CTR070145 A4 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. 4 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 the state agency and a county government entity.

The amendment covers a budget period from September 1st to August 31st, with a total annual budget not to exceed $83,636.00. The budget is broken down into several line items: Personal Services ($39,264.00), Employee Related Expenses ($14,732.00), Professional & Outside Services ($283.00), Travel ($7,234.00), Other Operating ($22,123.00), with zero dollars allocated for Occupancy and Capital Outlay. The agreement allows the County to transfer up to 25% of the total budget between line items with written approval from an ADHS Program Manager, with transfers exceeding 25% or involving non-funded line items requiring a formal Agreement Amendment.

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Text version

Revised 05/29/2024

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: 4 Procurement Officer:

Elizabeth Syms

REVISED PRICE SHEET

BUDGET PERIOD SEPTEMBER 1ST – AUGUST 31ST

COST REIMBURSEMENT

ACCOUNT CLASSIFICATION LINE-ITEM TOTALS

Personal Services $39,264.00

Employee Related Expenses $14,732.00

Professional & Outside Services $283.00

Travel $7,234.00

Occupancy $0.00

Other Operating $22,123.00

Capital Outlay (Equipment) $0.00

TOTAL ANNUAL (NOT TO EXCEED): $83,636.00

**The County is authorized to transfer up to a maximum of twenty-five percent (25%) of the total budget amount between line items with the written approval from an ADHS Program Manager. Transfers exceeding twenty-five percent (25%) or to a non- funded line item shall require an Agreement Amendment.

1. BACKGROUND
2. OBJECTIVE
3. SCOPE OF SERVICE
4. REQUIREMENTS
5. FUNDING RESTRICTIONS
6. TASKS
7. STATE-PROVIDED ITEMS
8. APPROVALS
9. DELIVERABLES
CDC Overdose Data to Action (OD2A) Grant Deliverables Timeline (September 1 - August 31)

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