CTR067935 A3 Pricing.pdf
PDF 148 KB Posted
- Attached to
- Master Agreement AZ|CTR067935
- Contract number
- CTR067935
- Issued by
- Arizona
About this file
This is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services (ADHS) and Yavapai County Community Health Services. The document is Amendment Number Three to Contract Number CTR067935, with Kailee Gray listed as the Procurement Officer. The agreement is located in Phoenix, Arizona, and covers the period from October 1, 2025, to September 30, 2026.
The contract provides funding for two specific WIC (Women, Infants, and Children) program services under CFDA number 10.557. The first service, WIC Services, is budgeted at $854,998.00, with line items including Personnel Services ($479,719.00), Employee Related Expenses ($192,617.00), and Indirect Costs at 24.66% ($165,798.00). The second service, Breastfeeding Peer Counseling Services, is budgeted at $80,000.00, with similar cost classifications. The agreement allows for up to 10% budget transfers between funded line items with prior written approval and specifies an assigned caseload of 3,850 participants for Federal Fiscal Year 2026. ADHS reserves the right to adjust the award based on federal funding and may increase the contract if additional administrative funds become available.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR067935 A1.pdf | ||
| CTR067935 A2 Pricing.pdf | ||
| PRS-a6c62b23.pdf | ||
| Yavapai Debarments.pdf | ||
| CTR067935 Yavapai WIC Services Fully Executed.pdf | ||
| CTR067935 A1 Pricing.pdf | ||
| CTR067935 A2.pdf | ||
| CTR067935 A3.pdf | ||
| CTR067935 Pricing.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.:
CTR067935 IGA Amendment No.: Three (3) Procurement Officer
Kailee Gray
PRICE SHEET
October 1, 2025 to September 30, 2026
Agency Name: Yavapai County Community Health 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)* $479,719.00 Employee Related Expenses (ERE)* $192,617.00 Professional & Outside Services* $0.00 Travel* $6,542.00 Occupancy $2,124.00 Other Operating* $8,198.00 Capital Equipment $0.00 Indirect Costs* (24.66%) $165,798.00
Total $854,998.00
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)* $42,310.00 Employee Related Expenses (ERE)* $19,978.00 Professional & Outside Services $0.00 Travel* $2,352.00 Occupancy $0.00 Other Operating* $0.00 Capital Equipment $0.00 Indirect Costs* (24.66%) $15,360.00
Total $80,000,00
INTERGOVERNMENTAL AGREEMENT (IGA)
Amendment
ARIZONA DEPARTMENT
OF HEALTH SERVICES
150 18th Ave Suite 530 Phoenix, Arizona 85007
Contract No.:
CTR067935 IGA Amendment No.: Three (3) Procurement Officer
Kailee Gray
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: 3,850
File details come from the government source that posted it. Updated .