CTR075474_Contract_Amendment_1.pdf

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Master Agreement AZ|CTR075474
Contract number
CTR075474
Issued by
Arizona

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This document is a Contract Amendment between the Arizona Department of Economic Security (DES) and the Community Action Human Resources Agency (CAHRA), specifically Amendment Number One for Contract Number CTR075474. The contract pertains to the Community Action Services Program and covers the contract period from July 1, 2025, through June 30, 2026.

The amendment adds an initial Itemized Service Budget totaling $228,401.68, which breaks down costs across multiple categories including personnel, employer-related expenses, professional services, travel, space, equipment, materials and supplies, operating expenses, and vouchers. The budget is funded through various sources including DES-CCSD, DES-CSA, and other revenue sources. The budget allocates funds across different service types such as case management, community services, and intake, with specific line items for staff salaries, benefits, operational expenses, and program-specific vouchers. The document includes detailed cost allocations for different funding streams like LIHEAP, Navigator, SSBG, TANF, NHN, CSBG, and FERC, demonstrating a comprehensive and multi-faceted funding approach for community services.

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Exhibit_D_-_Monthly_CAPS_Household_Report.xlsx XLSX spreadsheet
Exhibit_G_-_Monthly_CCSD_Community_Action_Inquire_Tracking_Sheet.xlsx XLSX spreadsheet
Exhibit_I_-_CAA_Executive_Summary_for_A16_Activities.pdf PDF
CTR075474_Pre-Contract_Documents.pdf PDF
Exhibit_C_-_Certification_of_De_Minimis.pdf PDF
CTR075474_Contract_Amendment_2.pdf PDF
CTR075474_Scope_of_Work_Revised_via_Amendment_2.pdf PDF
CTR075474_Contract_Documents.pdf PDF
Exhibit_F_-_Monthly_Navigation_Report.xlsx XLSX spreadsheet
Exhibit_H_-_Social_Services_Block_Grant_Report.docx DOCX document
Exhibit_J_-_CAA_Executive_Summary_for_Community_Navigation.pdf PDF
CTR075474_ISB.pdf PDF
CTR075474_-_COI_and_Endorsements.pdf PDF
Exhibit_A_-_Contractor_s_Equipment_List.doc DOC document
Exhibit_B_-_Itemized_Service_Budget__ISB_.xlsx XLSX spreadsheet
Exhibit_E_-_SSBG_Post_Expenditure_Data_Report.xlsx XLSX spreadsheet
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CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR075474 ONE (1)

DESCRIPTION/ LABEL: Community Action Services Program

CONTRACTOR NAME: Community Action Human Resources Agency

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, and in accordance with the Scope of Work, Section 8, Payment, the purpose of this amendment is to add the initial Itemized Service Budget in the amount of $228,401.68 for the period of July 1, 2025 through June 30, 2026.

The Itemized Service Budget is attached as part of this amendment.

ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This Amendment shall be fully executed by means of electronic approval in APP.

ITEMIZED SERVICE BUDGET

1 PERSONNEL

Total Cost DES Cost

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

# of FTE Total Salary for the Positions Level Position Title Contract Period

1 0.44 Executive Director $84,000.00 $9,366.00 $2,874.18 -$ $532.68 $0.00 $0.00 $- $- $- 2,341.50$ -$ -$

1 0.52 Chief Financal Officer $75,000.00 $8,362.50 $3,267.28 -$ $1,176.65 $0.00 $0.00 $- $- $- 2,090.63$ -$ -$

1 0.94 Administration Officer $57,000.00 $5,983.91 $5,983.91 $3,441.71 $0.00 $0.00 $- $- $- 2,542.20$ -$ -$

1 0.47 Fiscal Assistant $51,667.20 $5,224.36 $2,721.76 $1,681.84 $0.00 $0.00 $- $- $- 1,039.92$ -$ -$

1 0.60 Receptionist $42,868.80 $4,366.11 $2,882.13 $2,004.17 $0.00 $0.00 $- $- $- 877.96$ -$ -$

1 1.00 Receptionist $19,968.00 $2,226.43 $2,226.43 $0.00 $0.00 $0.00 $- $- $- 2,226.43$ -$ -$

1 0.50 Case Mgr Assist/Receptionist $36,878.40 $3,765.63 $2,052.90 $1,230.51 $0.00 $0.00 $- $- $- 822.39$ -$ -$

1 0.30 Programs Manager-Community Service $58,614.40 $5,628.77 $699.31 $699.31 $0.00 $0.00 $- $- $- -$ -$ -$

1 0.75 Senior Case Manager $47,320.00 $3,954.95 $3,954.95 $3,451.04 $0.00 $503.91 $- $- $- -$ -$ -$

1 0.70 Case Manager $37,440.00 $2,908.35 $2,908.35 $2,551.32 $0.00 $357.03 $- $- $- -$ -$ -$

1 0.66 Case Manager $37,440.00 $2,753.57 $2,753.57 $2,273.58 $0.00 $479.99 $- $- $- -$ -$ -$

1 0.66 Case Manager $37,440.00 $2,755.86 $2,755.86 $2,276.46 $0.00 $479.40 $- $- $- -$ -$ -$

1 0.71 Case Manager $37,440.00 $2,952.14 $2,952.14 $2,952.14 $0.00 $0.00 $- $- $- -$ -$ -$

1 0.16 Case Manager $42,224.00 $4,438.12 $541.56 $232.29 $0.00 $309.27 $- $- $- -$ -$ -$

1 0.26 Case Manager $39,832.00 $4,074.81 $897.87 $248.71 $0.00 $258.21 $- $- $- 390.95$ -$ -$

1 0.43 Case Manager $37,440.00 $3,805.62 $1,794.10 $0.00 $0.00 $0.00 $- $- $- 1,794.10$ -$ -$

1 0.21 Case Manager $37,440.00 $3,790.87 $579.29 $0.00 $0.00 $146.34 $- $- $- 432.95$ -$ -$

1 0.61 Weatherization/Food Program Mgr $58,614.40 $5,542.97 $3,998.55 $0.00 $0.00 $0.00 $- $- $- 3,998.55$ -$ -$

1 0.71 Weatherization/Case Mgt Assistant $35,110.40 $3,333.86 $2,777.31 $0.00 $0.00 $0.00 $- $- $- 2,777.31$ -$ -$

1 0.00 Food Pantry Facilitator $7,462.00 $832.01 $0.00 $0.00 $0.00 $0.00 $- $- $- -$ -$ -$

$0.00 $0.00 $0.00 $0.00 $- $- $- -$ -$ -$

TOTAL PERSONNEL $0.00 $86,066.84 $48,621.45 $0.00 $24,752.41 $0.00 $2,534.15 $0.00 $0.00 $0.00 $21,334.89 $0.00 $0.00

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

ITEM

FICA 7.65% Soc Sec & Medicare x 6,584.11$ 3,719.54$ 1,893.56$ -$ 193.86$ -$ -$ -$ 1,632.12$ -$ -$

Unemployment 19 Annual Emps X 8,000 x Rate .05% 8.47$ 4.45$ 1.78$ -$ 0.33$ -$ -$ -$ 2.34$ -$ -$

Workman's Compensation 1.56% Social Service Rate 930.31$ 758.49$ 386.14$ -$ 39.53$ -$ -$ -$ 332.82$ -$ -$

Health & Life Insurance Cost 23,265.56$ 11,437.79$ 7,263.60$ -$ 779.93$ -$ -$ -$ 3,394.26$ -$ -$

Retirement Benefits Simplified Empl. Pension 2,279.23$ 1,458.66$ 742.58$ -$ 76.03$ -$ -$ -$ 640.05$ -$ -$

TOTAL EMPLOYER RELATED EXPENSES . $33,067.68 $17,378.93 $0.00 $10,287.66 $0.00 $1,089.68 $0.00 $0.00 $0.00 $6,001.59 $0.00 $0.00

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

ITEM

Audit Estimated average $3,700.00 3,672.50$ -$ $557.50 -$ -$ -$ -$ -$ 3,115.00$ -$ -$ Computer/Network Technician Estimated average $3,835.93 3,335.93$ -$ $663.43 -$ -$ -$ -$ -$ 2,672.50$ -$ -$ Payroll-COBRA Services Estimated average $700.00 678.75$ -$ $111.50 -$ -$ -$ -$ -$ 567.25$ -$ -$ Other Service/Shredder Estimated average $611.50 355.75$ -$ $55.75 -$ -$ -$ -$ -$ 300.00$ -$ -$ Consultant/Lawers Estimated average $8,500.00 8,441.20$ -$ $33.45 -$ -$ -$ -$ -$ 8,407.75$ -$ -$ Outside Office Assistance Estimated average $1,050.00 1,046.00$ -$ $55.75 -$ -$ -$ -$ -$ 990.25$ -$ -$

TOTAL PROFESSIONAL AND OUTSIDE SERVICES $18,397.43 $17,530.13 $0.00 $1,477.38 $0.00 $0.00 $0.00 $0.00 $0.00 $16,052.75 $0.00 $0.00

4 TRAVEL

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

FERC

Discretionary

ITEM

Mileage Reimbursement 750 Estimated miles @.67 cent/per mile 411.83$ 411.83$ -$ $27.88 -$ -$ -$ -$ -$ 383.95$ -$ -$ Vehicle (Other Costs) Maintenance, Insurance, reg 5,800.00$ 5,612.04$ -$ $1,059.25 -$ -$ -$ -$ -$ 4,552.79$ -$ -$ Conferences/Meetings Instate/Outstate 8,389.50$ 8,139.50$ -$ $334.50 -$ -$ -$ -$ -$ 7,805.00$ -$ -$ Fuel costs Fuel Purchases for Agency vehicles 3,564.00$ 3,564.00$ -$ $250.87 -$ -$ -$ -$ -$ 3,313.13$ -$ -$

TOTAL TRAVEL $18,165.33 $17,727.37 $0.00 $1,672.50 $0.00 $0.00 $0.00 $0.00 $0.00 $16,054.87 $0.00 $0.00

5 SPACE

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

FERC

Discretionary

ITEM

Electric/Water/Sewer/Trash Estimated average monthly allocation 4,669.61$ 4,669.61$ -$ $1,003.50 -$ -$ -$ -$ -$ 3,666.11$ -$ -$ Janitorial/Security Estimated average monthly allocation 3,062.89$ 3,062.89$ -$ $585.38 -$ -$ -$ -$ -$ 2,477.51$ -$ -$ Building Maintenance Estimated average monthly allocation 4,230.00$ 4,230.00$ -$ $557.50 -$ -$ -$ -$ -$ 3,672.50$ -$ -$

TOTAL SPACE $11,962.50 $11,962.50 $0.00 $2,146.38 $0.00 $0.00 $0.00 $0.00 $0.00 $9,816.12 $0.00 $0.00

6 EQUIPMENT

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

ITEM

Postage Machine Rental Estimated average monthly allocation 170.00$ 169.69$ -$ $50.18 -$ -$ -$ -$ -$ 119.51$ -$ -$ Computers Estimated average monthly allocation 605.00$ 601.75$ -$ $278.75 -$ -$ -$ -$ -$ 323.00$ -$ -$ Copier Maint. Agreement Estimated average monthly allocation 1,140.00$ 1,131.38$ -$ $473.88 -$ -$ -$ -$ -$ 657.50$ -$ -$ Other Maintenance and Repairs Estimated average monthly allocation 836.25$ 657.50$ -$ $111.50 -$ -$ -$ -$ -$ 546.00$ -$ -$ Office Equipment Estimated average monthly allocation 750.00$ 713.21$ -$ $278.71 -$ -$ -$ -$ -$ 434.50$ -$ -$

TOTAL EQUIPMENT $3,501.25 $3,273.53 $0.00 $1,193.02 $0.00 $0.00 $0.00 $0.00 $0.00 $2,080.51 $0.00 $0.00

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

ITEM

Office Supplies Estimated average monthly allocation 4,103.03$ 3,503.03$ -$ $1,165.03 -$ -$ -$ -$ -$ $2,338.00 -$ -$ Postage Estimated average monthly allocation 1,112.38$ 762.38$ -$ $250.88 -$ -$ -$ -$ -$ $511.50 -$ -$ Printing Estimated average monthly allocation 1,100.00$ 1,046.00$ -$ $55.75 -$ -$ -$ -$ -$ $990.25 -$ -$ Computer/Software/Programs Estimated average monthly allocation 2,500.00$ 2,171.25$ -$ $501.75 -$ -$ -$ -$ -$ $1,669.50 -$ -$ Internet Estimated average monthly allocation 2,000.00$ 1,526.90$ -$ $557.50 -$ -$ -$ -$ -$ $969.40 -$ -$

TOTAL MATERIALS AND SUPPLIES $10,815.41 $9,009.56 $0.00 $2,530.91 $0.00 $0.00 $0.00 $0.00 $0.00 $6,478.65 $0.00 $0.00

BASIS

MATERIALS AND SUPPLIES

BASIS

BASIS

EMPLOYER RELATED EXPENSES

BASIS

PROFESSIONAL AND OUTSIDE SERVICES

BASIS

BASIS

Agency Name: CAHRA

Contract Period: 07/01/2025 - 06/30/2026 [SFY2026]

Contract No.: CTR075474

Case Management Case Management -

Intake Community Service

Amendment No: 1

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

ITEM

Telephones Estimated average montly 1,200.00$ 1,159.25$ -$ 501.75$ -$ -$ -$ -$ $657.50 -$ -$

Cell Phones/Hot Spots Estimated average monthly allocation 1,500.00$ 1,493.90$ -$ 557.50$ -$ -$ -$ -$ $936.40 -$ -$ Insurance Estimated average monthly allocation 5,500.00$ 5,233.50$ -$ 1,449.50$ -$ -$ -$ -$ $3,784.00 -$ -$ Dues/Subscriptions Estimated average monthly allocation 350.00$ 295.13$ -$ 83.63$ -$ -$ -$ -$ $211.50 -$ -$ Training/Meetings Estimated average monthly allocation 4,300.00$ 4,275.91$ -$ 1,045.91$ -$ -$ -$ -$ $3,230.00 -$ -$ Advertising/Sponsorships Estimated average monthly allocation 700.00$ 645.53$ -$ 167.25$ -$ -$ -$ -$ $478.28 -$ -$ Board support Estimated average monthly allocation 840.00$ 836.25$ -$ $- -$ -$ -$ -$ $836.25 -$ -$ Energy Kits Estimated average monthly allocation -$ -$ $- -$ -$ -$ -$ $ - -$ -$ Other Operating Estimated average monthly allocation 3,948.19$ 3,548.19$ -$ 1,115.00$ -$ -$ -$ -$ $2,433.19 -$ -$

TOTAL OPERATING EXPENSES $18,338.19 $17,487.66 $0.00 $4,920.54 $0.00 $0.00 $0.00 $0.00 $0.00 $12,567.12 $0.00 $0.00

9 INDIRECT COSTS

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

COST

FERC

Discretionary

COST

ITEM

TOTAL INDIRECT COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

10 SUBTOTAL ADMIN COST $200,314.63 $142,991.13 $0.00 $48,980.80 $0.00 $3,623.83 $0.00 $0.00 $0.00 $90,386.50 $0.00 $0.00

11 VOUCHERS

TOTAL COST TOTAL DES COST LIHEAP A16 COST NAVIGATOR COST SSBG COST TANF COST NHN COST TANF COST NHN COST CSBG COST

CSBG

Discretionary

FERC

Discretionary

ITEM

1 0.02 Fiscal Assistant $51,667.20 350.00$ 336.50$ -$ -$ -$ -$ -$ $336.50 -$ -$ -$ -$ 1 0.02 Receptionist $42,868.80 300.00$ 260.68$ -$ -$ -$ -$ -$ $260.68 -$ -$ -$ -$ 1 0.02 Case Mgr Assist/Receptionist $36,878.40 250.00$ 236.60$ -$ -$ -$ -$ -$ $236.60 -$ -$ -$ -$ 1 0.03 Programs Manager-Community Service $58,614.40 450.00$ 432.94$ -$ -$ -$ -$ -$ $432.94 -$ -$ -$ -$ 1 0.08 Senior Case Manager $47,320.00 1,100.00$ 1,025.94$ -$ -$ 718.00$ -$ -$ $307.94 -$ -$ -$ -$ 1 0.10 Case Manager $37,440.00 1,100.00$ 1,062.30$ -$ -$ 544.12$ -$ -$ $518.18 -$ -$ -$ -$ 1 0.13 Case Manager $37,440.00 1,500.00$ 1,316.43$ -$ -$ 695.98$ -$ -$ $620.45 -$ -$ -$ -$ 1 0.13 Case Manager $37,440.00 1,500.00$ 1,309.90$ -$ -$ 689.12$ -$ -$ $620.78 -$ -$ -$ -$ 1 0.09 Case Manager $37,440.00 950.00$ 918.55$ -$ -$ 293.10$ -$ -$ $625.45 -$ -$ -$ -$ 1 0.02 Case Manager $42,224.00 293.70$ 293.70$ -$ -$ -$ -$ -$ $293.70 -$ -$ -$ -$ 1 0.03 Case Manager $39,832.00 373.60$ 373.60$ -$ -$ -$ -$ -$ $373.60 -$ -$ -$ -$ 1 0.04 Case Manager $37,440.00 420.70$ 420.70$ -$ -$ -$ -$ -$ $420.70 -$ -$ -$ -$ 1 0.04 Case Manager $37,440.00 450.88$ 450.88$ -$ -$ -$ -$ -$ $450.88 -$ -$ -$ -$

ERE for Intake Staff $169,266.78 3,791.66$ 3,791.66$ -$ -$ 1,165.06$ -$ -$ $2,626.60 -$ -$ -$ -$

SSBG Vouchers -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ NHN Vouchers 602.00$ 601.25$ -$ -$ -$ -$ 601.25$ -$ -$ -$ -$ -$ TANF Vouchers 42,419.92$ 42,419.92$ -$ -$ -$ 42,419.92$ -$ -$ -$ -$ -$ -$ CSBG Vouchers 5,575.00$ 5,575.00$ -$ -$ -$ -$ -$ -$ -$ 5,575.00$ -$ -$ HB2897 Vouchers 50,175.00$ 1.03$ 1.03$ -$ -$ -$ -$ -$ -$ -$ -$ -$

LIHEAP A16 vouchers [with detail] -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.05846684 Administration Officer $57,000.00 371.59$ 371.59$ 371.59$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.0726 Fiscal Assistant $51,667.20 418.24$ 418.24$ 418.24$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.07 Receptionist 42868.8 334.43$ 334.43$ 334.43$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.07 Case Mgr Assist/Receptionist $36,878.40 278.01$ 278.01$ 278.01$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.11 Programs Manager-Community Service $58,614.40 740.79$ 740.79$ 740.79$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.17 Senior Case Manager $47,320.00 907.80$ 907.80$ 907.80$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.20 Case Manager $37,440.00 834.91$ 834.91$ 834.91$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.21 Case Manager $37,440.00 864.70$ 864.70$ 864.70$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.21 Case Manager $37,440.00 862.66$ 862.66$ 862.66$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.20 Case Manager $37,440.00 834.91$ 834.91$ 834.91$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.04 Case Manager $42,224.00 172.99$ 172.99$ 172.99$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.05 Case Manager $39,832.00 229.61$ 229.61$ 229.61$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.05 Case Manager $37,440.00 208.73$ 208.73$ 208.73$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.05 Case Manager $37,440.00 208.33$ 207.29$ 207.29$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.15 Weatherization/Food Program Mgr $58,614.40 992.54$ 992.54$ 992.54$ -$ -$ -$ -$ -$ -$ -$ -$ -$

0.15 Weatherization/Case Mgt Assistant $35,110.40 580.95$ 580.95$ 580.95$ -$ -$ -$ -$ -$ -$ -$ -$ -$

FICA 7.65% Soc Sec & Medicare x 676.35$ 676.35$ 676.35$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Unemployment 13 Annual Emps X 8,000 x Rate .05% 5.80$ 5.80$ 5.80$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Workman's Compensation 1.56% Social Service Rate 137.92$ 137.92$ 137.92$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Health & Life Insurance Cost 2,324.77$ 2,324.77$ 2,324.77$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Retirement Benefits Simplified Empl. Pension 265.31$ 265.28$ 265.28$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Energy Kits/Energy Education Materials 12,332.70$ 12,332.70$ 12,332.70$ -$ -$ -$ -$ -$ -$ -$ -$ -$

TOTAL VOUCHERS $136,186.50 $85,410.55 $24,584.00 $0.00 $4,105.38 $42,419.92 $601.25 $8,125.00 $0.00 $5,575.00 $0.00 $0.00

12 TOTAL SERVICE COST/DES TOTAL COST: $336,501.13 $228,401.68 $24,584.00 $48,980.80 $4,105.38 $46,043.75 $601.25 $8,125.00 $0.00 $95,961.50 $0.00 $0.00

$0.00 $0.00 $8,125.00 $8,125.00 $8,125.00

$228,401.68 $220,276.68 $24,584.00 $48,980.80 $4,105.38 $46,043.75 $601.25 $0.00 $95,961.50 Other Sources $74,858.09 $0.00

$311,384.77 $228,401.68 $24,584.00 $48,980.80 $4,105.38 $46,043.75 $601.25 $8,125.00 $0.00 $95,961.50 $0.00 $0.00

Note: Please ensure your Total Revenues equal your Total Service Costs. If the Total Revenue items light up red, your budget is not balanced, and the Costs/Revenues need to be adjusted.

DES-CSA

TOTAL REVENUE:

OPERATING SERVICES

BASIS

BASIS

Note: Please ensure your Total Costs are more than or equal to your DES Costs. If the Total Costs light up red, your Total Costs need to be adjusted. See column

AD

REVENUE SOURCES:

DES - CCSD

DES - CCSD - Intake Costs

CONTRACT AMENDMENT #1 CLEAN.pdf
CTR075474 ISB.pdf

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