CTR067926 Pricing.pdf

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Master Agreement AZ|CTR067926
Contract number
CTR067926
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (Contract Number CTR067926) between the Arizona Department of Health Services (ADHS) and Graham County for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), as outlined in Exhibit A - 2 CFR 200.332. The contract is a cost reimbursement line item budget for WIC Services and Breastfeeding Peer Counseling Services, with a federal award date of October 1, 2023, under CFDA number 10.557.

The contract covers WIC Services with a total budget of $191,192.00, broken down across various expense categories including Personnel ($93,249.00), Employee Related Expenses ($51,330.00), Professional & Outside Services ($16,640.00), Travel Expense ($3,361.00), Occupancy Expenses ($18,000.00), and Other Operating Expenses ($8,612.00). The assigned caseload for Federal Fiscal Year 2024 is 900 participants. ADHS reserves the right to adjust awards based on federal funding and may increase the purchase order to expand participant services if additional administrative funds become available through state or federal grants.

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Other files

File Type Posted
CTR067926_fully_executed.pdf PDF
CTR067926 - WIC & BFPC Services (Graham County), A1 fully executed.pdf PDF
CTR067926 A2 Pricing.pdf PDF
CTR067926 A2.pdf PDF
CTR067926 A1 Pricing.pdf PDF
P.R.S. Request.pdf PDF

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Text version

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT

EXHIBIT A – 2 CFR 200.332 CTR067926

PRICE SHEET

October 1, 2023 to September 30, 2024

Agency Name: Graham County

Cost Reimbursement Line Item Budget

WIC Services

Federal Award Date: October 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

WIC Services

Account Classification Amount

Personnel $93,249.00 Employee Related Expenses $51,330.00 Professional & Outside Services $16,640.00 Travel Expense $3,361.00 Occupancy Expenses $18,000.00 Other Operating Expenses $8,612.00 Capital Expenditures $0.00 Indirect Cost $0.00

Total $191,192.00

Breastfeeding Peer Counseling Services

Federal Award Date: October 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

Breastfeeding Peer Counseling Services Account Classification

Amount

Personnel $0.00 Employee Related Expenses $0.00 Professional & Outside Services $0.00 Travel Expense $0.00 Occupancy Expenses $0.00 Other Operating Expenses $0.00 Capital Expenditures $0.00 Indirect Costs $0.00

Total $0.00

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.

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT

EXHIBIT A – 2 CFR 200.332 CTR067926

ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received.

Adjustments will be at the discretion of ADHS.

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 2024 is: 900

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