CTR066201_Contract_Amendment_1.pdf
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- Attached to
- Master Agreement AZ|CTR066201
- Contract number
- CTR066201
- Issued by
- Arizona
About this file
This document is a Contract Amendment from the Arizona Department of Economic Security (ADES) for Contract Number CTR066201, specifically for a Domestic Violence - Statewide service with Northland Family Help Center. The amendment is numbered One (1) and modifies the existing contract for the period of July 1, 2023 through June 30, 2024.
The amendment adjusts the Itemized Service Budget categories while maintaining the total contract reimbursement ceiling of $146,392.17. Key budget changes include significant reductions in Personnel (from $100,285.75 to $19,145.00) and Employee Related Expenses (from $17,048.58 to $1,792.08), offset by increases in Professional and Outside Services (to $25,100.00), Travel (to $3,000.00), Equipment (to $7,703.75), Materials and Supplies (to $37,500.00), and Operating Services (to $37,500.00). The contract is funded through multiple revenue sources including ADES-DCAD, VOCA, SNAP, NACASA, Navajo Nation, GOYFF-SASP, AZ BAR Foundation, and UWNA, with the primary service focus on domestic violence shelter and advocacy services.
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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:
CTR066201 One (1)
DESCRIPTION/ LABEL: Domestic Violence - Statewide
CONTRACTOR NAME: Northland Family Help Center
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
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 $146,392.17. The funding category changes are as follows:
• 1. Personnel is decreased from $100,285.75 to $19,145.00.
• 2. Employee Related Expenses is decreased from $17,048.58 to $1,792.08
• 3. Professional and Outside Services is increased from $12,948.50 to $25,100.00.
• 4. Travel is increased from $0.00 to $3,000.00.
• 6. Equipment is increased from $0.00 to $7,703.75.
• 7. Materials and Supplies is increased from 1,458.00 to 37,500.00.
• 8. Operating Services is increased from $0.00 to $37,500.00.
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.
CONTRACT SERVICE: Domestic Violence - Statewide CONTRACT #: CTR066201/Amendment 1 AGENCY NAME: Northland Family Help Center FACILITY NAME(S): Domestic Violence Shelter
MATCH REQUIREMENT: ADES will provide State funds to cover the 20% Match Requirement
REMINDER: Please review the ISB Instructions tab before completing the ISB and Budget Narrative tabs. If your agency will be providing s
1. PERSONNEL DCAD DCAD
Mobile & Community Tranistional
TOTAL TOTAL DCAD Based Advocacy Housing Number of FTE Total Salary for the % Allocated Service SERVICE DCAD SHELTER (MCBA) (TH) Positions Level Position Title Contract Period *A + D = Total COST COST COST COST COST
1 1.00 Executive Director $88,500.00 12% + 2.5% = 14.5% $22,125.00 $2,212.50 $2,212.50 $0.00 $0.00 1 1.00 Deputy Director $85,000.00 12% + 2.5% = 14.5% $39,950.00 $2,125.00 $2,125.00 $0.00 $0.00 1 1.00 DVS Case Manager $41,615.00 88.3% + 1.7% = 100% $41,615.00 $707.82 $707.82 $0.00 $0.00 1 1.00 DVS Manager $48,720.00 98% + 2% = 100% $48,720.00 $9,744.00 $9,744.00 $0.00 $0.00
12 7.00 DVS Advocates $217,783.64 98% + 2% = 100% $217,784.00 $4,355.68 $4,355.68 $0.00 $0.00
TOTAL PERSONNEL TOTAL: $370,194.00 $19,145.00 $19,145.00 $0.00 $0.00
*A = % Administrative Functions D = % Direct Service Functions
2. EMPLOYEE RELATED EXPENSES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
ERE 9% $62,933.00 $1,792.08 $1,792.08 $0.00 $0.00
TOTAL EMPLOYEE RELATED EXPENSES TOTAL: $62,933.00 $1,792.08 $1,792.08 $0.00 $0.00
3. PROFESSIONAL AND OUTSIDE SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Consulting Accounting Services, interpretation services $30,000.00 $24,395.34 $24,395.34 $0.00 $0.00 Audit Yearly audit $5,775.00 $704.66 $704.66 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: $35,775.00 $25,100.00 $25,100.00 $0.00 $0.00
4. TRAVEL TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Out of State Travel Yearly travel budget at 54% $5,500.00 $3,000.00 $3,000.00
TOTAL TRAVEL TOTAL: $5,500.00 $3,000.00 $3,000.00 $0.00 $0.00
5. SPACE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Building Maintenance Yearly maintenance budget X 35% for DVS $50,750.00 $7,151.34 $7,151.34 $0.00 $0.00
TOTAL SPACE TOTAL: $50,750.00 $7,151.34 $7,151.34 $0.00 $0.00
TOTAL TOTAL DCAD DCAD DCAD
6. EQUIPMENT SERVICE DCAD SHELTER MCBA TH
COST COST COST COST COST
ITEM BASIS
Equipment Yearly equipment budget X 35% for DVS $9,500.00 $7,703.75 $7,703.75
TOTAL EQUIPMENT TOTAL: $9,500.00 $7,703.75 $7,703.75 $0.00 $0.00
Attachment 3 Itemized Service Budget (ISB) Workbook
Contract Period: 7/1/23 - 6/30/24
7. MATERIALS AND SUPPLIES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Program Supplies Yearly program supply budget X 35% for DVS $5,500.00 $5,500.00 $5,500.00 $0.00 $0.00 Office Supplies Yearly office supply budget X 35% for DVS $3,040.00 $2,200.00 $2,200.00 $0.00 $0.00 Software Yearly software budget X 35% for DVS $2,493.65 $2,281.00 $2,281.00 $0.00 $0.00 Marketing Yearly marketing budget X 35% for DVS $798.00 $798.00 $798.00 $0.00 $0.00 Licences Yearly licenses budget X 35% for DVS $950.00 $872.00 $872.00 $0.00 $0.00 Memberships Yearly memberships budget X 35% for DVS $2,280.00 $280.00 $280.00 $0.00 $0.00 Printing Yearly printing budget X 35% for DVS $190.00 $130.00 $130.00 $0.00 $0.00 Postage Yearly postage budget X 35% for DVS $304.00 $232.00 $232.00 $0.00 $0.00 Medical Supplies Yearly medical budget X 35% for DVS $125.00 $125.00 $125.00 $0.00 $0.00 Housekeeping Yearly housekeeping budget X 35% for DVS $10,000.00 $7,500.00 $7,500.00 $0.00 $0.00 Staff Appreciation Yearly staff budget X 35% for DVS $1,750.00 $1,582.00 $1,582.00 $0.00 $0.00 Groceries Yearly grocery budget X 35% for DVS $16,000.00 $16,000.00 $16,000.00 $0.00 $0.00
TOTAL MATERIALS AND SUPPLIES TOTAL: $43,430.65 $37,500.00 $37,500.00 $0.00 $0.00
8. OPERATING SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Gas Yearly gas budget X 35% for DVS $1,890.00 $2,025.00 $2,025.00 $0.00 $0.00
Electric Yearly electric budget X 35% for DVS $4,900.00 $3,240.00 $3,240.00 $0.00 $0.00
Water Yearly water budget X 35% for DVS $2,800.00 $2,430.00 $2,430.00 $0.00 $0.00
IT Repair and Maintenance Yearly IT budget X 35% for DVS $24,700.00 $13,126.32 $13,126.32 $0.00 $0.00 Vehicle Repair Yearly Vehicle budget X 35% for DVS $6,000.00 $3,000.00 $3,000.00 $0.00 $0.00 Employment Costs Yearly employment budget X 35% for DVS $3,500.00 $1,221.00 $1,221.00 $0.00 $0.00 Telephone/Internet Yearly communication budget X 35% for DVS $3,260.00 $2,689.68 $2,689.68 $0.00 $0.00 Liability Insurance Yearly insurance budget x 35% for DVS $10,640.00 $9,768.00 $9,768.00 $0.00 $0.00
TOTAL OPERATING EXPENSES TOTAL: $57,690.00 $37,500.00 $37,500.00 $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 %
TOTAL INDIRECT COSTS TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00
SUBTOTAL ADMIN COSTS TOTAL: $635,772.65 $138,892.17 $138,892.17 $0.00 $0.00
10. VOUCHERS - FLEXIBLE FINANCIAL ASSISTANCE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Flexiable client financial assistance $7,500.00 $7,500.00 $7,500.00
TOTAL VOUCHERS TOTAL: $7,500.00 $7,500.00 $7,500.00 $0.00 $0.00
11. TOTAL SERVICE COST/DCAD TOTAL COST: $643,272.65 $146,392.17 $146,392.17 $0.00 $0.00
REVENUE SOURCES:
ADES - DCAD $146,392.17 $146,392.17 $146,392.17 $0.00 $0.00
VOCA $195,663.48
SNAP $23,577.00
NACASA $5,040.00
Navajo Nation $129,600.00
GOYFF-SASP $88,000.00
AZ BAR Foundation $5,000.00
UWNA $50,000.00
TOTAL REVENUE*: $643,272.65 $146,392.17 $146,392.17 $0.00 $0.00
*Revenue must equal the Total Costs listed in the Blue row above
| ISB |
| Budget Narrative |
File details come from the government source that posted it. Updated .