CTR067942 A1_Pricing.pdf

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Attached to
Master Agreement AZ|CTR067942
Contract number
CTR067942
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment No. 1 between the Arizona Department of Health Services (ADHS) and Apache County, related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The contract is numbered CTR067942 and involves a federal award under CFDA number 10.557, with the procurement officer identified as Kailee Gray.

The amendment covers WIC Services and Breastfeeding Peer Counseling Services for the period of October 1, 2023 to September 30, 2024. The total budget for WIC Services is $108,152.00, broken down into personnel costs of $71,464.00, employee-related expenses of $31,762.00, travel expenses of $1,443.00, and other operating expenses of $3,483.00. The contract allows for up to 10% budget transfers between funded line items with prior written approval, and ADHS reserves the right to adjust awards based on federal funding. The assigned caseload for Federal Fiscal Year 2024 is 400 participants, with the potential to increase the purchase order and number of participants if additional administrative funds become available through state or federal grants.

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Other files

File Type Posted
CTR067942 A2 Pricing.pdf PDF
CTR067942 A3 Pricing.pdf PDF
CTR067942 A3.pdf PDF
CTR067942 Pricing.pdf PDF
CTR067942 A1.pdf PDF
CTR067942_-_Apache_County_WIC_Services_-_Executed.pdf PDF
CTR067942 A2.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.: CTR067942 IGA Amendment No: 1 Procurement Officer

Kailee Gray

PRICE SHEET

October 1, 2023 to September 30, 2024 Agency Name: Apache 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 $71,464.00 Employee Related Expenses $31,762.00 Professional & Outside Services $0.00 Travel Expense $1,443.00 Occupancy Expenses $0.00 Other Operating Expenses $3,483.00 Capital Expenditures $0.00 Indirect Cost $0.00

Total $108,152.00

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

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT

OF HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

Contract No.: CTR067942 IGA Amendment No: 1 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.

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: 400

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