CTR062831_Contract_Amendment_2.pdf
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- Attached to
- Master Agreement AZ|CTR062831
- Contract number
- CTR062831
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security (ADES) for Contract Number CTR062831, Amendment Number Two, with Chicanos Por La Causa, Inc. The amendment pertains to Homeless Youth Street Outreach and Drop-In Center Services.
The amendment adds an initial contract reimbursement ceiling of $126,314.06 for the period of July 1, 2023 through June 30, 2024. The itemized service budget details expenses across four categories: personnel and employee-related expenses ($71,034.88), essential client services ($35,791.18), drop-in center operations ($0.00), and HMIS expenses ($1,971.58). The budget includes costs for staff positions such as Program Manager, Program Supervisor, and Youth Outreach Specialists, with a total of 6.4 FTE levels. Funding is entirely from ADES-Homeless sources, covering items like office space rental, start-up supplies, basic needs packs, branded outreach items, staff training, and technology expenses. The contract uses a 16.10% federally approved indirect cost rate, with total indirect costs of $17,516.42.
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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:
CTR062831 Two (2)
DESCRIPTION/ LABEL: Homeless Youth Street Outreach and Drop-In Center Services
CONTRACTOR NAME: Chicanos Por La Causa, 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 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 $126,314.06.
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
0.4 O Program Manager $5,560.18 $5,560.18
1 O Program Supervisor $3,499.84 $3,499.84
1 O Youth Outreach Specalists $4,349.86 $4,349.86
1 O Youth Outreach Specalists $1,586.00 $1,586.00
1 O Youth Outreach Specalists $52,867.00 $52,867.00
1 O Youth Outreach Specalists $1,586.00 $1,586.00
1 O Youth Outreach Specalists $1,586.00 $1,586.00
TOTAL # of FTEs: 6.4 71,034.88 71,034.88
Service Code (O or D) Basis TOTAL COST ADES COST
O Outreach office space rental(Printer cost), $550/mo x 12 mo 6,600.00 6,600.00
O Start-up Supplies for Outreach Staff, $435.71 x 6.4 staff 2,788.56 2,788.56
O Basic Needs Packs, $8/pack x 1496 packs 11,968.00 11,968.00
O Branded Outreach Items, $4/item max x 1514 items 6,056.00 6,056.00
O Office Supplies, $300/month x 12 months 3,600.00 3,600.00
O Cell Phones, $11/month x 6.4 phones x 12 months 844.80 844.80
O Staff Training, $371/training x 6.4 staff 2,374.40 2,374.40
O Local Mileage, .655/mi x 31mi x 12mo x 6.4 staff 1,559.42 1,559.42
35,791.18 35,791.18
Service Code (O or D) Basis TOTAL COST ADES COST
0.00 0.00
Basis TOTAL COST ADES COST
HMIS Enrollment - $114/license x 6.4 Staff 729.60 729.60
Outreach Tablets & Accessories, $194.06/per x 6.4 staff 1,241.98 1,241.98
TOTAL: 1,971.58 1,971.58
ATTACHMENT 11
Homeless Youth Outreach and Drop-in Center Services
ITEMIZED SERVICE BUDGET
CONTRACT SERVICE PROVIDED: HML Youth Street Outreach & Drop-In Center Services ORGANIZATION: Chicanos Por La Causa Inc.
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.
CONTRACT NUMBER: CTR062831CONTRACT PERIOD: 07/1/2023 to 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:
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
Indirect Cost Rate (i.e. 10% de minimus rate or Federally negotiated rate)
Service Code (O or D) Basis TOTAL COST ADES COST
16.10% O Federally Approved Rate for CPLC 17,199.00 17,199.00
16.10% HMIS Federally Approved Rate for CPLC 317.42 317.42
17,516.42 17,516.42
126,314.06 126,314.06
TOTAL COST ADES COST
6) 124,025.06 124,025.06
7)
8) Calculate total HMIS COST 2,289.00 2,289.00
9) TOTAL COSTS BY SERVICE CODES: 126,314.06 126,314.06
* 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 126,314.06 126,314.06
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
Other Revenue*
* Identify Other Revenue Sources Here TOTAL REVENUE: 126,314.06 126,314.06 Bingo Proceeds
Government Funding – State (Do not include ADES Homeless Program funding listed above)
Manually Calculate Total Street Outreach (O) COST
Manually Calculate Calculate Total Drop-in Center (D) COST
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.
TOTAL:
Total Costs by Above Budget Categories
| DCAD_CPLCHMYouthISBv7-.pdf |
| ISB |
File details come from the government source that posted it. Updated .