CTR066205_Contract_Amendment_1.pdf
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- Attached to
- Master Agreement AZ|CTR066205
- Contract number
- CTR066205
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security for Contract Number CTR066205, involving the Tohdenasshai Committee Against Family Abuse, Inc. The amendment pertains to a Domestic Violence - Statewide service contract, specifically for the Tohdenasshai Shelter Home located in Kayenta, Arizona.
The amendment increases the contract reimbursement ceiling from $302,646.24 to $327,646.24 for the contract period of July 1, 2023 through June 30, 2024. The budget covers various operational expenses including personnel, employee-related expenses, professional services, travel, space, equipment, materials, and supplies. The primary funding source is ADES (Arizona Department of Economic Security), with additional revenue from the Navajo Nation Division of Social Services and the Arizona Department of Housing. The budget includes allocations for critical services such as shelter operations, crisis advocacy, flexible financial assistance, and support for domestic violence survivors, with funds designated for items like office supplies, staff salaries, utilities, and direct client assistance.
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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:
CTR066205 One (1)
DESCRIPTION/ LABEL: Domestic Violence - Statewide
CONTRACTOR NAME: Tohdenasshai Committee Against Family Abuse, Inc.
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 for the period of July 1, 2023 through June 30, 2024. The contract reimbursement ceiling is increased from $302,646.24 to $327,646.24.
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.
Tohdenasshai Committee Against Family Abuse P.O. Box 1510 Kayenta, AZ 86033
CONTRACT SERVICE: Domestic Violence - Statewide AGENCY NAME: Tohdenasshai Committee Against Family Abuse FACILITY NAME(S): Tohdenasshai Shelter Home
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 services at multiple locations, please list the name of the facility next to each budget line item and group them together.
1. PERSONNEL DCAD DCAD
Mobile &
Community Transitional
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 Shelter Director 59384/50% 90%+10%=100% $59,384.00 $29,692.00 $29,692.00 1 1.00 Admin Assistant Manager 48360/50% 90%+10%=100% $48,360.00 $24,180.00 $24,180.00
1.00 Lead Shelter Crisis Advocate 44200/50% 0%+100%=100% $44,200.00 $22,100.00 $22,100.00
1.00 Certified Child/Parent Trainer 18200.00/50% 0%=100%=100% $18,200.00 $9,100.00 $9,100.00
3.00 3 Shelter Crisis Advocates 107640/50% 0%+100%=100% $107,640.00 $53,820.00 $53,820.00
3.00 3 Residential Aides/Data Tech 88920/50% 0%=100%=100% $88,920.00 $44,460.00 $44,460.00
TOTAL PERSONNEL TOTAL: $366,704.00 $183,352.00 $183,352.00 $0.00 $0.00
*A = % Administrative Functions D = % Direct Service Functions
2. EE RELATED EXPENSES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
4.5 FICA 1.45% x 366704.00=5317.21 $5,317.21 $2,658.61 $2,658.61
4.5 MEDICARE 6.2% x 366704.00= 22735.65 $22,735.65 $11,367.83 $11,367.83
4.5 COMPANY MATCH 7.65% x 366704.=28052.86 $28,052.86 $14,026.43 $14,026.43
4.5 ERE Health 4.7% x 366704=16868.38 $16,868.38 $8,434.19 $8,434.19
4.5 Workmen's Comp 2% x 366704.=7334.08 $7,334.08 $3,667.04 $3,667.04
TOTAL EMPLOYEE RELATED EXPENSES TOTAL: $80,308.18 $40,154.10 $40,154.10 $0.00 $0.00
3. AL AND OUTSIDE SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
1 Annual Audit 15500 x 50%=7750.00 $15,500.00 $7,750.00 $7,750.00 1 Traditional Navajo Practioner 3000 x 50%=1500 $3,000.00 $1,500.00 $1,500.00 1 Staff Training/In-service consultants 4 x 500=2000 $2,000.00 $2,000.00 $2,000.00 1 Pest Control Services 1500 $1,500.00 $1,500.00 $1,500.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: $22,000.00 $12,750.00 $12,750.00 $0.00 $0.00
4. TRAVEL TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
1 Administrative Travel 4000 mi x .585=2340 $4,680.00 $2,340.00 $2,340.00 1 Resident Transport Assistance 15000 mi x .585=8775 $17,550.00 $8,775.00 $8,775.00
TOTAL TRAVEL TOTAL: $22,230.00 $11,115.00 $11,115.00 $0.00 $0.00
5. SPACE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
1 Propane/Heating Expense 450x 3 bldg x 12 mos=16200 $16,200.00 $8,100.00 $8,100.00 1 Electric/Water 620 x 3 bldg x 12=22320 $22,320.00 $11,160.00 $11,160.00 1 On-Call Maintenance Person 220 x 12 =2640 $5,280.00 $5,280.00 $5,280.00
TOTAL SPACE TOTAL: $43,800.00 $24,540.00 $24,540.00 $0.00 $0.00
TOTAL TOTAL DCAD DCAD DCAD
6. EQUIPMENT SERVICE DCAD SHELTER MCBA TH
COST COST COST COST COST
ITEM BASIS
1 Copier Machine Rental 194. x12 =2328.00 $4,656.00 $2,328.00 $2,328.00 1 Trash Bin Rental 320 x 12= 3840 $7,680.00 $3,840.00 $3,840.00 1 2 PC Computer purchase 2 x 1350=2700 $5,400.00 $2,700.00 $2,700.00
TOTAL EQUIPMENT TOTAL: $17,736.00 $8,868.00 $8,868.00 $0.00 $0.00
Exhibit B Itemized Service Budget (ISB) Workbook
Contract Period: 7/1/23 - 6/30/24
Tohdenasshai Committee Against Family Abuse P.O. Box 1510 Kayenta, AZ 86033
7. RIALS AND SUPPLIES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
1 Office/Janitorial Supplies 350 x 8 =2800 $5,600.00 $2,800.00 $2,800.00 1 Arts & Crafts 150 x 6 =900 $1,800.00 $900.00 $900.00 1 House Hold Goods 950 x 4=3800 $5,208.72 $2,604.36 $2,604.36 1 Food Supplies 550 x 12=6600 $13,200.00 $6,144.78 $6,144.78
TOTAL MATERIALS AND SUPPLIES TOTAL: $25,808.72 $12,449.14 $12,449.14 $0.00 $0.00
8. RATING SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
1 Intuit Quick books Payroll 42 x 12 mos=504 $1,008.00 $504.00 $504.00 1 Osnium Software 1 x 250=250 $250.00 $250.00 $250.00 1 Telephone/Internet Service 620 x 12=7440 $14,880.00 $7,440.00 $7,440.00 1 Satelite TV Service 102 x 12=1224 $2,468.00 $1,224.00 $1,224.00
TOTAL OPERATING EXPENSES TOTAL: $18,606.00 $9,418.00 $9,418.00 $0.00 $0.00
9 NDIRECT COSTS TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Indirect Costs De Minimus Indirect Cost Rate Federal Indirect Cost Rate of %
TOTAL INDIRECT COSTS TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00
SUBTOTAL ADMIN COSTS TOTAL: $772,646.24 $302,646.24 $302,646.24 $0.00 $0.00
10 EXIBLE FINANCIAL ASSISTANCE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
1 Flexible Financial Assistance $8,500.00 $8,500.00 $8,500.00 1 Vital Records/Doc. Replacement $2,500.00 $2,500.00 $2,500.00 1 Deposit Assistance $7,500.00 $7,500.00 $7,500.00 1 Utility Assistance $6,500.00 $6,500.00 $6,500.00
TOTAL VOUCHERS TOTAL: $25,000.00 $25,000.00 $25,000.00 $0.00 $0.00
11. TOTAL SERVICE COST/DCAD TOTAL COST: $797,646.24 $327,646.24 $327,646.24 $0.00 $0.00
REVENUE SOURCES:
ADES - DCAD $327,646.24 $327,646.24 $327,646.24 $0.00 $0.00
Navajo Nation Division Of Social Service $220,000.00 AZ Dept Of Hsg $250,000.00
(Enter Revenue Source) (Enter Revenue Source)
TOTAL REVENUE*: $797,646.24 $327,646.24 $327,646.24 $0.00 $0.00
*Revenue must equal the Total Costs listed in the Blue row above
| Amendment #1 [Add $25k].pdf |
| ISB FINAL 3.23.24.pdf |
| ISB |
File details come from the government source that posted it. Updated .