CTR070160 A3 Pricing.pdf

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Attached to
Master Agreement AZ|CTR070160
Contract number
CTR070160
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement (IGA) Amendment No. 3 issued by the Arizona Department of Health Services (ADHS), Office of Procurement, located in Phoenix, Arizona. The contract is identified as CTR070160 and involves a cost reimbursement agreement with a specific county government entity.

The agreement covers a budget period from September 1st to August 31st, with a total annual not-to-exceed amount of $83,636.00. The budget is broken down into several line items, including Personnel Services ($25,483.70), Employee Related Expenses ($8,919.30), Travel ($150.00), and Other Operating expenses ($38,174.00). An indirect rate of 14.99% is applied, totaling $10,909.00. The county is permitted 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

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

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

Contract No.: CTR070160 IGA Amendment No: 3 Procurement Officer:

Elizabeth Syms

Revised 05/29/2024

REVISED PRICE SHEET

BUDGET PERIOD SEPTEMBER 1ST – AUGUST 31ST

COST REIMBURSEMENT

ACCOUNT CLASSIFICATION LINE-ITEM TOTALS

Personnel Services* $25,483.70

Employee Related Expenses* $8,919.30

Professional and Outside Services $0.00

Travel* $150.00

Occupancy $0.00

Other Operating* $38,174.00

Capital Outlay $0.00

*Indirect Rate and Costs (14.99%) $10,909.00

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

*Indicated indirect rate calculation

**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.

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