CTR075550_Contract_Amendment_1.pdf

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Master Agreement AZ|CTR075550
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CTR075550
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Arizona

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This document is a Contract Amendment issued by the Arizona Department of Economic Security (DES) for the Community Action Services Program, involving the Northern Arizona Council of Governments (NACOG) as the contractor. The contract is identified by number CTR075550 and Amendment Number One, covering the contract period from July 1, 2025, through June 30, 2026.

The amendment adds an initial Itemized Service Budget totaling $243,149.27, which is distributed across multiple funding sources including DES-CCSD, LIHEAP A16, Navigator, SSBG, TANF, NHN TANF, CSBG, and Tribal Heating Assistance. The budget covers various operational expenses such as personnel costs, employer-related expenses, professional services, space costs, materials and supplies, operating services, and vouchers. Key service areas include case management, community services, intake, and transportation support across multiple counties including Navajo, Yavapai, and Apache. Specific services encompass bus passes, gas vouchers, case management, energy assistance, emergency rental assistance, and other community support programs.

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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:

CTR075550 One (1) DESCRIPTION/ LABEL: Community Action Services Program

CONTRACTOR NAME: Northern Arizona Council of Governments

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 $243,149.27 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 Intake

TOTAL LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF CSBG SSBG

# of FTE Total Salary for the TOTAL DES Tribal Heating

Assistance Transport

Positions Level Position Title Contract Period COST COST 1 1 CSA Director $72,960.98 $63,840.86 $15,960.21 $15,960.21 $4,788.06 $0.00 $0.00 $11,172.15 1 1 CSA Prgm Specialist (HEAF Admin) $50,851.94 $33,053.76 $8,263.44 $8,263.44 $2,892.20 $0.00 $1,239.52 $4,131.72 2 1 Case Coordinator Navajo $94,285.96 $77,314.49 $19,328.62 $19,328.62 $12,054.03 $0.00 $1,159.72 $6,114.87 2 1 Case Coordinator Yavapai $95,600.67 $78,392.55 $19,598.14 $19,598.14 $9,798.95 $2,945.31 $1,316.36 $5,537.52 1 0.63 Community Svcs Program Assistant-Central $25,538.58 $25,538.58 $6,384.65 $6,384.65 $3,192.32 $0.00 $0.00 $3,192.33

$0.00 $339,238.13 $278,140.24 $0.00

TOTAL PERSONNEL $69,535.06 $69,535.06 $0.00 $32,725.56 $2,945.31 $3,715.60 $0.00 $30,148.59 $0.00 $0.00

2.

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF

CSBG Tribal Heating

Assistance SSBG

Transport

ITEM COST COST

46% of Salaries (69,535.06) $31,986.13 $31,986.13 $31,986.13 $0.00 $15,053.76 $1,354.84 $1,709.18 $13,868.35

TOTAL EMPLOYER RELATED EXPENSES . $31,986.13 $31,986.13 $0.00 $15,053.76 $1,354.84 $1,709.18 $0.00 $13,868.35 $0.00 $0.00

3.

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF

CSBG Tribal Heating

Assistance SSBG

Transport

ITEM COST COST COST

Case Management - Admin Navajo County - WMCC $10,000/$10,000 20000 $5,000.00 $5,000.00 $1,250.00 $3,750.00

SSBG Case Management Navajo County - BOL $10,000 10000 $2,500.00 $2,500.00 $2,500.00 $0.00

Case Management - Admin - Apache County - RVSC 18817.48 $4,704.37 $4,704.37 $2,037.38 $560.59 $2,106.40

Case Management - Admin - Apache County - RVSC PT 17616.96 $4,404.24 $4,404.24 $2,037.01 $560.60 $1,806.63 CAP60 License 11500 $2,875.00 $2,875.00 $2,875.00 CNG License $0.00

Special Initiatives (Financial Literacy, Food Cards, etc.) 29000 $0.00

Legal fees $0.00

Navajo Four Season Transit Bus Passes $30 x 94 monthly passes = $2820 2820 $705.00 $705.00 $705.00 $7.50 x 47 General Rider Bus Passes = $352.50 353 $88.25 $88.25 $88.25

White Mountain Connection $8 x 66 daily passes = $528 528 $132.00 $132.00 $132.00 Winslow Transit program 1920 $480.00 $480.00 $480.00 Gas Vouchers - Navajo County - Re-Entry program $25 x 100 = $2500 2500 $625.00 $625.00 $625.00

Yavapai Case Management - Admin - Yavapai County $0.00 $0.00 $0.00 Bus Passes -Cottonwood/Verde Valley 3584 $896.00 $896.00 $896.00 Bus Passes - Yavaline/Prescott 3132.58 $783.15 $783.15 $783.15

Apache RVSC - Bus Passes 2199.08 $549.77 $549.77 $549.77 All Counties Fuel Cards 26301.74 $294.20 $294.20 $294.20

0 $0.00

TOTAL PROFESSIONAL AND OUTSIDE SERVICES $24,036.98 $24,036.98 $0.00 $4,074.39 $3,750.00 $1,121.19 $0.00 $10,538.03 $0.00 $4,553.37

Agency: Northern Arizona Council of Governments Contract Period: 07/01/2025 - 6/30/26 Contract No.: CTR075550 Amendment No.: 1

Case Management Community Service

EMPLOYER RELATED EXPENSES

BASIS

FICA, Unemployment Insurance, Work Comp, Health Benefits, Life Insurance, Retirement, Various Fringe Benefits

PROFESSIONAL AND OUTSIDE SERVICES

BASIS

4. TRAVEL

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF

CSBG Tribal Heating

Assistance SSBG

Transport

ITEM COST COST COST

Gas $35/day x 30 days 1,050$ $0.00 $0.00 Lodging $220/day x 16 days 3,520$ $0.00 $0.00 Car Rental $100/day x 45 days 4,500$ $0.00 $0.00 M&IE $175/day x 10 days 1,750$ $0.00 $0.00

* Calculations do not reflect 75% cut from Navigation

TOTAL TRAVEL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

5. SPACE

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF

CSBG Tribal Heating

Assistance SSBG

Transport

ITEM COST COST

Central Rent 877.08 x 12 = 10318.56 10,318.56$ $2,579.64 $2,579.64 $2,579.64 Yavapai Rent-Cottonwood 314.29 x 12 = 3771.48 3,771.48$ $942.87 $942.87 $942.87

Rent - Prescott Valley 367.50 x 12 = 4410.00 4,410.00$ $1,102.50 $1,102.50 $1,102.50 Navajo Rent - Winslow 695 x 12 = 8340 8,340.00$ $2,085.00 $2,085.00 $2,085.00

Rent - Show Low 510 x 12 = 6120 6,120.00$ $1,530.00 $1,530.00 $1,530.00 Janitorial 120 x 12 = 1440.00 1,440.00$ $360.00 $360.00 $360.00 Utilities All sites - Electric, water, gas 70 x 12 = 840 840.00$ $210.00 $210.00 $210.00

TOTAL SPACE $8,810.01 $8,810.01 $0.00 $0.00 $0.00 $0.00 $0.00 $8,810.01 $0.00 $0.00

6. EQUIPMENT

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF

CSBG Tribal Heating

Assistance SSBG

Transport

ITEM COST COST

Furniture $0.00 $0.00 $0.00 $0.00

TOTAL EQUIPMENT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

7.

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

Tribal Heating Assistance Transport

ITEM COST COST

General Office Supplies $250x12 3,000$ $750.00 $750.00 $750.00 Computers $0.00

TOTAL MATERIALS AND SUPPLIES $750.00 $750.00 $0.00 $0.00 $0.00 $0.00 $0.00 $750.00 $0.00 $0.00

8.

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF CSBG Tribal Heating Assistance SSBG

Transport

ITEM COST COST

Telephone 420 x 12; 60 x 12 5760.00 $1,440.00 $1,440.00 $1,440.00 Computer Software/Maintenance Psigen $3600py; UKG 630 x 4 6120.00 $1,530.00 $1,530.00 $1,530.00 Program & Staff Development 8 staff members x 600 4380.00 $0.00 $0.00 $0.00 Bonding 8 FTE*(prints $68.34+backgrnd

546.10 $136.51 $136.51 $136.51

Advertising/Printing Envelopes/Business

1000.00 $250.00 $250.00 $250.00 Copier Maintenance/Paper 450.00 $112.50 $112.50 $112.50 Conference Fees Wildfire $250 x 9; ACEH $250 x

4000.00 $0.00 $0.00 $0.00

Postage/mailing 220 x .64 x 12; 60 x 4 x 12;

4000.00 $1,000.00 $1,000.00 $1,000.00 Internet 104.47 x 12; 20 x 12; 1493.64 $373.41 $373.41 $373.41 Liability Insurance $1475 x 4 5900.00 $1,475.00 $1,475.00 $1,475.00 Subscriptions & Dues Wildfire, CAP , Region IX, survey

2900.00 $725.00 $725.00 $725.00

TOTAL OPERATING EXPENSES $7,042.42 $7,042.42 $0.00 $0.00 $0.00 $0.00 $0.00 $7,042.42 $0.00 $0.00

BASIS

BASIS

BASIS

MATERIALS AND SUPPLIES

BASIS

OPERATING SERVICES

BASIS

9 INDIRECT COSTS

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF CSBG Tribal Heating Assistance SSBG

Transport

ITEM COST COST

$8,121.70 $8,121.70 $0.00 $3,822.35 $344.01 $433.98 $3,521.36

$0.00 TOTAL INDIRECT COSTS $8,121.70 $8,121.70 $0.00 $3,822.35 $344.01 $433.98 $0.00 $3,521.36 $0.00 $0.00

10 SUBTOTAL ADMIN COST $150,282.30 $150,282.30 $0.00 $55,676.06 $8,394.16 $6,979.95 $0.00 $74,678.76 $0.00 $4,553.37

11. VOUCHERS

TOTAL TOTAL DES LIHEAP A16 NAVIGATOR SSBG TANF NHN TANF CSBG Tribal Heating Assistance SSBG

Transport

ITEM COST COST

TANF 134480.36 $33,620.09 $33,620.09 $33,620.09

NHN 2228 $557.00 $557.00 $557.00

1 Subcontractor 23731.84 $5,932.96 $5,932.96 $5,932.96

$0.00 $0.00 $0.00 $0.00

CSBG Vouchers Food Cards 200x$50 10000 $0.00 $0.00 CSBG Emergency Rental Assistance 90815.15 $26,975.24 $26,975.24 $26,975.24 CSBG Water Assistance 10000 $3,000.00 $3,000.00 $3,000.00 Tribal Heating Assistance Program 220000 $0.00 $0.00 LIHEAP A16 [vouchers only, with detail] $0.00 $0.00 LIHEAP A-16 Health Heating Kits & Energy Education $17,773.61 $17,773.61 $17,773.61 LIHEAP A-16 Training/Workshops 3032.28 $758.07 $758.07 $758.07 LIHEAP A-16 Energy Kits 17000 $4,250.00 $4,250.00 $4,250.00 LIHEAP A-16 Admin - Case Coordinators (x4) Salary Case Coordinators complete an $0.00 $0.00 LIHEAP A-16 Admin - Case Coordinators ERE energy checklist with all applications $0.00 $0.00

TOTAL VOUCHERS $92,866.97 $92,866.97 $22,781.68 $0.00 $0.00 $33,620.09 $557.00 $5,932.96 $29,975.24 $0.00 $0.00

12. TOTAL SERVICE COST/DES TOTAL COST: $243,149.27 $243,149.27 $22,781.68 $55,676.06 $8,394.16 $40,600.04 $557.00 $5,932.96 $104,654.00 $0.00 $4,553.37

$164,883.43 $164,883.43 $55,676.06 $104,654.00 $4,553.37 $5,932.96 $5,932.96 $5,932.96

DES-CSA $72,332.88 $72,332.88 $22,781.68 $8,394.16 $40,600.04 $557.00

DES-CSBG $0.00 $0.00

$243,149.27 $243,149.27 $22,781.68 $55,676.06 $8,394.16 $40,600.04 $557.00 $5,932.96 $104,654.00 $0.00 $4,553.37

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.

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

TOTAL REVENUE:

BASIS

Based on 8% of Salaries & Fringe

Based on 8% of Salaries & Fringe $57,106.72 x .08

DCAD- NACOG ISB SFY26 (v2) - updated formulas 7.31.25.pdf
ISB
NACOG - CONTRACT AMENDMENT.pdf
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