CTR076713_Contract_Amendment_3.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

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

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR076713 Three (3)

DESCRIPTION/ LABEL: Area Agencies on Aging (AAA)

CONTRACTOR NAME: Southeastern Arizona Governments Organization

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

In accordance with the Special Terms and Conditions Section 26.0 Levels of Service, and in accordance with the Alert issued on November 10, 2025; the purpose of this amendment is to revise the Itemized Service Budget for the period of July 1, 2025 through June 30, 2026. The contract reimbursement ceiling is $3,950,724.68.

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.

Region Amendment Contract no. Timeframe rganization SEAGO 3 CTR076713 7/1/25-6/30/26

310-205 310-101 310-267 310-261 310-263 310-289 Advocacy

ADM ADM ADP ADV ATT CEI

FCS HCB FCS HCB HCB FCS

Fund Source

OAA Admin (III C-1) 161,265.00 OAA Admin (III E) 25,563.00 Title III-B 16,765.00 333,842.00 Title III-B Ombudsman Title III-C1 Title III-C2 Title III-D Prev Hlth Title III-E Caregiver 3,000.00 18,000.00

NSIP

Title VII Eld Abus Title VII OMB State Ind Living 19,000.00 79,000.00 State OMB State LTC OMB FTE State RSP

STATE DIRECT CARE WORKER

SHIP

Senior Patrol

SSBG 33,842.00 301,425.00

SSBG - HCB Wait List

MIPPA-S.H.I.P.

MIPPA-AAA

MIPPA-ADRC

State Aging Housing Assistance State One-Time Funding 59,405.02 Refugee ntract Reimbursement Ceiling 25,563.00 195,107.00 3,000.00 35,765.00 773,672.02 18,000.00

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) incorporate a state match

Incorporated State Match 6,390.75 41,543.29 - 932.13 18,561.62 - Additional State Funding - - - 19,000.00 79,000.00 -

TOTAL STATE FUNDS 6,390.75 41,543.29 - 19,932.13 97,561.62 -

RECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total - - - - - -b-contracted SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total - - - - - -

Grand Total 25,563.00$ 195,107.00$ 3,000.00$ 35,765.00$ 773,672.02$ 18,000.00$

PENSES

Personnel - Direct 16,500.00 90,042.00 15,000.00 9,500.00 ERE - Direct 5,600.00 32,415.00 5,400.00 3,924.58 Professional/Out 22,546.00 7,665.00 Direct 500.00 Sub-contrcted 3,000.00 773,672.02 Travel - Direct 8,200.00 5,000.00 940.00 Space - Direct Equipment - Direct One-Time 2,000.00 Ongoing Material/Supplies-Direct 493.00 5,800.00 500.00 Operating Svcs - Direct 15,000.00 Allocated Indirect -Direct 2,970.00 19,104.00 2,700.00 2,635.42 SubTotal DIRECT 25,563.00 195,107.00 - 35,765.00 - 18,000.00 SubTotal PURCH - - 3,000.00 - 773,672.02 -

TOTAL SERVICE 25,563.00 195,107.00 3,000.00 35,765.00 773,672.02 18,000.00

Check to 0.00 Revenues equal Expe -$ -$ -$ -$ -$ -$

Subcontractors Subcontracted Expense - - 3,000.00 - 773,672.02 - Direct Direct Expense 25,563.00 195,107.00 - 35,765.00 - 18,000.00

Service Detail Code

Service DAARS Codes

Program Codes

Admin Adaptive Aids Attendant Care Comm. Edu. & Info

310-211 310-325 310-208 310-272 310-312 310-214 310-215 310-260 Cong. Meals Home Del. Meals

CGT CMG CMG CNG HDM HED HSK INR

FCS FCS HCB HCB HCB HPR HCB FCS

45,648.00

515,612.00 490,193.00

25,430.00 7,000.00 15,000.00 30,000.00

82,541.00

151,240.00 60,000.00

40,000.00 134,733.00 2,000.00 25,000.00

7,000.00 15,000.00 191,240.00 515,612.00 767,467.00 25,430.00 2,000.00 100,648.00

- - - 28,668.03 27,254.73 - - 2,538.03

- - 151,240.00 - 60,000.00 - - -

- - 151,240.00 28,668.03 87,254.73 - - 2,538.03

85,000.00 18,500.00

- - 85,000.00 - - 18,500.00 - -

7,000.00$ 15,000.00$ 276,240.00$ 515,612.00$ 767,467.00$ 43,930.00$ 2,000.00$ 100,648.00$

4,000.00 5,000.00 137,000.00 37,000.00 26,000.00 63,000.00 1,440.00 2,240.00 46,840.00 13,000.00 8,680.00 -

23,248.00 1,500.00

5,000.00 40,000.00 465,612.00 767,467.00 2,000.00

500.00 960.00 10,000.00 1,800.00 3,000.00

8,400.00

300.00 1,450.00 6,000.00 500.00 2,400.00

1,060.00 1,500.00 28,000.00 4,000.00 9,000.00 7,000.00 10,000.00 236,240.00 50,000.00 - 43,930.00 - 100,648.00

- 5,000.00 40,000.00 465,612.00 767,467.00 - 2,000.00 - 7,000.00 15,000.00 276,240.00 515,612.00 767,467.00 43,930.00 2,000.00 100,648.00

- 5,000.00 40,000.00 465,612.00 767,467.00 - 2,000.00 - 7,000.00 10,000.00 151,240.00 50,000.00 - 25,430.00 - 100,648.00

Health Edu. HousekeepingCaregiver Training Case Mgmt. Info & Ref.

310-219 310-321 310-288 310-255 310-225 310-266 310-307 310-316

LTC LTC PCS PGD RPR RSP SHI SHI

OMB OMB FCS HCB FCS FCS SHP SHP

FTE MAM MDM

20,000.00 9,276.00

12,000.00 3,000.00 38,542.00

3,249.00 51,320.00 4,000.00

35,207.00 20,793.00

19,628.00

75,000.00

12,537.00 4,025.00

5,000.00

99,052.00 20,793.00 12,000.00 4,000.00 3,000.00 158,170.00 12,537.00 4,025.00

- - - - - 1,112.00 - - 35,207.00 - - - - 19,628.00 - - 35,207.00 - - - - 20,740.00 - -

26,037.00 22,000.00

26,037.00 22,000.00 - - - - - -

125,089.00$ 42,793.00$ 12,000.00$ 4,000.00$ 3,000.00$ 158,170.00$ 12,537.00$ 4,025.00$

81,207.00 19,793.00 6,500.00 2,500.00 26,937.00 8,520.00 2,340.00 900.00

3,617.00 1,160.00

- 3,000.00 158,170.00

4,000.00 5,000.00

1,500.00 1,063.00 100.00 12,537.00 4,025.00

11,445.00 4,800.00 2,000.00 500.00 125,089.00 42,793.00 12,000.00 4,000.00 - - 12,537.00 4,025.00

- - - - 3,000.00 158,170.00 - - 125,089.00 42,793.00 12,000.00 4,000.00 3,000.00 158,170.00 12,537.00 4,025.00

- - - - 3,000.00 158,170.00 - - 99,052.00 20,793.00 12,000.00 4,000.00 - - 12,537.00 4,025.00

Peer Counseling Home Repair & Renovation Respite Care State Heal Long Term Care Advo. Program Dev.

310-315 310-216 310-288 310-241 310-264 310-329 310-326 310-327 State Aging Housing Assistan

SHI SHI SHI TSP ATT CMG ADM HSS

SHP SHP SMP HCB HCB HCB HCB HCB

MSM OTR WLF DCW AHA AHA

22,069.00

46,000.00

40,000.00

95,195.00 23,601.00

16,502.00 64,838.00

235,135.00 13,684.00

36,579.33 147,260.45 35,000.00

13,684.00 23,601.00 16,502.00 207,907.00 235,135.00 95,195.00 36,579.33 147,260.45

- - - 1,227.04 - - - -

- - - 40,000.00 - 36,579.33 147,260.45

- - - 41,227.04 - 36,579.33 147,260.45

13,684.00$ 23,601.00$ 16,502.00$ 207,907.00$ 235,135.00$ 95,195.00$ 36,579.33$ 147,260.45$

16,000.00 10,000.00 5,000.00 58,000.00 23,360.00 4,601.00 3,600.00 1,800.00 18,195.00 8,280.00

199,907.00 235,135.00 6,000.00

147,260.45

13,684.00 3,000.00

3,000.00 2,902.00 1,200.00 10,000.00 4,939.33 13,684.00 23,601.00 16,502.00 8,000.00 - 95,195.00 36,579.33 147,260.45

- - - 199,907.00 235,135.00 - - - 13,684.00 23,601.00 16,502.00 207,907.00 235,135.00 95,195.00 36,579.33 147,260.45

- - - 199,907.00 235,135.00 - - - 13,684.00 23,601.00 16,502.00 8,000.00 - 95,195.00 36,579.33 147,260.45 lth Insurance Info. Edu. & Fraud Prog. Waitlist Direct Care WorkerTransportation

310-328 ce

RPR

HCB

AHA

TOTAL ALERT CHECK

161,265.00 161,265.00 -

25,563.00 25,563.00 - 438,324.00 438,324.00 -

9,276.00 9,276.00 - 515,612.00 615,612.00 (100,000.00) 490,193.00 390,193.00 100,000.00

25,430.00 25,430.00 - 172,542.00 172,542.00 -

82,541.00 82,541.00 - 3,249.00 3,249.00 -

55,320.00 55,320.00 - 349,240.00 349,240.00 -

35,207.00 35,207.00 - 20,793.00 20,793.00 - 19,628.00 19,628.00 - 95,195.00 95,195.00 - 23,601.00 23,601.00 - 16,502.00 16,502.00 -

676,838.00 676,838.00 - 235,135.00 235,135.00 -

13,684.00 13,684.00 - 12,537.00 12,537.00 -

4,025.00 4,025.00 - 185,779.88 369,619.66 369,619.66 -

99,405.02 99,405.02 -

185,779.88 3,950,724.68 3,950,724.68 -

- 127,000.57 185,779.88 773,694.66 185,779.88 900,695.23

151,537.00

- 151,537.00

185,779.88$ 4,102,261.68$

625,402.00 194,712.58

53,459.00 6,777.00

3,420,430.02 45,400.00

8,400.00

185,779.88 335,040.33

44,452.00 23,900.00

111,755.75 185,779.88 1,449,298.66

- 3,420,430.02 185,779.88 4,869,728.68

-$ (767,467.00)$

- 3,420,430.02 185,779.88 1,297,761.66

Validation Worksheet Alert NA

Organization SEAGO Contract No. CTR076713 Period 7/1/25-6/30/26 Amendment No. 3

ALERT/ISB VALIDATION (a) (b) (c) =(a) (b) (d) (e) = (c) + (d) (f) (g) = (f) - (e)

SFY25 Increase/ Total Alert + Contract LN Fund Source Carryover Alert Total Decrease Carryover Budget Difference

1 OAA Admin (III C-1) 161,265.00 161,265.00 161,265.00 161,265.00 - 2 OAA Admin (III E) 25,563.00 25,563.00 25,563.00 25,563.00 - 3 Title III-B 438,324.00 438,324.00 438,324.00 438,324.00 - 4 Title III-B Ombudsman 9,276.00 9,276.00 9,276.00 9,276.00 - 5 Title III-C1 615,612.00 615,612.00 615,612.00 515,612.00 (100,000.00) 6 Title III-C2 390,193.00 390,193.00 390,193.00 490,193.00 100,000.00 7 Title III-D Prev Hlth 25,430.00 25,430.00 25,430.00 25,430.00 - 8 Title III-E Caregiver 172,542.00 172,542.00 172,542.00 172,542.00 -

9 NSIP 82,541.00 82,541.00 82,541.00 82,541.00 -

10 Title VII Eld Abus 3,249.00 3,249.00 3,249.00 3,249.00 - 11 Title VII OMB 55,320.00 55,320.00 55,320.00 55,320.00 - 12 State Ind Living 349,240.00 349,240.00 349,240.00 349,240.00 - 13 State OMB 35,207.00 35,207.00 35,207.00 35,207.00 - 14 State OMB FTE 20,793.00 20,793.00 20,793.00 20,793.00 - 15 State RSP 19,628.00 19,628.00 19,628.00 19,628.00 -

16 STATE DIRECT CARE WORKER 95,195.00 95,195.00 95,195.00 95,195.00 -

17 SHIP 23,601.00 23,601.00 23,601.00 23,601.00 -

18 Senior Patrol 16,502.00 16,502.00 16,502.00 16,502.00 -

19 SSBG 676,838.00 676,838.00 676,838.00 676,838.00 -

20 SSBG - HCB Wait List 235,135.00 235,135.00 235,135.00 235,135.00 -

21 MIPPA-S.H.I.P. 1,807.00 1,807.00 11,877.00 13,684.00 13,684.00 -

22 MIPPA-AAA 2,100.00 2,100.00 10,437.00 12,537.00 12,537.00 -

23 MIPPA-ADRC 1,426.00 1,426.00 2,599.00 4,025.00 4,025.00 -

24 State Aging Housing Assistance 121,107.12 248,512.54 369,619.66 369,619.66 369,619.66 - 25 State One-Time Funding 99,405.02 99,405.02 99,405.02 99,405.02 - 26 Refugee - - - -

TOTAL 121,107.12 3,804,704.56 3,925,811.68 24,913.00 3,950,724.68 3,950,724.68 -

Note: Section above validates that Alert Levels plus adjustments equal the ISB Total submitted by Provider

TRANSFER AUTHORITY - TITLE III B/C TRANSFER AUTHORITY - C1/C2

-$ Transfer Transfer Transfer Transfer Transfer

Fund Source Alert Level Ceiling In/(Out) % Fund Source Alert Level Ceiling In/(Out) % Transfer Authority - Title III-B to III-C or III-C to III-B (30% Maximum of Allocation Excluding Carryover) Transfer Authority - Title C-1 to C-2 (40% Maximum of Allocation Excluding Carryover)

Title III-B 438,324$ 131,497$ -$ 0.00% Title III-C1 615,612$ 246,245$ (100,000)$ -16.24%

Title III-C Title III-C2 390,193$ 156,077$ 100,000$ 25.63% III-C1 615,612$ 184,684$ (100,000) -16.24% Note: Section above validates transfer authority. Red cells indicates a transfer ceiling has been exceeded)

III-C2 390,193$ 117,058$ 100,000 25.63%

Total 1,005,805 301,742 - 0.00% Specialty Funds

Contract Fund Source Alert Level Level Over/Under

TITLE III-B MINIMUM PERCENT LTC FTE $20,793.00 20,793$ -$

Category % Required Requirement Actual Alloc Over/Under SSBG Admin 10% 67,684$ 33,842$ (33,842)$

Minimums Exclude Carryover LTC Overmatch -$

TSP, I&R, Outreach, CMG 16% 67,717$ 67,717$ -$ In-Home Service 8% 33,858$ 333,842$ 299,984$ Legal Service 4% -$ -$ Long Term Care Advo. 9,276.00 9,276$ -$ Maintenance of Effort for Client OAA

Category % Required Requirement Actual Alloc Over/Under

III-B TOTAL ALLOCATION 438,324$ 110,851$ 410,835$ 299,984$

Program Income -$ -$ SOCIAL SERVICES BLOCK GRANT Non-Fed In-kind 151,537$ 151,537$ Category DAARS Code Local Req. Actual Alloc Over/Under Non-Fed Cash -$ -$

Administrative Services ADM -$ 33,842.00$ 33,842.00$ TOTAL 10% 160,459$ 151,537$ (8,922)$ Adult Day Care/Adult Day Health Care ADC -$ -$ -$ Adaptive Aids ADP -$ -$ -$ Advocacy ADV -$ -$ -$ TITLE III-B CARRYOVER Attendant Care ATT -$ 536,560.00$ 536,560.00$ Category DAARS Code Requirement Actual Alloc Over/Under Caregiver Training CGT -$ -$ -$ Case Management CMG 7,214.00$ 40,000.00$ 32,786.00$ Attendant Care ATT 255,500$ 333,842$ 78,342$ Community Education & Information CEI -$ -$ -$ Case Management CMG 150,000$ -$ (150,000)$ Congregate Meals CNG -$ -$ -$ Home Repair and Renovations RPR -$ -$ -$ Emergency Human Services EHS -$ -$ -$ Housekeeping HSK -$ -$ -$ Health Promotion HED -$ -$ -$ Home Nursing NRH -$ -$ -$ Home Delivered Meals HDM 134,733.00$ 134,733.00$ -$ Personal Care PRC -$ -$ -$ Home Repair and Renovations RPR -$ -$ -$ Program Development PGD -$ -$ -$ Housekeeping HSK -$ 2,000.00$ 2,000.00$ Respite RSP -$ 20,000$ 20,000$ Information and Referral INR -$ 25,000.00$ 25,000.00$ Transportation TSP 40,000$ 22,069$ (17,931)$ Legal Assistance LGL -$ -$ -$ - - -$ -$ -$ Long-Term Care Advocacy LTC -$ -$ -$ - - -$ -$ -$ Multipurpose Center Operations MCO -$ -$ -$ - - -$ -$ -$ Home Nursing NRH -$ -$ -$ Outreach OTR -$ -$ -$ TOTAL 445,500$ 375,911$ (69,589)$ Peer Counseling PCS -$ -$ -$ Personal Care PRC -$ -$ -$ Program Development PGD -$ -$ -$ TITLE III-C CARRYOVER Reassurance REA -$ -$ -$ Category DAARS Code Requirement Actual Alloc Over/Under Respite RSP -$ 75,000.00$ 75,000.00$ Socialization and Recreation SOC -$ -$ -$ Administrative Services ADM -$ -$ -$ Supplemental Provisions SUP -$ -$ -$ Congregate Meals CNG 113,806$ 515,612$ 401,806$ Transportation TSP -$ 64,838.00$ 64,838.00$ Home Delivered Meals HDM 79,466$ -$ (79,466)$ Volunteer Services VOS -$ -$ -$

TOTAL 193,272$ 515,612$ 322,340$

TOTAL 141,947.00$ 911,973.00$ 770,026.00$

Current Alert Level

TITLE III-D CARRYOVER

Category DAARS Code Requirement Actual Alloc Over/Under

Health Promotion HED 9,172$ 43,930$ 34,758$

TITLE III-E CARRYOVER

Category DAARS Code Requirement Actual Alloc Over/Under

Administrative Services ADM -$ -$ -$ Adult Day Care/Adult Day Health Care ADC -$ -$ -$ Community Education & Information CEI 88,818$ 18,000$ (70,818)$ Caregiver Training CGT -$ 7,000$ 7,000$ Case Management CMG -$ 15,000$ 15,000$ Supportive Intervention/Guidance Counseling CNS -$ -$ -$ Information and Referral INR -$ 30,000$ 30,000$ Peer Counseling PCS -$ 12,000$ 12,000$ Respite RSP -$ 38,542$ 38,542$ Supplemental Provisions SUP -$ -$ -$

TOTAL 88,818$ 120,542$ 31,724$

TITLE VII CARRYOVER

Category DAARS Code Requirement Actual Alloc Over/Under

Program Development PGD -$ -$ -$ Long-Term Care Advocacy LTC 8,826$ -$ (8,826)$