CTR067927 A1.pdf

2 MB Posted

Attached to
Master Agreement AZ|CTR067927
Contract number
CTR067927
Issued by
Arizona

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Summary

This is IGA Amendment One (1) to Intergovernmental Agreement Contract No. CTR067927 between the Arizona Department of Health Services and Greenlee County Health Department. The amendment was signed on December 11, 2024, and is effective for the period October 1, 2024 through September 30, 2025. The agreement is administered by procurement officer Kailee Gray at the Arizona Department of Health Services, with the contractor being Greenlee County Health Department located at 253 5th Street, Clifton, Arizona 85533. Matt Bollinger serves as the authorized representative for the contractor. The amendment revises the Price Sheet and updates Exhibit A regarding 2 CFR 200.332 pass-through entity requirements, with all changes highlighted in red.

The agreement provides cost reimbursement funding for WIC and BFPC Services under CFDA number 10.557 (Special Supplemental Nutrition Program for Women, Infants, and Children). The revised budget for WIC Services totals $119,624.00, comprised of Personnel Expenses ($89,725.00), Employee Related Expenses ($18,318.00), Travel Expense ($3,672.00), and Other Operating Expenses ($7,911.00). The Breastfeeding Peer Counseling Services budget is $0.00. Federal funding is derived from the U.S. Department of Agriculture, Food and Nutrition Service (USDA FNS). The assigned caseload for FFY 2025 is 200 participants. The contractor may transfer up to 10 percent of total budget between funded line items with prior written approval from the Program Manager, and ADHS reserves the right to adjust awards based on federal dollars received. Additional administrative monies may increase the purchase order and contract total if available through state or federal grants.

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Other files

File Type Posted
CTR067927 Amendment 1.pdf PDF
CTR067927 Pricing A2.pdf PDF
Greenlee County Debarments.pdf PDF
CTR067927 - Greenlee County WIC Services (Executed).pdf PDF
CTR067927 Amendment 2.pdf PDF
CTR067927 A2.pdf PDF
CTR067927 Pricing A1.pdf PDF
CTR067927 Pricing.pdf PDF
PRS-ed1f343e.pdf PDF
CTR067927 A3.pdf PDF
CTR067927 Pricing A3.pdf PDF
Show all 11

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BUSINESS INFORMATION

BOARD OF SUPERVISORS

OF GREENLEE COUNTY

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EN23K4DJHWK8

CAGE/NCAGE

3LCS1 Mar 11, 2025

Physical Address

253 5TH ST

Clifton, Arizona 85533, United States

Mailing Address P. O. Box 908 Clifton, Arizona 85533-0908, United States

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Congressional District Arizona 06

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Activation Date Mar 14, 2024

Submission Date Mar 11, 2024

Initial Registration Date Oct 29, 2003

Entity Start Date Jan 2, 1911

Fiscal Year End Close Date Jun 30

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ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code 3LCS1

POINTS OF CONTACT

Electronic Business

Accepts Credit Card Payments No

Debt Subject To Offset No

Primary Point of Contact

Matt Bolinger, Greenlee County

Address P. O. Box 936 Clifton, Arizona 85533-0908 United States

Alternate Point of Contact

Rene Ontiveros Ontiveros

Address P. O. Box 908 Clifton, Arizona 85533-0908 United States https://sam.gov/entities/view/EN23K4DJHWK8/coreData?status=Active&emrKeyValue=1326497~1710186837030523 4/6

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Matt Bolinger, Greenlee County

Address P.O. Box 936 Clifton, Arizona 85533-0908 United States

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