CTR070145 A2 Pricing.pdf

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Attached to
Master Agreement AZ|CTR070145
Contract number
CTR070145
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment No. 2 issued by the Arizona Department of Health Services (ADHS), Office of Procurement, located in Phoenix, Arizona. The contract is identified by the number CTR070145 and involves a cost reimbursement arrangement between ADHS and a county government entity.

The amendment details an annual price sheet with a total budget not to exceed $80,000.00, broken down into several line items: Personal Services ($25,958.00), Employee Related Expenses ($9,183.00), Professional & Outside Services ($283.00), Travel ($7,100.00), Other Operating ($37,476.00), with zero allocations for Occupancy and Capital Outlay (Equipment). The agreement allows the county to transfer up to 10% 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. The document is dated and revised on 05/29/2024, with Nathaniel Thomas listed as the Procurement Officer.

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Text version

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: 2 Procurement Officer:

Nathaniel Thomas

Revised 05/29/2024

COST REIMBURSEMENT

Annual Price Sheet

ACCOUNT CLASSIFICATION LINE-ITEM TOTALS

Personal Services $25,958.00

Employee Related Expenses $9,183.00

Professional & Outside Services $283.00

Travel $7,100.00

Occupancy $0.00

Other Operating $37,476.00

Capital Outlay (Equipment) $0.00

TOTAL ANNUAL (NOT TO EXCEED): $80,000.00

**The County 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.

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