CTR064826 A2 Pricing.pdf

PDF 34 KB Posted

Attached to
Master Agreement AZ|CTR064826
Contract number
CTR064826
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment No. 2 between the Arizona Department of Health Services and Yavapai County Community Health Services, located in Phoenix, Arizona. The contract is identified by the number CTR064826 and involves a collaborative agreement for health services.

The IGA covers a period from January 1, 2023 to January 31, 2024, with a total annual budget not to exceed $36,450.36. The budget is broken down into several cost reimbursement line items, including $23,550.00 for personnel services, $5,400.00 for employee-related expenses, $1,000.00 for travel, $114.00 for supplies, and $588.96 for other operating expenses. The contract includes a 20% indirect cost rate of $5,797.40. Notable provisions allow for up to a 30% transfer between line items with prior written approval, and the budget is contingent on funding with potential changes in subsequent years.

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Text version

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

CONTRACT NO.:

CTR064826

IGA AMENDMENT NO: 2

PROCUREMENT OFFICER

DARRNELL WELCH

Price Sheet

Yavapai County Community Health Services

January 1, 2023 from January 31, 2024

* Indicates Indirect Cost Calculation.

NOTES: With prior written approval from the STI Control Office Chief, YCCHS is authorized to transfer up to a maximum of thirty percent (30%) of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding thirty percent (30%) or to a non-funded item shall require a written amendment.

This budget is contingent on funding and is subject to potential changes in subsequent years.

COST REIMBURSEMENT LINE ITEMS BUDGETED AMOUNT

PERSONNEL SERVICES*

$ 23,550.00

EMPLOYEE RELATED EXPENSES (ERE)*

$ 5,400.00

PROFESSIONAL & OUTSIDE SERVICES

$0.00

TRAVEL

$ 1,000.00

SUPPLIES

$ 114.00

OTHER OPERATING

$ 588.96

CAPITAL OUTLAY EXPENSES

$0.00

INDIRECT (20%)

$ 5,797.40

OTHER

$0.00

TOTAL ANNUAL NOT TO EXCEED AMOUNT

$ 36,450.36

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File details come from the government source that posted it. Updated .