CTR078965_Contract_Amendment_1.pdf

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AZ|CTR078965
Contract number
CTR078965
Issued by
Arizona

About this file

This document is a contract amendment between the Arizona Department of Economic Security and Lutheran Social Services of the Southwest - Phoenix, specifically for the Refugee Program - Case Coordination, under contract number CTR078965. The amendment covers two separate service budgets: one for Refugee Housing with a total reimbursement ceiling of $437,500.00 and another for Case Coordination with a total reimbursement ceiling of $700,000.00, both effective from October 21, 2025, through September 30, 2026.

The amendment modifies the original contract's Scope of Work, including provisions for the Housing Coordinator's administrative costs (up to 10% of total housing support funds) and staffing structure requirements. The contractor must maintain a staffing structure that ensures effective service delivery, with a minimum of 60% of program funding allocated to direct services staffing. The detailed budget includes personnel costs, employee-related expenses, professional services, travel, space, materials, and indirect costs. Key personnel roles include Housing Resource Coordinators, Case Navigators, Community Integration Managers, and various administrative positions. The total contract value is structured with direct service costs, indirect costs calculated at 15% for different cost categories, and no client direct services or vouchers specified.

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CTR078965_Contract_Documents.pdf PDF
CTR078965_Pre-Contract_Documents.pdf PDF
CI26003_Determination.pdf PDF
myCOI_Instructions.pdf PDF

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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:

CTR078965 One (1)

DESCRIPTION/ LABEL: Refugee Program – Case Coordination

CONTRACTOR NAME: Lutheran Social Services of the Southwest - Phoenix

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, personal qualifications to support program implementation and meet performance expectations. The Contractor must maintain adequate staffing levels and submit a detailed staffing plan within forty-five (45) days of contract execution, including an organization 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:

• The Refugee Housing total reimbursement ceiling is $437,500.00.

• The Case Coordination total reimbursement ceiling is $700,000.00.

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 Agency: Lutheran Social Services of the Southwest (Phoenix)

Service: RRP-Housing Contract #: CTR078965 Total Allocation: $437,500.00 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 $0.00 $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

4. SPACE

ATTACHMENT

ITEMIZED SERVICE BUDGET

1. PERSONNEL & ERE

2. PROFESSIONAL AND OUTSIDE SERVICES

3. TRAVEL

11/24/2025 S:\Procurement_New\03 PROCUREMENT\DAAS\DIRECT CONTRACTS\CTR078965 - Refugee Program - Case Coordination - LSS (Phx)\A1\Drafts\APPROVED IRC PHX_Housing_(0980)__-_CTR078965_LSS_

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL SPACE: $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 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

$0.00 $0.00 $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

5. EQUIPMENT

6. MATERIALS AND SUPPLIES

7. OPERATING SERVICES

8. INDIRECT COSTS

11/24/2025 S:\Procurement_New\03 PROCUREMENT\DAAS\DIRECT CONTRACTS\CTR078965 - Refugee Program - Case Coordination - LSS (Phx)\A1\Drafts\APPROVED IRC PHX_Housing_(0980)__-_CTR078965_LSS_

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 $36,458.33 12 $437,500.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL CLIENT DIRECT SERVICES: $437,500.00

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 $437,500.00

TOTAL COSTS: $437,500.00

Revenue: Total Cost

ADES Refugee Program $437,500.00

TOTAL REVENUE: $437,500.00

Budget Check:

Total Allocation $437,500.00

Total Revenue ADES Cost $437,500.00 (Should equal zero) $0.00

If there are no Indirect Costs, please provide an explanation/details in this box

9. CLIENT DIRECT SERVICES/VOUCHERS

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Funding: RSS Agency: Lutheran Social Services of the Southwest (Phoeni

Service:RRP-Case Coordination Contract #: CTR078965

10/30/2025 Total Allocation:

$700,000.00 Contract Period: 10/21/2025-09/30/2026

Agency UEI#:

Voucher (Y/N): No No

7 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 Resource Coordinator $51,726.43 16.00% 100% $51,726.43 $8,276.23 $60,002.66 Yes Case Management 0.00 $0.00 16.00% 100% $0.00 $0.00 $0.00 Yes Case Management 4.00 Case Navigator $43,280.62 16.00% 100% $173,122.46 $27,699.59 $200,822.05 Yes Case Management 1.00 Case Navigator 2 $48,557.60 16.00% 100% $48,557.60 $7,769.22 $56,326.82 Yes Case Management 0.35 Community Integration Manager $65,975.00 16.00% 100% $23,091.25 $3,694.60 $26,785.85 Yes Case Management 0.30 Immigration Support Specialist $42,630.00 16.00% 100% $12,789.00 $2,046.24 $14,835.24 Yes Case Management 1.90 Case Aide/Interpreter $40,600.00 16.00% 100% $77,140.00 $12,342.40 $89,482.40 Yes Case Management 0.00 $0.00 16.00% 100% $0.00 $0.00 $0.00 Yes Case Management 0.25 Associate Director $76,126.02 16.00% 100% $19,031.50 $3,045.04 $22,076.54 Yes Case Management 0.25 Program Support Specilist $46,447.42 16.00% 100% $11,611.85 $1,857.90 $13,469.75 Yes Case Management 0.15 Administrative Assistant $41,169.98 16.00% 100% $6,175.50 $988.08 $7,163.58

9.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Yes Admin 0.20 Division Director $101,510.15 16.00% 100% $20,302.03 $3,248.32 $23,550.35

0.00 $0.00 16.00% 100% $0.00 $0.00 $0.00

Yes Admin 0.05 Financial Analyst $71,050.00 16.00% 100% $3,552.50 $568.40 $4,120.90 Yes Admin 0.03 HR Director $98,455.00 16.00% 100% $2,953.65 $472.58 $3,426.23 Yes Admin 0.03 Accounts Rec Mgr $71,050.00 16.00% 100% $2,131.50 $341.04 $2,472.54

0.00 $0.00 0.00% 100% $0.00 $0.00 $0.00

0.00 $0.00 0.00% 100% $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

0.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

9.51

TOTAL PERSONNEL & ERE: $452,185.28 $72,349.64 $524,534.92

Indirect Cost Eligible

(dropdown) Cost Category

(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit

Number of reoccurrence s

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. $400.00 12 Month $4,800.00

$0.00 $0.00

$0.00 $0.00 $0.00

TOTAL PROFESSIONAL AND OUTSIDE SERVICES: $4,800.00

Indirect Cost Eligible

(dropdown) Cost Category

(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit

Number of reoccurrence s

Rate of reoccurrence (dropdown) Total Cost

$0.00 Yes Case Management 581.992 Mile Mileage $0.700 12 Month $4,888.73

$0.00 $0.00

819.65900 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

2. PROFESSIONAL AND OUTSIDE SERVICES

3. TRAVEL

1. PERSONNEL & ERE

ATTACHMENT

ITEMIZED SERVICE BUDGET

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TOTAL TRAVEL: $4,888.73

Indirect Cost Eligible

(dropdown) Cost Category

(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit

Number of reoccurrence s

Rate of reoccurrence (dropdown) Total Cost

Yes Admin 0.31 FTE Rent, Operations $600.00 12 Month $2,232.00 Yes Case Management 9.20 FTE Rent, Operations $600.00 12 Month $66,240.00

$0.00 $0.00

9.51 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL SPACE: $68,472.00

Indirect Cost Eligible

(dropdown) Cost Category

(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit

Number of reoccurrence s

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 reoccurrence s

Rate of reoccurrence (dropdown) Total Cost

Yes Case Management 1 Other Program Supplies, Office Supplies $400.00 12 Month $4,800.00 $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: $6,000.00

Indirect Cost Eligible

(dropdown) Cost Category

(dropdown) Total Units Unit (dropdown) Unit description Rate per Unit

Number of reoccurrence s

Rate of reoccurrence (dropdown) Total Cost

$0.00 $0.00

Operating Services included in Space $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

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TOTAL OPERATING SERVICES: $0.00

Cost Category Total costs eligible for Indirects Indirect % Total Cost Not Applicable -$ 15.00% $0.00 Case Managem 566,893.62$ 15.00% $85,034.04 Employment -$ 15.00% $0.00 Admin 41,802.03$ 15.00% $6,270.30 Other -$ 15.00% $0.00

TOTAL INDIRECT COSTS: $91,304.35

Cost Category (dropdown) Total Units Unit (dropdown) Unit description Rate per Unit

Number of reoccurrence s

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 $452,185.28

ERE $72,349.64

Professional & Outside Services $4,800.00 Travel $4,888.73 Space $68,472.00

Equipment $0.00 Materials & Supplies $6,000.00

Operating Services $0.00 Indirect Costs $91,304.35

Client Direct Services/Vouchers $0.00

TOTAL COSTS: $700,000.00

9. CLIENT DIRECT SERVICES/VOUCHERS

8. INDIRECT COSTS

If there are no Indirect Costs, please provide an explanation/details in this box

11/24/2025 S:\Procurement_New\03 PROCUREMENT\DAAS\DIRECT CONTRACTS\CTR078965 - Refugee Program - Case Coordination - LSS (Phx)\A1\Drafts\APPROVED IRC_PHX Case_Coord CTR078965_LSS_FY26_$700,000

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