CTR070147_A1_OD2A_La_Paz_County_-_EXECUTED_with_Debarments.pdf

Elise Phalen Digitally signed by Elise Phalen DN: cn=Elise Phalen, o, ou=Arizona Attorney General's Office, email=elise.phalen@azag.gov, c=US Date: 2024.10.17 13:16:14 -07'00'

Jacqueline S.

Ortega-Avila

Digitally signed by Jacqueline S. Ortega-Avila Date: 2024.10.17 15:52:50 -07'00'

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

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

Contract No.: CTR070147 IGA Amendment No: 1 Procurement Officer:

Stacy Buske

Revised 05/29/2024

PRICE SHEET

COST REIMBURSEMENT

ACCOUNT CLASSIFICATION TOTAL BUDGET

Personnel $39,364.21

ERE $15,745.68

Professional & Outside Services $0.00

Travel $0.00

Occupancy $0.00

Other Operating $24,890.11

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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LA PAZ COUNTY

Entity Information

Unique Entity ID

H9E3F59F62J5

CAGE/NCAGE

4QHT6 Oct 15, 2025

Physical Address

1108 S Joshua AVE Parker, Arizona 85344-5735, United States

Mailing Address La Paz County Finance Department 1112 S Joshua AVE STE. 207 Parker, Arizona 85344-5735, United States

Purpose of Registration Federal Assistance Awards Only

Version

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