CTR070061 A1 Pricing.pdf
PDF 146 KB Posted
- Attached to
- Master Agreement AZ|CTR070061
- Contract number
- CTR070061
- 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, located in Phoenix, Arizona. The amendment is associated with Contract No. CTR070061, which is a cost reimbursement contract for the period of January 1st through December 31st.
The contract relates to a Well Woman program with a total annual amount not to exceed $1,028,810.60, broken down into specific line items: Personnel Services ($194,558.00), Employee Related Expenses ($33,952.00), Travel Expenses ($1,140.00), Other Operating Expenses ($705,736.00), and an Indirect Rate of 10% ($93,424.60). The contractor is authorized 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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Other files
| File | Type | Posted |
|---|---|---|
| 2025.07.01 GL AL UL WC.pdf | ||
| CTR070061 A1.pdf | ||
| 2024-07-01_COI_GL_AL_UL_WC.zip | ZIP file | |
| ADHS_Mountain_Park_Health_Center_2526_Liability_Master_Well_Woman_6-26-2025_102613627.pdf | ||
| CTR070061 A2.pdf | ||
| CTR070061_Contract_Documents.pdf | ||
| CTR070061_Pricing.xlsx | XLSX spreadsheet | |
| CTR070061 A3.pdf |
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Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR070061 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
CTR070061-01 Well Woman - Personnel Services* $194,558.00
CTR070061-02 Well Woman - Employee Related Expenses (ERE)* $33,952.00
CTR070061-04 Well Woman - Travel (In-State & Out of State) Expenses $1,140.00
CTR070061-05 Well Woman - Other Operating* $705,736.00
CTR070061-06 Well Woman - Indirect Rate and Costs *(10%) $93,424.60
TOTAL ANNUAL AMOUNT (NOT TO EXCEED) $1,028,810.60
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 .