CTR078962_Contract_Amendment_1.pdf
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- Attached to
- AZ|CTR078962
- Contract number
- CTR078962
- Issued by
- Arizona
About this file
This document is a Contract Amendment and Itemized Service Budget for the Arizona Department of Economic Security, specifically involving Lutheran Social Services of the Southwest - Tucson. The contract (CTR078962) is for the Refugee Program and involves Case Coordination services, with funding from the state of Arizona. The amendment is designated as Amendment Number One and covers the contract period from October 21, 2025, through September 30, 2026.
The contract includes two primary funding allocations: $250,000 for Refugee Housing and $400,000 for Case Coordination services. Key modifications include allowing up to 10% of Housing Coordinator expenses to be allocated as administrative costs and mandating that a minimum of 60% of total program funding be dedicated to direct services staffing. The budget details comprehensive personnel and operational expenses, with staffing across multiple roles including Housing Coordinator, Case Managers, Program Support Specialist, and administrative personnel. Indirect costs are calculated at 15% for various cost categories, totaling $52,173.91, and the total contract value is precisely $400,000.00, with costs covering personnel, professional services, travel, space, materials, and indirect expenses.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR078962_Contract_Document.pdf | ||
| CTR078962_Determination.pdf | ||
| CTR078962_Pre-Contract_Documents.pdf | ||
| myCOI_Instructions.pdf |
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR078962 One (1)
DESCRIPTION/ LABEL: Refugee Program – Case Coordination
CONTRACTOR NAME: Lutheran Social Services of the Southwest - Tucson
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. In accordance with the Uniform Terms and Conditions, Section 5, Contract Changes, the Scope of Work is being revised as follows:
• Scope of Work, Section 7. Case Coordination Services, Section, 7.10, Housing, Subsection 7.10.2.1, is being added as follows:
7.10.2.1 The Contractor may allocate up to ten percent (10%) of the total cost associated with the
Housing Coordinator's expenses under the Housing Support funds as an administrative cost.
All remaining salary, fringe benefits, and associated costs for this position must be charged to the RSS administrative funds under this contract.
• Scope of Work, Section 5, General Requirements, Section 5.11, Subsection 5.11.11, is being revised And replaced as follows:
5.11.11 Staffing structure: Maintain an organizational structure that ensures effective oversight, coordination, and delivery of all services under this contract. The staffing structure must include key personnel with clear roles, responsibilities, personnel qualifications to support program implementation and meet performance expectations. The Contractor must maintain adequate staffing levels and submit a detailed staffing plan within thirty (30) days of contract execution, including an organizational chart, staff roles, and the percentage of time allocated to this program. A minimum of sixty percent (60%) of the total program funding must be allocated exclusively to direct services staffing, thereby ensuring that the majority of program resources are dedicated to client-facing service delivery.
2. In accordance with the Special Terms and Conditions, Section 28, Levels of Service, the purpose of this amendment is to add the initial Itemized Service Budgets for the period of October 21, 2025, through September 30, 2026. The funding allocations are as follows:
a) The Refugee Housing total reimbursement ceiling is $250,000.00
b) The Case Coordination total reimbursement ceiling is $400,000.00
The Itemized Service Budgets are 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.
Funding: State
Service: RRP-Housing Total Allocation: $250,000.00
Agency: Lutheran Social Services of the Southwest (Tucson)
Contract #: CTR078962
Contract Period: 10/21/2025-09/30/2026
Agency UEI#:
Voucher (Y/N): No No
Client Direct Svcs eligible (Y/N): Y
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) FTE Level Position Title
Total Salary for the Contract Period per FTE ERE Rate
% Billed to this Contract Personnel Subtotal
Employee Related Expenses Subtotal Total Cost
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL PERSONNEL & ERE: $0.00 $0.00 $0.00
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
ATTACHMENT
ITEMIZED SERVICE BUDGET
1. PERSONNEL & ERE
2. PROFESSIONAL AND OUTSIDE SERVICES
Revised 3.26.13
$0.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES: $0.00
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL TRAVEL: $0.00
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL SPACE: $0.00
4. SPACE
3. TRAVEL
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL EQUIPMENT: $0.00
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL MATERIALS AND SUPPLIES: $0.00
Indirect Cost Eligible (dropdown)
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
5. EQUIPMENT
6. MATERIALS AND SUPPLIES
7. OPERATING SERVICES
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL OPERATING SERVICES: $0.00
Cost Category Total costs eligible for
Indirects Indirect % Total Cost Not Applicable -$ $0.00 Case Management -$ $0.00 Employment -$ $0.00 Admin -$ $0.00 Other -$ $0.00
TOTAL INDIRECT COSTS: $0.00
Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence (dropdown) Total Cost
$0.00
Case Management 1 Other Housing $20,833.33 12 $250,000.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
8. INDIRECT COSTS
If there are no Indirect Costs, please provide an explanation/details in this box
9. CLIENT DIRECT SERVICES/VOUCHERS
TOTAL CLIENT DIRECT SERVICES: $250,000.00
Total Cost
Personnel $0.00
ERE $0.00
Professional & Outside Services $0.00 Travel $0.00
Space $0.00
Equipment $0.00
Materials & Supplies $0.00
Operating Services $0.00 Indirect Costs $0.00
Client Direct Services/Vouchers $250,000.00
TOTAL COSTS: $250,000.00
Revenue: Total Cost
ADES Refugee Program $250,000.00
TOTAL REVENUE: $250,000.00
Budget Check:
Total Allocation $250,000.00
Total Revenue ADES Cost $250,000.00 (Should equal zero) $0.00
Funding: RSS
Agency: Lutheran Social Services of the Southwest (Tucson)
Service:RRP-Case Coordination
Contract #: CTR078962
10/30/2025
Total Allocation:
$400,000.00
Contract Period: 10/21/2025-09/30/2026
Agency UEI#:
Voucher (Y/N): No
No
Client Direct Svcs eligible (Y/N):
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) FTE Level Position Title
Total Salary for the Contract Period per
FTE ERE Rate
% Billed to this
Contract
Personnel
Subtotal
Employee
Related
Expenses
Subtotal Total Cost
Yes Case Management 1.00 Housing Coordinator $50,669.82 16.00% 100% $50,669.82 $8,107.17 $58,776.99
Yes Case Management 0.70 Family Services Supervisor $59,751.02 16.00% 100% $41,825.71 $6,692.11 $48,517.83 Yes Case Management 2.00 Case Manager 1 $43,280.62 16.00% 100% $86,561.23 $13,849.80 $100,411.03 Yes Case Management 1.00 Case Manager 2 $46,447.42 16.00% 100% $46,447.42 $7,431.59 $53,879.00 Yes Case Management 0.10 Resettlement Program MGR $65,975.00 16.00% 100% $6,597.50 $1,055.60 $7,653.10 Yes Case Management 0.10 Case Aide / Interpreter $40,600.00 16.00% 100% $4,060.00 $649.60 $4,709.60 Yes Case Management 0.20 Program Support Specialist $42,630.00 16.00% 100% $8,526.00 $1,364.16 $9,890.16 Yes Case Management 0.10 Immigration Support Specialist $41,169.42 16.00% 100% $4,116.94 $658.71 $4,775.65
$0.00 $0.00 $0.00
5.20
Yes Admin 0.10 Program Director $77,647.50 16.00% 100% $7,764.75 $1,242.36 $9,007.11 Yes Admin 0.00 $0.00 16.00% 100% $0.00 $0.00 $0.00 Yes Admin 0.02 HR Director $98,455.00 16.00% 100% $1,969.10 $315.06 $2,284.16 Yes Admin 0.02 Accounts Rec Mgr $71,050.00 16.00% 100% $1,421.00 $227.36 $1,648.36 Yes Admin 0.00 $0.00 16.00% 100% $0.00 $0.00 $0.00 Yes Admin 0.04 Finance Analyst $71,050.00 16.00% 100% $2,842.00 $454.72 $3,296.72
0.18 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
5.38 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Case Management 97% $0.00 $0.00 $0.00 Admin 3%
TOTAL PERSONNEL & ERE: $262,801.47 $42,048.23 $304,849.70
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
Yes Admin 1 Other
Services, Leases, Professional Fees, Interpretation, Background Checks. $350.00 12 Month $4,200.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES: $4,200.00
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
$0.00
Yes Case Management 344.808 Mile Mileage $0.700 12 Month $2,896.39
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
2. PROFESSIONAL AND OUTSIDE SERVICES
ATTACHMENT
ITEMIZED SERVICE BUDGET
1. PERSONNEL & ERE
3. TRAVEL
11/21/2025 S:\Procurement_New\03 PROCUREMENT\DAAS\DIRECT CONTRACTS\CTR078962 - Refugee Program - Case Coordination - LSS (Tucson)\A1\Drafts\APPROVED ISB Tuc_Case_Coord__CTR078962_LSS_FY26_$400,000
TOTAL TRAVEL: $2,896.39
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
Yes Case Management 5.20 Other Rent/Operations $500.00 12 Month $31,200.00
Yes Admin 0.18 Other Rent/Operations $500.00 12 Month $1,080.00
$0.00
5.38 $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL SPACE: $32,280.00
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL EQUIPMENT: $0.00
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
Yes Case Management 1 Other Program Supplies, Office Supplies $200.00 12 Month $2,400.00
$0.00
$0.00
Yes Admin 1 Other Office supplies, printing, postage $100.00 12 Month $1,200.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL MATERIALS AND SUPPLIES: $3,600.00
Indirect Cost
Eligible
(dropdown)
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
$0.00
Operating Services included in Space $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
4. SPACE
5. EQUIPMENT
6. MATERIALS AND SUPPLIES
7. OPERATING SERVICES
11/21/2025 S:\Procurement_New\03 PROCUREMENT\DAAS\DIRECT CONTRACTS\CTR078962 - Refugee Program - Case Coordination - LSS (Tucson)\A1\Drafts\APPROVED ISB Tuc_Case_Coord__CTR078962_LSS_FY26_$400,000
TOTAL OPERATING SERVICES: $0.00
Cost Category
Total costs eligible for
Indirects Indirect % Total Cost
Not Applicable -$ 15.00% $0.00
Case Management 325,109.74$ 15.00% $48,766.46
Employment -$ 15.00% $0.00
Admin 22,716.35$ 15.00% $3,407.45
Other -$ 15.00% $0.00
TOTAL INDIRECT COSTS: $52,173.91
Cost Category
(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit
Number of reoccurrences
Rate of reoccurrence
(dropdown) Total Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CLIENT DIRECT SERVICES: $0.00
Total Cost
Personnel $262,801.47
ERE $42,048.23
Professional & Outside Services $4,200.00
Travel $2,896.39
Space $32,280.00
Equipment $0.00
Materials & Supplies $3,600.00
Operating Services $0.00
Indirect Costs $52,173.91
Client Direct Services/Vouchers $0.00
TOTAL COSTS: $400,000.00
If there are no Indirect Costs, please provide an explanation/details in this box
9. CLIENT DIRECT SERVICES/VOUCHERS
8. INDIRECT COSTS
11/21/2025 S:\Procurement_New\03 PROCUREMENT\DAAS\DIRECT CONTRACTS\CTR078962 - Refugee Program - Case Coordination - LSS (Tucson)\A1\Drafts\APPROVED ISB Tuc_Case_Coord__CTR078962_LSS_FY26_$400,000
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