CTR070059 A1 Pricing.pdf
PDF 142 KB Posted
- Attached to
- Master Agreement AZ|CTR070059
- Contract number
- CTR070059
- Issued by
- Arizona
About this file
This document is a Contract Amendment (Amendment No. 1) issued by the Arizona Department of Health Services (ADHS), Office of Procurement, for Contract No. CTR070059. The amendment is for a cost reimbursement contract covering the period from January 1st through December 31st, with Jacqueline Ortega-Avila listed as the Procurement Officer.
The contract is for Well Woman services, with a total annual amount not to exceed $762,070.26. The budget is broken down into five line items: Personnel Services ($146,193.34), Employee Related Expenses ($46,782.00), Professional & Outside Services ($496,540.80), Travel Expenses ($3,275.00), and Indirect Rate and Costs at 10% ($69,279.12). The amendment allows the contractor to transfer up to 10% between line items with written ADHS program representative approval, with transfers exceeding 10% or involving non-funded line items requiring a formal Contract Amendment.
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Text version
CONTRACT AMENDMENT
REVISED
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR070059 AMENDMENT NO.: 1 PROCUREMENT OFFICER:
Jacqueline Ortega-Avila
Revised 04.29.2024
January 1st through December 31st
COST REIMBURSEMENT CONTRACT
REVISED ANNUAL PRICE SHEET
APP LINE ITEM ACCOUNT CLASSIFICATION LINE-ITEM TOTALS
CTR070059-01 Well Woman - Personnel Services* $146,193.34
CTR070059-02 Well Woman - Employee Related Expenses (ERE)* $46,782.00
CTR070059-03 Well Woman - Professional & Outside Services $496,540.80
CTR070059-04 Well Woman - Travel (In-State & Out of State) Expenses $3,275.00
CTR070059-08 Well Woman - Indirect Rate and Costs *(10%) $69,279.12
TOTAL ANNUAL AMOUNT (NOT TO EXCEED) $762,070.26
If applicable, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between line items with the written approval from an ADHS program representative.
Transfers exceeding ten percent (10%) or to a non-funded line item shall require a Contract Amendment.
*Indirect Rate ten percent (10%) (asterisk (*) indicates funding lines used to calculate percentage
File details come from the government source that posted it. Updated .