CTR066196_Contract_Amendment_3.pdf
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- Attached to
- Master Agreement AZ|CTR066196
- Contract number
- CTR066196
- Issued by
- Arizona
About this file
This is a Contract Amendment for the Arizona Department of Economic Security (ADES), involving Housing Solutions of Northern Arizona, Inc. for a Domestic Violence - Statewide contract. The amendment is specifically identified as Amendment Number Three for Contract Number CTR066196, pertaining to services at Sharon Manor Transitional Housing.
The amendment establishes a contract reimbursement ceiling of $150,000.00 for the period of July 1, 2024, through June 30, 2025. The budget details various cost categories including personnel, employee-related expenses, professional services, space costs, and indirect costs. Revenue sources are diverse, including ADES-DCAD funding ($150,000), VOCA funds ($127,212), rent ($170,000), corporate/foundation grants ($125,000), donations ($11,194), and victim services ($75,000). The total service cost is $658,406.00, with the primary focus on providing domestic violence support services through the Sharon Manor Transitional Housing program.
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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:
CTR066196 Three (3)
DESCRIPTION/ LABEL: Domestic Violence - Statewide
CONTRACTOR NAME: Housing Solutions of Northern Arizona, Inc
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, the purpose of this amendment is to correct an administrative error that occurred on Amendment 2., Amendment 2 stated the incorrect Contractor name and Contract Number it is now corrected to state CTR066196 Housing Solutions of Northern Arizona, Inc. All other provisions in the amendments are still in force.
2. Pursuant to the Special Terms and Conditions, Section 27.0 Levels of Service, the contract reimbursement ceiling for the period of July 1, 2024, through June 30, 2025, is $150,00.00.
Therefore, the initial Itemized Service Budget for the period of July 1, 2024, through June 30, 2025, 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.
CONTRACT SERVICE: Domestic Violence - Statewide AGENCY NAME: Housing Solutions of Northern Arizona, Inc.
FACILITY NAME(S): Sharon Manor Transitional Housing
MATCH REQUIREMENT: ADES will provide State funds to cover the 20% FVPSA Match Requirement
REMINDER: Please review the ISB Instructions tab before completing the ISB and Budget Narrative tabs. If your agency will be providing services at multiple locations, please list the name of the facility next to each budget line item and group them together.
REMINDER: Please do not edit the formulas.
1. PERSONNEL DCAD DCAD
Mobile & Community Tranistional
TOTAL TOTAL DCAD Based Advocacy Housing Number of FTE Total Salary for the SERVICE DCAD SHELTER (MCBA) (TH) Positions Level Position Title Contract Period COST COST COST COST COST
1 1.00 Program Manger - Sharon Manor $70,300 $70,300.00 $15,000.00 $15,000.00
1 1.00 Adult Case Manager - Sharon Manor $59,726 $59,726.00 $4,938.00 $4,938.00
1 1.00 Adult Case Manager - Sharon Manor $57,330 $57,330.00 $4,938.00 $4,938.00
1 1.00 Children's Case Manager - Sharon Manor $51,500 $51,500.00 $0.00
1 0.25 COO - Sharon Manor $85,000 $21,250.00 $10,000.00 $10,000.00
1 0.50 Maintenance Supervisor - All Location $67,000 $33,500.00 $10,000.00 $10,000.00
1 0.50 Maintenance Specialist - All Location $47,840 $23,920.00 $5,000.00 $5,000.00
1 0.10 Office Specialist - All Locations $43,260 $4,326.00 $0.00
1 0.10 CEO - All Locations $110,284 $11,028.40 $0.00
TOTAL PERSONNEL $332,880.40 $49,876.00 $0.00 $0.00 $49,876.00
2. EMPLOYEE RELATED EXPENSES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
$33,216.00 $4,988.00 $4,988.00
$0.00 $0.00 $0.00
TOTAL EMPLOYEE RELATED EXPENSES $33,216.00 $4,988.00 $0.00 $0.00 $4,988.00
Attachment 3 Itemized Service Budget (ISB) Workbook
Contract Period: 7/1/24 - 6/30/25
ERE
3. PROFESSIONAL AND OUTSIDE SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
$6,000.00 $6,000.00 $6,000.00 $5,235.00 $5,000.00 $5,000.00
$12,500.00 $10,000.00 $10,000.00 $0.00 $0.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES $23,735.00 $21,000.00 $0.00 $0.00 $21,000.00
4. TRAVEL TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
$0.00 $0.00 $0.00 $0.00
TOTAL TRAVEL $0.00 $0.00 $0.00 $0.00 $0.00
5. SPACE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
Sharon Manor Utilities $42,120.00 $10,500.00 $10,500.00 Sharon Manor Building & Property Maintenance $76,560.00 $50,000.00 $50,000.00 Capital improvements Heater upgrade to heat pumps $44,554.60 $0.00
$0.00 $0.00 $0.00 $0.00
TOTAL SPACE $163,234.60 $60,500.00 $0.00 $0.00 $60,500.00
TOTAL TOTAL DCAD DCAD DCAD
6. EQUIPMENT SERVICE DCAD SHELTER MCBA TH
COST COST COST COST COST
ITEM $0.00
$1,350.00 $0.00 $1,200.00 $0.00
$0.00 $0.00
TOTAL EQUIPMENT $2,550.00 $0.00 $0.00 $0.00 $0.00
7. MATERIALS AND SUPPLIES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
$2,400.00 $0.00Office Supplies, paper, ink, pens etc
Office Equipment Staff Laptop replacement
No Travel
Annual Audit IT support Accounting Services
$500.00 $0.00 $0.00
TOTAL MATERIALS AND SUPPLIES $2,900.00 $0.00 $0.00 $0.00 $0.00
8. OPERATING SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
$4,000.00 $0.00 $2,335.00 $0.00
$33,700.00 $0.00 $0.00 $0.00
TOTAL OPERATING EXPENSES $40,035.00 $0.00 $0.00 $0.00 $0.00
9 INDIRECT COSTS TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Indirect Costs Federal Indirect Cost Rate of 10% $59,855.00 $13,636.00 $13,636.00
$0.00 $0.00
TOTAL INDIRECT COSTS $59,855.00 $13,636.00 $0.00 $0.00 $13,636.00
SUBTOTAL ADMIN COSTS $658,406.00 $150,000.00 $0.00 $0.00 $150,000.00
10 VOUCHERS - FLEXIBLE FINANCIAL ASSISTANCE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM COST COST COST COST COST
$0.00 $0.00 $0.00
TOTAL VOUCHERS $0.00 $0.00 $0.00 $0.00 $0.00
11. TOTAL SERVICE COST/DCAD TOTAL COST: $658,406.00 $150,000.00 $0.00 $0.00 $150,000.00
REVENUE SOURCES:
ADES - DCAD $150,000.00 $150,000.00 $0.00 $0.00 $150,000.00
VOCA $127,212.00
Rent $170,000.00
Corp/Found Grants $125,000.00 Donations $11,194.00
Victim Services $75,000.00
Note: Total Revenue must equal Total Service Cost TOTAL REVENUE*: $658,406.00
Outreach materials, tabling fees, give aways
Staff training, fees, hotel, etc.
Coalition Memberships Liability and Property Insurance
| CTR066196 Contract Amendment 3.pdf |
| CTR066196 Contract Amendment 3.pdf |
| Amendment (3) REDLINES - Copy.pdf |
| CTR066196 Contract Amendment 3.pdf |
| HSNA CTR066196 - ISB FY25 -calcs removed.pdf |
| ISB |
Amendment (3) REDLINES - Copy.pdf
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