CTR070145_A1_OD2A_Mohave_County_-EXECUTED_with_Debarment.pdf

Elise Phalen Digitally signed by Elise Phalen DN: cn=Elise Phalen, o=Arizona Attorney General's Office, ou, email=elise.phalen@azag.gov, c=US Date: 2024.09.26 10:33:31 -07'00'

3rd October

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007

Contract No.: CTR070145 IGA Amendment No: 1 Procurement Officer:

Stacy Buske

Revised 05/29/2024

PRICE SHEET

COST REIMBURSEMENT

ACCOUNT CLASSIFICATION TOTAL BUDGET

Personnel $25,958,.00

ERE $9,183.00

Professional & Outside Services $283.00 Travel $7,100.00 Occupancy $0.00 Other Operating $37,476.00 Capital Outlay $0.00

TOTAL (ANNUAL NOT TO EXCEED) $80,000.00

With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.

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COUNTY OF MOHAVE

Entity Information

Unique Entity ID

KKE6CJTM8CS1

CAGE/NCAGE

37FX0 Aug 1, 2025

Physical Address

700 W Beale ST Kingman, Arizona 86401-5711, United States

Mailing Address P.O. Box 7000 Kingman, Arizona 86402-7000, United States

Purpose of Registration Federal Assistance Awards Only

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