CTR070103 A1 Pricing.pdf

PDF 145 KB Posted

Attached to
Master Agreement AZ|CTR070103
Contract number
CTR070103
Issued by
Arizona

About this file

This document is an Interagency Service Agreement (ISA) Amendment from the Arizona Department of Health Services (ADHS), Office of Procurement, located in Phoenix, Arizona. The document is specifically Amendment Number One (1) to Agreement Number CTR070103, with Nathaniel Thomas listed as the Procurement Officer.

The amendment details a cost reimbursement annual price sheet with a total not-to-exceed amount of $400,000.00. The budget is broken down into several line items: Personnel Services ($197,246.00), Employee Related Expenses ($56,035.00), Professional and Outside Services ($71,000.00), Travel ($7,500.00), Other Operating expenses ($16,045.00), and an indirect rate of 15% ($52,174.00). The contractor is permitted to transfer up to 10% of the total budget between line items with written approval from an ADHS Program Manager, with transfers exceeding 10% or involving non-funded line items requiring a formal Agreement Amendment.

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Other files

File Type Posted
CTR070103 ISA UofA OD2A Executed.pdf PDF
CTR070103 PRS.pdf PDF
CTR070103 Contract Amendment 1.pdf PDF
CTR070103 PRICING.pdf PDF

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Text version

INTERAGENCY SERVICE AGREEMENT (ISA)

AMENDMENT

ARIZONA DEPARTMENT

OF HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

AGREEMENT NO.: CTR070103 AMENDMENT NO.: ONE (1) Procurement Officer:

NATHANIEL THOMAS

Revised 04/08/2024

REVISED PRICE SHEET

Cost Reimbursement Annual Price Sheet

ACCOUNT CLASSIFICATION LINE-ITEM TOTAL

Personnel Services* $197,246.00

Employee Related Expenses* $56,035.00

Professional and Outside Services* $71,000.00

Travel* $7,500.00

Occupancy $0.00

Other Operating* $16,045.00

Capital Outlay (Equipment) $0.00

*Indirect Rate and Costs (15%) $52,174.00

TOTAL ANNUAL (NOT TO EXCEED) $400,000.00

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 Manager.

Transfers exceeding ten percent (10%) or to a non-funded line item shall require an Agreement Amendment.

*Indicated indirect rate calculation.

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