CTR073341_Pricing.pdf

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Attached to
AZ|CTR073341
Contract number
CTR073341
Issued by
Arizona

About this file

This document is an Annual Price Sheet for Contract No. CTR073341, involving two Arizona-based entities: AzHHA (Arizona Hospital and Healthcare Association) and AzCHER (likely an Arizona-specific healthcare or research consortium). The price sheet is a cost reimbursement budget document detailing annual financial allocations for each organization.

The price sheet outlines two separate annual budgets: AzHHA with a total annual budget not to exceed $125,000.00 and AzCHER with a total annual budget not to exceed $1,180,000.00. Both budgets are structured with line-item classifications including Personnel, Employer-Related Expenses (ERE), Professional & Outside Services, Travel, Occupancy, and Other Operating expenses. The document includes a provision allowing the Grantee to transfer up to 25% of the total budget between line items with prior written approval from the Program Manager, with transfers exceeding 25% or involving non-funded line items requiring a formal contract amendment.

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Text version

PRICE SHEET

CONTRACT NO: CTR073341

AzHHA

ANNUAL PRICE SHEET

Cost Reimbursement

Total Annual Budget Not to Exceed: $125,000.00

Cost Reimbursement Line-Item Budget

Account Classification Total Budget Personnel 55,004.21

ERE 13,751.07

Professional & Outside Services 8,359.72 Travel 0.00 Occupancy 0.00 Other Operating 47,885.00 Capital Outlay 0.00 Indirect (0%) 0.00

TOTAL ANNUAL NOT TO EXCEED AMOUNT $125,000.00

AzCHER

ANNUAL PRICE SHEET

Cost Reimbursement

Total Annual Budget Not to Exceed: $1,180,000.00

Cost Reimbursement Line-Item Budget

Account Classification Total Budget Personnel 514,200.00

ERE 146,100.00

Professional & Outside Services 136,000.00 Travel 57,932.00 Occupancy 0.00 Other Operating 325,768.00 Capital Outlay 0.00 Indirect (0%) 0.00

TOTAL ANNUAL NOT TO EXCEED AMOUNT $1,180,000.00

With prior written approval from the Program Manager, the Grantee is authorized to transfer up to a maximum of twenty-five (25%) of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding twenty-five (25%) or to a non-funded line item shall require an amendment.

OFFER
Please note that if any of the following apply to this Solicitation, Contract, or Grantee, then the Offeror shall select the “Exempt Solicitation, Contract, or Grantee” option below:
In compliance with A.R.S. § 35-393 et seq., all offerors must select one of the following:
☐ Exempt Solicitation, Contract, or Grantee.
Please note that if any of the following apply to the Grantee, then the Offeror shall select the “Exempt Grantee” option below:
Pursuant to A.R.S. § 35-394, written certification is required to show that the company entering into a contract with a public entity does not use the forced labor, or any goods or services produced by the forced labor, of ethnic Uyghurs in the People...
In compliance with A.R.S. §§ 35-394 et seq., all offerors must select one of the following:
☐ Exempt Grantee

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