CTR067914 A3 Pricing.pdf

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Attached to
Master Agreement AZ|CTR067914
Contract number
CTR067914
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment from the Arizona Department of Health Services, specifically Amendment Number Three (3) for Contract No. CTR067914, involving Coconino County Health and Human Services. The contract is related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), with a federal award date of October 1, 2025, and a contract period from October 1, 2025, to September 30, 2026.

The agreement covers two service categories: WIC Services and Breastfeeding Peer Counseling Services, with a total contract value of $537,526.00. The WIC Services component is budgeted at $471,026.00, which includes personnel services, employee-related expenses, professional services, travel, and other operating costs. The Breastfeeding Peer Counseling Services are allocated $66,500.00. The contract allows for up to 10% budget transfers between funded line items with prior written approval, and the assigned caseload for Federal Fiscal Year 2026 is 1,850 participants. The Arizona Department of Health Services reserves the right to adjust awards based on federal funding and may increase the purchase order if additional administrative funds become available.

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Other files

File Type Posted
CTR067914 A1.pdf PDF
CTR067914 A3.pdf PDF
CTR067914_fully_executed.pdf PDF
CTR067914 A2.pdf PDF
CTR067914 A2 Pricing.pdf PDF
CTR067914 A1 Pricing.pdf PDF
CTR067914 Pricing.pdf PDF
P.R.S. Request.pdf PDF

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Text version

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT

OF HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

Contract No.:

CTR067914

IGA Amendment No.: Three (3) Procurement Officer

Emily Ngo

PRICE SHEET

October 1, 2025 to September 30, 2026

Agency Name: Coconino County Health and Human Services

Cost Reimbursement Line-Item Budget

WIC Services

Federal Award Date: October 1, 2025 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

WIC Services Account Classification

Amount

Personnel Services (PS) $339,963.00 Employee Related Expenses (ERE) $107,483.00 Professional & Outside Services $2,020.00 Travel $7,010.00 Occupancy $0.00 Other Operating $14,550.00 Capital Equipment $0.00 Indirect Costs* (0%) $0.00

Total $471,026.00

Breastfeeding Peer Counseling Services

Federal Award Date: October 1, 2025 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

Breastfeeding Peer Counseling Services Account Classification

Amount

Personnel Services (PS) $51,071.00 Employee Related Expenses (ERE) $12,379.00 Professional & Outside Services $240.00 Travel $0.00 Occupancy $0.00 Other Operating $2,810.00 Capital Equipment $0.00 Indirect Costs* (0%) $0.00

Total $66,500.00

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT

OF HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

Contract No.:

CTR067914

IGA Amendment No.: Three (3) Procurement Officer

Emily Ngo

Additional Terms and Conditions:

With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between funded line items. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.

ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will be at the discretion of ADHS.

*Indicated indirect rate calculation

Additional WIC Program:

Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase order to increase the number of participants served and increase the total of this contract.

The assigned caseload for FFY 2026 is: 1,850

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