CTR070059 MIHS dba Valleywise (WWHP) A1 EXECUTED.pdf
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- Attached to
- Master Agreement AZ|CTR070059
- Contract number
- CTR070059
- Issued by
- Arizona
About this file
This document is a Contract Amendment (Amendment No. 1) for Contract No. CTR070059 issued by the Arizona Department of Health Services (ADHS), Office of Procurement, located in Phoenix, Arizona. The amendment involves the Maricopa County Special Health Care District DBA Valleywise Health as the contractor for the Well Woman HealthCheck Program (WWHP).
The amendment revises the annual price sheet for a cost reimbursement contract covering the period from January 1st through December 31st. The total annual contract amount is $762,070.26, which includes line items for 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 contract allows the contractor to transfer up to 10% between line items with written approval from an ADHS program representative, with transfers exceeding 10% or involving non-funded line items requiring a formal contract amendment.
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Text version
90-25-023-1-01
Gina Corwin
Digitally signed by Gina Corwin Date: 2024.09.03 14:28:52 -07'00'
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 .