CTR067927 Pricing A3.pdf

This document is the Third Amendment to an Intergovernmental Agreement (IGA) between the Arizona Department of Health Services and Greenlee County. Contract number CTR067927 is administered by Procurement Officer Kailee Gray and covers services related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), identified by CFDA number 10.557.

The amendment establishes a price sheet for the period October 1, 2025 through September 30, 2026, with total authorized funding of $120,896.00 for WIC Services provided by Greenlee County. The budget allocation includes Personnel Services of $41,698.00, Employee Related Expenses of $10,370.00, Professional & Outside Services of $62,400.00, Travel of $1,777.00, Other Operating expenses of $4,651.00, with no charges for Occupancy, Capital Equipment, or Indirect Costs. Breastfeeding Peer Counseling Services are budgeted at $0.00 for this period. The contractor may transfer up to ten 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. The assigned caseload for FFY 2026 is 200 participants, with provisions allowing ADHS to increase purchase order amounts should additional administrative monies become available through state or federal grants.