CTR062834_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:

CTR062834 Two (2)

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

CONTRACTOR NAME: Verde Valley Homeless Coalition

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 $113,490.00.

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

0.25 D Director 12,500.00 12,500.00

1 O Outreach Staff - Case Manager 40,000.00 40,000.00

0.5 O Outreach Staff 17,160.00 17,160.00

0.5 D Drop-In Staff 17,160.00 17,160.00

TOTAL # of FTEs: [ 4 ] 86,820.00 86,820.00

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

O Fuel & Travel - transportation, bus passes 2,000.00 1,000.00

O Outreach 2,200.00 1,100.00

O Vehicle Insurance 1,800.00 900.00

D Youth Employment Assistance 1,500.00 1,500.00

7,500.00 4,500.00

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

D Portable restroom facilities 2,640.00 1,320.00

D Staff training 1,000.00 500.00

D Utilities 6,200.00 3,100.00

D Transition Center Repair & Maintenance 4,000.00 2,000.00

D Transition Center general operating 5,000.00 2,500.00

D Insurance 4,000.00 2,000.00

D Furniture & Fixtures 6,000.00 3,000.00

D Food Service 8,500.00 4,250.00

D Laundry & Shower 2,000.00 1,000.00

39,340.00 19,670.00

Basis TOTAL COST ADES COST

Release Order Budget Allocation 2,500.00 2,500.00

TOTAL: 2,500.00 2,500.00

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

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: CTR062834CONTRACT 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.

EXHIBIT A

Homeless Youth Outreach and Drop-in Center Services

ITEMIZED SERVICE BUDGET

CONTRACT SERVICE PROVIDED: HML Youth Street Outreach and Drop-In Services ORGANIZATION: Verde Valley Homeless Coalition

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

Federally negotiated rate)

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

10% de minimus D 10% of direct costs up to $25,000 (accounting and other admin support not directly billed for) 0.00 0.00

0.00 0.00

136,160.00 113,490.00

TOTAL COST ADES COST

6) 63,160.00 60,160.00

7) 70,500.00 50,830.00

8) Calculate TOTAL HMIS COST 2,500.00 2,500.00

9) TOTAL COSTS BY SERVICE CODES: 136,160.00 113,490.00

* 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 113,490.00 113,490.00

Government Funding - City 0.00

Government Funding - County 0.00

0.00

Gov. Funding - Federal 0.00

Foundation & Corporate Support 10,000.00

United Way 5,000.00

Contributions / Donations 7,670.00

Special Events / Fundraising 0.00

Legacies / Bequests / Investments 0.00

Program Service Fees & Reimbursements 0.00

In-Kind Support 0.00

Other Revenue* 0.00

* Identify Other Revenue Sources Here TOTAL REVENUE: 136,160.00 113,490.00 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)

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