.1 FTE) 143.00$ 143.00$

D FUTA (.8% of 1st $7000 gross wages x 3.1 FTE) 31.00$ 31.00$

O Workman's Comp Insurance (.57% of gross wages) 357.00$ 357.00$

D Workman's Comp Insurance (.57% of gross wages) 255.00$ 255.00$

O Medical/Life Insurance ($341/month x 3.1 FTE x 9 months) 4,785.00$ 4,785.00$

D Medical/Life Insurance ($341/month x 3.1 FTE x 9 months) 4,950.00$ 4,950.00$

O 401k Retirement (3.0% of gross wages) 1,876.00$ 1,876.00$

D 401k Retirement (3.0% of gross wages) 1,340.00$ 1,340.00$

TOTAL # of FTEs: [ 3.1 ] 129,488.00$ 129,488.00$

Service Code (O or D) Basis TOTAL COST ADES COST

D Employment Assistance (clothing, uniforms, shoes,ID, FCC, food handler card $83/mo x 12 months) $ 1,000.00 1,000.00$

O Supplies for homeless youth (tents, sleeping bags, etc $ 2,100.00 2,100.00$

D Child Care (supplemental to childcare benefit when youth is unemployed and parenting, but looking for work. $83/month x 12 months)

$ 500.00 500.00$

O Transportation (Uber, taxi, public transportation $150/month x 12 months) $ 1,800.00 1,800.00$

D Transportation (Uber, taxi, public transportation $83/month x 12 months) $ 1,000.00 1,000.00$

O Hygiene Items (Outreach and Drop In, $250/month x 12 months) $ 3,000.00 3,000.00$

D Hygiene Items (Outreach and Drop In, $83/month x 12 months) $ 1,000.00 1,000.00$

EXHIBIT A

Homeless Youth Outreach and Drop-in Center Services

ITEMIZED SERVICE BUDGET

CONTRACT SERVICE PROVIDED: Homeless Youth Outreach and Drop-in Center Services ORGANIZATION: Arizona Youth Partnership

CONTRACT NUMBER: CTR062830CONTRACT PERIOD: 07/01/2023-06/30/2024

SERVICE CODES: O = Street Outreach D = Drop-in Center

1) TOTAL PERSONNEL & EMPLOYEE RELATED EXPENSES FOR DIRECT SERVICES (One Service Code Per Line) Compensation directly related to carrying out the activities of the identified Service Code as well as other costs such as insurance, workers compensation, etc.

TOTAL:

2) TOTAL ESSENTIAL CLIENT SERVICES FOR STREET OUTREACH AND/OR DROP-IN CENTER

Case Management, child care, education services, employment assistance (i.e., fingerprint clearnance card, uniforms, ID), life skills training, transportation, mileage, vehicle lease (vehicles cannot be purchased with these funds), emergency health services, emergency mental health services, hygiene items, food, water, pet food, clothing, cell phone service/usage charges, and services for special populations (e.g., services for people living with HIV/AIDS and victim services). These are non-employee expenses.

O Food (Outreach and Drop In, $250/month x 12 months) $ 3,000.00 3,000.00$

D Food (Outreach and Drop In, $250/month x 12 months) $ 3,000.00 3,000.00$

O Pet Food, supplies (Outreach $100/month x 12 months) 1,200.00$ 1,200.00$

O Cellphone Services (Drop In Center and Outreach; cell phones, minutes, charge banks. $37.5/month x 12 months) 450.00$ 450.00$

D Cellphone Services (Drop In Center and Outreach; cell phones, minutes, charge banks. $37.5/month x 12 months) 450.00$ 450.00$

O Outreach staff mileage (0.625 x 900 miles per month x 12 months) 6,750.00$ 6,750.00$

D Life Skills Facilitator Curriculum Training ($350 x 1 staff per month) 350.00$ 350.00$

D Life Skill Training curriculum ($10 x 75 participants) 750.00$ 750.00$

26,350.00$ 26,350.00$

Service Code (O or D) Basis TOTAL COST ADES COST

D Rent ($18per month x 12 months) 21,600.00$ 21,600.00$

D Security system -$

D Youth Computers (Drop in Center usage for family reunification, job search, education, etc. $1500 x 3) -$ -$

D Phone/Internet costs for Drop In Center ($100/month x 12 months) 1,200.00$ 1,200.00$

D Utilities for Drop In Center (Electric/Gas/Water/Trash/Sewer - $250 per month x 12 months) 3,000.00$ 3,000.00$

D Laundry (Washer, Dryer, Laundry Soap, Appliances, $100/month x 12 months 1,200.00$ 1,200.00$

D Storage Lockers 1,000.00$ 1,000.00$

D Drop In Center Furniture - Couch, Table/Chairs, Desks, Lamps, Towels, Refridgerator, etc. 4,925.00$ 4,925.00$

D Office Supplies, Printing, Postage ($75/month x 12 months) 900.00$ 900.00$

33,825.00$ 33,825.00$

Basis TOTAL COST ADES COST

Staff Computers ($1500 x 3) -$ -$

Operating Support (Managed IT Services - $79/month x 3.7 FTE X 12 mo) 3,509.00$ 3,509.00$

HMIS Program License 150.00$ 150.00$

TOTAL: 3,659.00$ 3,659.00$

Indirect Cost Rate (i.e. 10% de minimus rate or

Federally negotiated rate)

Service Code (O or D) Basis TOTAL COST ADES COST

12.00% O DHHS approved indirect rate 2021 11,168.00$ 11,168.00$

TOTAL:

3) TOTAL DROP-IN CENTER OPERATIONS EXPENSES

Maintenance, rent, security, fuel, equipment, insurance, utilities, phones, internet, shower, laundry, storage lockers, pet cages, furnishings, food, cell phone charging stations, staff training, supplies necessary for operation of a Drop-in Center.

TOTAL:

4) HMIS EXPENSES

Purchasing or leasing computer system equipment, obtaining technical support; paying a portion of utilities, and high-speed data transmission necessary to operate or contribute data to the HMIS; paying salaries for operating HMIS, i.e. data entry, monitoring and reviewing data quality, and data analysis

5) INDIRECT COSTS

Costs incurred for the benefit of multiple programs, functions, or other cost objectives, and therefore, cannot be identified readily and specifically with a particular program or other cost objective. Indirect costs typically support administrative overhead functions such as fringe benefits, accounting, payroll, purchasing, facilities management, utilities, etc. If the subrecipient elects to use a federally negotiated indirect cost rate, they must provide a copy of the rate agreement with the ISB. If the federally approved indirect cost rate changes or is allowed to expire within the contract period, the subrecipient must notify DES of the changes. If the subrecipient elects to use the 10% de Minimus rate for indirect costs, they must complete and submit the Exhibit B Certification of De Minimus Indirect Cost Rate form.

12.00% D DHHS approved indirect rate 2021 11,591.00$ 11,591.00$

22,759.00$ 22,759.00$

216,081.00 216,081.00

TOTAL COST ADES COST

6) 104,236.00 104,236.00

7) 108,186.00 108,186.00

8) Calculate total HMIS COST 3,659.00 3,659.00

9) TOTAL COSTS BY SERVICE CODES: 216,081.00 216,081.00

* If red, ensure the total matches the Total Cost above

* If red, ensure the total matches the ADES Cost above

10) REVENUE SOURCES: TOTAL COST ADES COST

ADES-HOMELESS 216,081.00 216,081.00

Government Funding - City Government Funding - County

Gov. Funding - Federal

Foundation & Corporate Support

United Way

Contributions / Donations

Special Events / Fundraising

Legacies / Bequests / Investments

Program Service Fees & Reimbursements

In-Kind Support, Drop in Center programming

Other Revenue*

* Identify Other Revenue Sources Here TOTAL REVENUE: 216,081.00 216,081.00 Bingo Proceeds

Manually Calculate Total Street Outreach (O) COST

Manually Calculate Calculate Total Drop-in Center (D) COST

Government Funding – State (Do not include ADES Homeless Program funding listed above)

TOTAL:

Total Costs by Above Budget Categories