CTR066198_Contract_Amendment_1.pdf

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Attached to
Master Agreement AZ|CTR066198
Contract number
CTR066198
Issued by
Arizona

About this file

This document is a Contract Amendment issued by the Arizona Department of Economic Security (DES) for contract number CTR066198, involving Mariposa Community Health Center, Inc. The amendment is specifically labeled for Domestic Violence services on a statewide basis and represents Amendment Number One (1) for the contract period.

The amendment modifies the Itemized Service Budget categories for the period of July 1, 2023, through June 30, 2024, while maintaining the total contract reimbursement ceiling at $88,660.52. The budget adjustments involve two primary service categories: SHELTER and MOBILE AND COMMUNITY BASED ADVOCACY. In the SHELTER category, funding for Personnel, Employee Related Expenses, and Operating Services are reduced to zero, with Flexible Financial Assistance decreasing from $5,786.79 to $4,500.00. Conversely, the MOBILE AND COMMUNITY BASED ADVOCACY category sees increases across all line items, including Personnel rising from $38,069.30 to $56,477.30, Employee Related Expenses increasing from $7,906.82 to $15,813.64, Operating Services growing from $1,160.00 to $1,520.00, and Flexible Financial Assistance expanding from $5,786.79 to $7,073.58.

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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:

CTR066198 One (1)

DESCRIPTION/ LABEL: Domestic Violence - Statewide

CONTRACTOR NAME: Mariposa Community Health Center, Inc.

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

1. In accordance with the Special Terms and Conditions, Section 27, Levels of Service, the purpose of this amendment is to revise the Itemized Service Budget categories for the period of July 1, 2023, through June 30, 2024. The contract reimbursement ceiling remains the same at $88,660.52.

The funding category changes in SHELTER are as follows:

• 1. PERSONNEL is decreased from $18,408.00 to $0.00.

• 2. EMPLOYEE RELATED EXPENSES is decreased from $7,906.82 to $0.00.

• 8. OPERATING SERVICES is decreased from $360.00 to $0.00.

• 10. VOUCHERS – FLEXIBLE FINANCIAL ASSISTANCE in decreased from $5,786.79 to

$4,500.00.

The funding category changes in MOBILE AND COMMUNITY BASED ADVOCACY are as follows:

• 1. PERSONNEL is increased from $38,069.30 to $56,477.30.

• 2. EMPLOYEE RELATED EXPENSES is increased from $7,906.82 to $15,813.64.

• 8. OPERATING SERVICES is increased from $1,160.00 to $1,520.00.

• 10. VOUCHERS – FLEXIBLE FINANCIAL ASSISTANCE is increased from $5,786.79 to $7,073.58.

Therefore, the revised 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.

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