CTR070294_A1_OD2A_Santa_Cruz_County_-_EXECUTED_with_Debarment.pdf

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Attached to
Master Agreement AZ|CTR070294
Contract number
CTR070294
Issued by
Arizona

About this file

This is an Intergovernmental Agreement (IGA) Amendment between the Arizona Department of Health Services' Office of Procurement and Santa Cruz County, specifically related to the CDC Overdose Data to Action - OD2A-S program. The amendment involves multiple government entities, including the Arizona Attorney General's Office, which reviewed and approved the contract. Signatories include representatives from Santa Cruz County, the Arizona Department of Health Services, and the Arizona Attorney General's Office.

The amendment modifies the original contract by revising the Price Sheet and adjusting the contract term to align with funding dates, extending the period from January 1, 2024 to December 31, 2029. The total annual budget is set at $40,000.00, with $36,363.64 allocated to Professional & Outside Services, $3,636.36 for indirect costs (10%), and $0 across other budget categories such as Personnel, ERE, Travel, Occupancy, Other Operating, and Capital Outlay. The contract allows for budget transfers up to 10% between line items with prior written approval from the Program Manager, with transfers exceeding 10% or to non-funded line items requiring a formal amendment.

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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 10:32:39 -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.: CTR070294 IGA Amendment No: 1 Procurement Officer:

Stacy Buske

Revised 05/29/2024

PRICE SHEET

COST REIMBURSEMENT

ACCOUNT CLASSIFICATION TOTAL BUDGET

Personnel $0.00

ERE $0.00

Professional & Outside Services* $36,363.64 Travel $0.00 Occupancy $0.00 Other Operating $0.00 Capital Outlay $0.00 *Indirect (10%) $3,636.36

TOTAL (ANNUAL NOT TO EXCEED) $40,000.00

*Indicated indirect rate calculation

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 SANTA CRUZ

Entity Information

Unique Entity ID

UVLVR8CN2FM4

CAGE/NCAGE

3VNJ3 Aug 26, 2025

Physical Address

2150 Congress DR

STE 118

Nogales, Arizona 85621-1090, United States

Mailing Address 2150 N Congress DR STE 118 Nogales, Arizona 85621-1090, United States

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CTR070294 A1 OD2A Santa Cruz County - EXECUTED
CTR070294 A1 OD2A Santa Cruz County - AG Signed
CTR070294 A1 OD2A Santa Cruz County For Signature
10-09-24 Debarment OIG CTR070294
10-09-24 Debarment SAM CTR070294

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