CTR066208_Contract_Amendment_1.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

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

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR066208 One (1)

DESCRIPTION/ LABEL: Domestic Violence - Statewide

CONTRACTOR NAME: Victim Witness Services for Coconino County

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 revised from $180,936.68 to $230,936.68.

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 AGENCY NAME: Victim Witness Services for Coconino County

FACILITY NAME(S):

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 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

2 0.60 Satellite Advocate $100,139 15% + 45% = 60% $100,139.20 $0.00 2 0.74 Williams & Misdemeanor Advocate $108,577 25% + 35% = 60% $108,576.54 $80,455.22 $80,455.22 2 0.25 Crisis Advocate $100,139 8% + 17% = 25% $100,139.20 $25,034.80 $25,034.80 1 0.30 Felony Advocate $56,313 10% + 20% = 30% $56,312.99 $16,893.90 $16,893.90 1 0.50 Advocate Supervisor & Training $58,942 10% + 40% = 50% $58,942.00 $0.00 1 0.40 Victim Advocate (no rehire) $50,070 13% + 27% = 40% $0.00 1 0.25 Executive Director $94,000 25% + 0% = 25% $94,000.00 $0.00 1 0.25 Administrative Assistant $41,052 25% + 0% = 25% $41,052.43 $0.00 1 0.25 HR Director $54,201 25% + 0% = 25% $54,201.25 $0.00 1 0.25 Advocate Assistant $28,571 15% + 10% = 25% $28,570.88 $0.00

TOTAL PERSONNEL TOTAL: $641,934.49 $122,383.92 $0.00 $122,383.92 $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 25% $30,595.98 $30,595.98 $30,595.98

TOTAL EMPLOYEE RELATED EXPENSES TOTAL: $30,595.98 $30,595.98 $0.00 $30,595.98 $0.00

3. PROFESSIONAL AND OUTSIDE SERVICES TOTAL TOTAL DCAD DCAD DCAD

SERVICE DCAD SHELTER MCBA TH

ITEM BASIS COST COST COST COST COST

Yearly Audit Yearly audit 10/27 staff $15,300.00 $0.00 Accounting Accounting, $3000/month 10/27 staff $36,000.00 $0.00 IT IT services, $5110/month 10/27 staff $61,320.00 $0.00 Counselor - Adult Support Groups 6 week sessions, 6 per year $7,908.00 $7,908.00 $7,908.00 Facilitator- Child Support Groups 6 week sessions, 6 per year $3,600.00 $3,600.00 $3,600.00

TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: $124,128.00 $11,508.00 $0.00 $11,508.00 $0.00

4. TRAVEL TOTAL TOTAL DCAD DCAD DCAD

SERVICE DCAD SHELTER MCBA TH

ITEM BASIS COST COST COST COST COST

Employee Mileage Average 1500 miles/month $0.445/mile $3,604.50 $0.00

TOTAL TRAVEL TOTAL: $3,604.50 $0.00 $0.00 $0.00 $0.00

5. SPACE TOTAL TOTAL DCAD DCAD DCAD

SERVICE DCAD SHELTER MCBA TH

ITEM BASIS COST COST COST COST COST

Rent Page office, $1645/month 1/2 advocates $19,740.00 $0.00 Rent Flagstaff office, $5018.88/month 10/18 staff $50,626.56 $0.00 Rent Williams office, $2000/month 1 staff, 80% of time $24,000.00 $0.00

TOTAL SPACE TOTAL: $94,366.56 $0.00 $0.00 $0.00 $0.00

TOTAL DCAD DCAD DCAD

6. EQUIPMENT SERVICE SHELTER MCBA TH

COST COST COST COST

ITEM BASIS

Laptop for Page Advocate 1 laptop at $2000 to include IT set up $2,000.00 $0.00

TOTAL EQUIPMENT TOTAL: $2,000.00 $0.00 $0.00 $0.00 $0.00

Exhibit B 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

Cell phones for advocates $41.25 per month per phone $4,950.00 $0.00 Adult support group supplies (curriculum, etc) 6 week sessions, 6 per year $1,800.00 $0.00 Child support group supplies 6 week sessions, 6 per year $1,800.00 $0.00 End of session support group supplies 6 week sessions, 6 per year $1,800.00 $0.00

TOTAL MATERIALS AND SUPPLIES TOTAL: $10,350.00 $0.00 $0.00 $0.00 $0.00

8. OPERATING SERVICES TOTAL TOTAL DCAD DCAD DCAD

SERVICE DCAD SHELTER MCBA TH

ITEM BASIS COST COST COST COST COST

Staff training $1055.84/advocate/year $10,558.42 $0.00

TOTAL OPERATING EXPENSES TOTAL: $10,558.42 $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% $16,448.78 $16,448.78 $16,448.78

TOTAL INDIRECT COSTS TOTAL: $16,448.78 $16,448.78 $0.00 $16,448.78 $0.00

SUBTOTAL ADMIN COSTS TOTAL: $933,986.73 $180,936.68 $0.00 $180,936.68 $0.00

10 VOUCHERS - FLEXIBLE FINANCIAL ASSISTANCE TOTAL TOTAL DCAD DCAD DCAD

SERVICE DCAD SHELTER MCBA TH

ITEM BASIS COST COST COST COST COST

Flexible financial assistance for clients $60,000.00 $50,000.00 $50,000.00

TOTAL VOUCHERS TOTAL: $60,000.00 $50,000.00 $0.00 $50,000.00 $0.00

11. TOTAL SERVICE COST/DCAD TOTAL COST: $993,986.73 $230,936.68 $0.00 $230,936.68 $0.00

REVENUE SOURCES:

ADES - DCAD $230,936.68 $230,936.68 $0.00 $230,936.68 $0.00

VOCA $670,050.05

Coconino County $50,000.00

OVC $2,000.00

City of Flagstaff $41,000.00

TOTAL REVENUE*: $993,986.73 $230,936.68 $0.00 $230,936.68 $0.00

*Revenue must equal the Total Costs listed in the Blue row above

Fiancial assistance for survivors to address financial barriers interfering with the ability to create safe and stable lives (e.g., rent, secuity deposits, counseling, basic and personal needs, temporary childcare)

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ENTITY INFORMATION

Search Date and Time: 3/20/2024 6:22:42 PM

Entity Details

Entity Name:

VICTIM WITNESS SERVICES FOR COCONINO COUNTY

Entity ID:

01709830

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

12/6/1984

Reason for Status:

In Good Standing

Approval Date:

12/17/1984

Status Date:

10/24/2023

Original Incorporation Date:

12/6/1984

Life Period:

Perpetual

Business Type:

Other - Victim Witness Services for Coconino County

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

10/6/2024

Years Due:

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Title Name Attention Address Date of Taking Office

Last Updated

President Kari Watson

VICTIM/WITNESS SERVICES 201

E. BIRCH AVENUE SUITE 4,

FLAGSTAFF, AZ, 86001, Coconino County, USA

11/19/2020 10/5/2022

Director

RICHARD

DAVIS

201 E BIRCH AVE STE 4,

FLAGSTAFF, AZ, 86001, Coconino County, USA

1/26/2014 10/5/2022

Director Jeanee Sabal Greene

VICTIM/WITNESS SERVICES 201

E. BIRCH AVENUE SUITE 4,

FLAGSTAFF, AZ, 86001, Coconino County, USA

1/21/2021 10/5/2022

Original Publish Date:

4/12/1985

Statutory Agent Information

Name:

MANGUM WALL STOOPS AND WARDEN

Appointed Status:

Active

Attention:

Address:

100 N ELDEN ST , FLAGSTAFF, AZ 86001, USA

Agent Last Updated:

10/24/2023

E-mail:

Attention:

Mailing Address:

County:

Coconino

Principal Information

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Title Name Attention Address Date of Taking Office

Last Updated

Director Leslie Gilmore

VICTIM/WITNESS SERVICES 201

E. BIRCH AVENUE SUITE 4,

FLAGSTAFF, AZ, 86001, Coconino County, USA

10/5/2017 10/5/2022

Director Sahmie Lomahquahu

323 North Leroux St #100, FLAGSTAFF, AZ, 86001, Coconino County, USA

9/17/2020 10/5/2022

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Address: 201 E. BIRCH AVENUE SUITE 4, FLAGSTAFF, AZ, 86001, USA

County: Coconino

Last Updated: 12/5/2016

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VICTIM WITNESS SERVICES

FOR COCONINO COUNTY

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C1D8Y5JLE237

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5EDU7 May 15, 2024

Physical Address 201 E Birch AVE STE 4 Flagstaff, Arizona 86001-5215, United States

Mailing Address 201 E Birch AVE Suite 4 Flagstaff, Arizona 86001-5215, United States

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File ID:

9275853

Name:

Victim Witness Services for Northern Arizona

Business Address:

201 E Birch Ave Suite Ste 4 Flagstaff, Arizona 86001

Mailing Address:

201 E Birch Ave Suite Ste 4 Flagstaff, Arizona 86001

Nature of Business:

Social Services Nonprofit

Date of First Use:

March 25, 2022

Date Registered:

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April 14, 2022

Expiration Date:

April 14, 2027

Applicants:

Victim Witness Services for Coconino County Arizona Corporation

Registration Information:

Registration Received:

April 14, 2022 Expires: April 14, 2027

Correspondence History:

Trade Name Application: Filed: April 14, 2022

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