CTR074629_Price_sheet.pdf

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Attached to
Master Agreement AZ|CTR074629
Contract number
CTR074629
Issued by
Arizona

About this file

This document is an Intergovernmental Agreement Price Sheet for Contract Number CTR074629, revised on 5.16.24, specifically a cost reimbursement pricing document for the period of October 1, 2024 through September 30, 2025. While the specific agencies are not fully detailed, the document appears to involve ADHS (likely Arizona Department of Health Services) as the contracting entity.

The price sheet outlines a total annual budget not to exceed $186,726.42, broken down across various expense categories including Personnel Expenses ($68,271.00), Employee Related Expenses ($27,232.00), Professional & Outside Services ($38,560.00), Travel Expense ($7,003.00), Occupancy Expenses ($1,413.00), and Other Operating Expenses ($18,784.00). The contract includes an indirect cost rate of 15.79% ($25,463.42) and no allocated Capital Outlay Expenses. The contractor is authorized to transfer up to 20% between line items with written ADHS program representative approval, with transfers exceeding 20% or involving non-funded line items requiring a formal Agreement Amendment.

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Other files

File Type Posted
CTR074629 Contract amendment No. 1.pdf PDF
CTR074629 OIG.pdf PDF
CTR074629 Pricing A1.pdf PDF
CTR074629 PRS.pdf PDF
CTR074629 SAM.pdf PDF
CTR074629_Executed_PDF.pdf PDF

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Text version

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT

PRICE SHEETCTR074629

Revised 5.16.24 Page 27 of 28

PRICE SHEET

Cost Reimbursement October 1, 2024- September 30, 2025

Service Description Rate

Personnel Expenses* $68,271.00

Employee Related Expenses* $27,232.00

Professional & Outside Services* $38,560.00

Travel Expense* $7,003.00

Occupancy Expenses* $1,413.00

Other Operating Expenses* $18,784.00

Capital Outlay Expenses $0.00

Indirect Costs* (15.79%) $25,463.42

Total Annual not to exceed: $186,726.42

If applicable, the Contractor is authorized to transfer up to a maximum of twenty percent (20%) of the total budget amount between line items with the written approval from an ADHS program representative.

Transfers exceeding twenty percent (20%) or to a non-funded line item shall require an Agreement Amendment.

*Indicates indirect rate calculation

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