CTR070294 A3 Pricing.pdf

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Attached to
Master Agreement AZ|CTR070294
Contract number
CTR070294
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 by the number CTR070294 and involves a cost reimbursement arrangement with a county government entity for a specific budget period.

The amendment covers a budget period from September 1st to August 31st, with a total annual contract value not to exceed $41,818.00. The budget is broken down into several line items, including $32,500.00 for Professional and Outside Services, $2,895.00 for Travel, and $1,943.00 for Other Operating expenses. An indirect rate of 11.99% is applied, amounting to $4,480.00. The county is authorized to transfer up to 25% of the total budget between line items with prior written approval from the ADHS Program Manager, with transfers exceeding this percentage or involving non-funded line items requiring a formal contract 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.: CTR070294 IGA Amendment No: 3 Procurement Officer:

Elizabeth Syms

Revised 05/29/2024

REVISED PRICE SHEET

BUDGET PERIOD SEPTEMBER 1ST – AUGUST 31ST

COST REIMBURSEMENT

Annual Price Sheet

ACCOUNT CLASSIFICATION LINE-ITEM TOTALS

Personnel Services $0.00

Employee Related Expenses $0.00

Professional and Outside Services* $32,500.00

Travel* $2,895.00

Occupancy $0.00

Other Operating* $1,943.00

Capital Outlay $0.00

*Indirect Rate and Costs (11.99%) $4,480.00

TOTAL ANNUAL (NOT TO EXCEED): $41,818.00

*Indicated indirect rate calculation

With prior written approval from the ADHS Program Manager, the County is authorized to transfer up to a maximum of twenty-five percent (25%) of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding twenty-five percent (25%) or to a non-funded line item shall require an amendment. The County should reach out to the ADHS Program Manager before the end of the 3rd quarter, so that a timely amendment can be processed by ADHS.

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