CTR062833_Contract_Amendment_4.pdf
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- Attached to
- Master Agreement AZ|CTR062833
- Contract number
- CTR062833
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security (ADES) for Contract Number CTR062833, Amendment Number Four, with Native American Connections. The amendment pertains to Homeless Youth Street Outreach and Drop-In Center Services and is dated for the contract period of July 1, 2023 through June 30, 2024.
The amendment reallocates funding within existing budget categories while maintaining the total reimbursement ceiling of $575,608.00. The itemized service budget details expenses across five main categories: personnel and employee-related expenses, essential client services, drop-in center operations, HMIS expenses, and indirect costs. The budget covers services including outreach, case management, client support services like food, transportation, and hygiene items, facility operations, and technology expenses. Revenue sources include $575,608.00 from ADES-Homeless funding and an additional $51,886.00 from Foundation & Corporate Support, bringing the total project budget to $627,494.00. The services are specifically focused on providing support and resources to homeless youth through street outreach and a drop-in center.
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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:
CTR062833 Four (4)
DESCRIPTION/ LABEL: Homeless Youth Street Outreach and Drop-In Center Services
CONTRACTOR NAME: Native American Connections
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
In Accordance with the ADES Special Terms and Conditions, Section 34.0 Payments, the purpose of this amendment is to reallocate funding within the existing budget categories for the period of July 1, 2023 through June 30, 2024. The reimbursement ceiling amount remains unchanged at $575,608.00
The revised Itemized Services Budget is attached as part of this amendment.
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
2 O Outreach Driver 110,000.00 65,236.00
2 D Case Manager 115,000.00 58,032.00
2 O Outreach & Engagement Specialist 110,000.00 65,236.00
ERE D ERE 25% of gross salary 28,750.00 14,508.00
ERE O ERE 25% of gross salary 55,000.00 32,618.00
5 418,750.00 235,630.00
Service Code (O or D) Basis TOTAL COST ADES COST
O Cell phone service/usage, food & water, fuel, hygiene items, insurance, vehicle lease, water 143,568.00 83,840.00
162,544.00 136,279.00
Service Code (O or D) Basis TOTAL COST ADES COST
45,000.00 200,699.00
Basis TOTAL COST ADES COST
HMIS License, laptop 1,200.00 3,000.00
TOTAL: 1,200.00 3,000.00
EXHIBIT A
Homeless Youth Outreach and Drop-in Center Services
ITEMIZED SERVICE BUDGET
CONTRACT SERVICE PROVIDED: HML Youth Street Outreach and Drop-In Center Services ORGANIZATION: Native American Connections
CONTRACT NUMBER: CTR062833CONTRACT 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.
18,976.00 52,439.00D
Equipment leases, laundry supplies, maintenance, operation supplies, shower supplies, utilitiesD 45,000.00 200,699.00
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
Food, Metro passes, Hygiene items, water
Indirect Cost Rate (i.e. 10% de minimus rate or
Federally negotiated rate)
Service Code (O or D) Basis TOTAL COST ADES COST
0.00 0.00
0.00 0.00
627,494.00 575,608.00
TOTAL COST ADES COST
6) 363,568.00 246,930.00
7) 262,726.00 325,678.00
8) Calculate total HMIS COST 1,200.00 3,000.00
9) TOTAL COSTS BY SERVICE CODES: 627,494.00 575,608.00
* 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 575,608.00 575,608.00
Government Funding - City
Government Funding - County
Gov. Funding - Federal
Foundation & Corporate Support 51,886.00
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: 627,494.00 575,608.00 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)
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
| Amendment 4 v3.pdf |
| ISB - NAC (no IDC) SFY24.pdf |
| ISB |
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