CTR067942 A3 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 Three between the Arizona Department of Health Services, located in Phoenix, Arizona, and Apache County. The contract, numbered CTR067942, is related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), with a federal award date and contract period from October 1, 2025, to September 30, 2026.

The contract covers two service categories: WIC Services and Breastfeeding Peer Counseling Services, both under CFDA number 10.557. For WIC Services, the total budget is $190,974.00, broken down into Personnel Services ($117,732.00), Employee Related Expenses ($61,778.00), Professional & Outside Services ($1,400.00), Travel ($2,058.00), and Other Operating Expenses ($8,006.00). The Breastfeeding Peer Counseling Services portion of the contract shows $0.00 allocated across all expense categories. The contract is a cost reimbursement line item budget with no indirect costs applied (0% rate).

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Other files

File Type Posted
CTR067942 A2.pdf PDF
P.R.S. Request.pdf PDF
CTR067942 A2 Pricing.pdf PDF
CTR067942 A3.pdf PDF
CTR067942 Pricing.pdf PDF
CTR067942 A1.pdf PDF
CTR067942 A1_Pricing.pdf PDF
CTR067942_-_Apache_County_WIC_Services_-_Executed.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.: Three Procurement Officer

Emily Ngo

PRICE SHEET

October 1, 2025 to September 30, 2026

Agency Name: Apache County

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) $117,732.00 Employee Related Expenses (ERE) $61,778.00 Professional & Outside Services $1,400.00 Travel $2,058.00 Occupancy $0.00 Other Operating Expenses $8,006.00 Capital Equipment $0.00 Indirect Costs* (0%) $0.00

Total $190,974.00

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) $0.00 Employee Related Expenses (ERE) $0.00 Professional & Outside Services $0.00 Travel $0.00 Occupancy $0.00 Other Operating $0.00 Capital Equipment $0.00 Indirect Costs* (0 %) $0.00

Total $0.00

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