CTR065209_Contract_Amendment_5.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

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

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR065209 Five (5)

DESCRIPTION/ LABEL: Community Coordination - Local Food Purchase Assistance Cooperative Agreement Program (LFPA)

CONTRACTOR NAME: Pinnacle Prevention

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

1. In accordance with the Special Terms and Conditions Section 12, Contract Term and Option to Extend, the Contract is extended from April 1, 2025 through June 30, 2025.

2. In accordance with the Special Terms and Conditions, Section 24, Levels of Service, the purpose of this amendment is to revise the Itemized Service Budget to increase the contract reimbursement ceiling from $161,940.74 to $3,182,347.78 for the period of July 1, 2024 through June 30, 2025.

The Itemized Service 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.

ITEMIZED SERVICE BUDGET - LFPA

AGENCY: Pinnacle Prevention CONTRACT SERVICE: Coordination - Local Food Purchase Assistance Cooperative Agreement (LFPA)

CONTRACT: CTR065209

FUNDING PERIOD: 7/1/24 to 6/30/25

Funding Allocation: $3,182,347.78)

LFPA

1. PERSONNEL

LFPA

Number of FTE Total % Allocated Service TOTAL DCAD Positions Level Position Title Salary *A + D = Total COST COST

1 0.90 Local Food Purchasing Program Manager $62,700/Annual 20% + 80% = 100% ($ 56,430.00) ($ 56,430.00) 1 0.25 Operations Support Specialist $56,785/Annual 20% + 80% = 100% ($ 14,196.00) ($ 14,196.00) 1 0.25 Communications and Outreach Manager $67,706/Annual 20% + 80% = 100% ($ 16,926.00) ($ 16,926.00) 1 0.25 Director of Community Innovation $102,934/Annual 20% + 80% = 100% ($ 25,734.00) ($ 25,734.00)

TOTAL PERSONNEL TOTAL: ($ 113,286.00) ($ 113,286.00)

*A = % Administrative Functions D = % Direct Service Functions

2. EMPLOYEE RELATED EXPENSES LFPA

TOTAL DCAD

ITEM BASIS COST COST

Retirement, unemployment compensation, worker's compensation, liability insurance, health insurance, dental insurance, and life insurance

28%/Allocated FTE ( 31,720.00) ($ 31,720.00)

TOTAL EMPLOYEE RELATED EXPENSES TOTAL: ($ 31,720.00) ($ 31,720.00)

3. PROFESSIONAL AND OUTSIDE SERVICES LFPA

TOTAL DCAD

ITEM BASIS COST COST

Farmer and partner technical assistance consultation support NA ($ - ) ($ - )

TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: ($ - ) ($ - )

4. TRAVEL LFPA

TOTAL DCAD

ITEM BASIS COST COST

In-State Mileage for Site Visits and Monitoring (Not to exceed $500/month) NA ($ - ) ($ - )

TOTAL TRAVEL TOTAL: ($ - ) ($ - )

5. SPACE LFPA

TOTAL DCAD

ITEM BASIS COST COST

Pinnacle Prevention Admin Office Space (25% program prorated allocation) $1,600 monthly allocation ($ 19,200.00) ($ 19,200.00)

TOTAL SPACE TOTAL: ($ 19,200.00) ($ 19,200.00)

6. EQUIPMENT LFPA

TOTAL DCAD

ITEM BASIS COST COST

In-Kind ( - ) ( - )

TOTAL EQUIPMENT TOTAL: ($ - ) ($ - )

7. MATERIALS AND SUPPLIES LFPA

TOTAL DCAD

ITEM BASIS COST COST

In-Kind ( - ) ( - )

TOTAL MATERIALS AND SUPPLIES TOTAL: ($ - ) ($ - )

8. OPERATING SERVICES LFPA

TOTAL DCAD

ITEM BASIS COST COST

NA NA ($ - ) ($ - )

TOTAL OPERATING EXPENSES TOTAL: ($ - ) ($ - )

9. INDIRECT COSTS LFPA

TOTAL DCAD

ITEM BASIS COST COST

10% federal de minimis direct costs only (excludes voucher/food costs) 10% federal de minimis ($ 16,420.00) ($ 16,420.00)

TOTAL INDIRECT COSTS TOTAL: ($ 16,420.00) ($ 16,420.00)

10. SUBTOTAL COST ($ 180,626.00) ($ 180,626.00)

11. VOUCHER COSTS LFPA

TOTAL DCAD

ITEM BASIS COST COST

Local food purchasing Varies/site - not to exceed annual fixed cost ($ 3,001,721.78) ($ 3,001,721.78)

TOTAL VOUCHER COSTS TOTAL: ($ 3,001,721.78) ($ 3,001,721.78)

12. TOTAL SERVICE COST: ($ 3,182,347.78) ($ 3,182,347.78)

PINNACLE PREVENTION CORP.

Unique Entity ID

J759UEA7HCF1

CAGE / NCAGE

77S37

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Aug 22, 2025

Physical Address

484 W Chandler BLVD

Chandler, Arizona 85225-7530

United States

Mailing Address

484 W. Chandler BLVD.

Chandler, Arizona 85225-7530

United States

Business Information

Doing Business as

(blank)

Division Name

Pinnacle Prevention

Division Number

(blank)

Congressional District

Arizona 04

State / Country of Incorporation

Arizona / United States

URL

www.pinnacleprevention.org

Registration Dates

Activation Date

Aug 26, 2024

Submission Date

Aug 22, 2024

Initial Registration Date

Nov 13, 2014

Entity Dates

Entity Start Date

Jan 31, 2014

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Adrienne Udarbe on Aug 22, 2024 at 10:23 AM PINNACLE PREVENTION CORP.

Oct 15, 2024 07:17:09 PM GMT https://sam.gov/entity/J759UEA7HCF1/coreData?status=null Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

77S37

Points of Contact

Electronic Business

Adrienne Z Udarbe, Executive Director 484 W Chandler BLVD

Chandler, Arizona 85225

United States

Government Business

Adrienne Z Udarbe, Executive Director 484 W Chandler BLVD

Chandler, Arizona 85225

United States

Service Classifications

NAICS Codes

Primary NAICS Codes NAICS Title

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Adrienne Udarbe on Aug 22, 2024 at 10:23 AM PINNACLE PREVENTION CORP.

Oct 15, 2024 07:17:09 PM GMT https://sam.gov/entity/J759UEA7HCF1/coreData?status=null Page 2 of 2