CTR078967_Contract_Amendment_1.pdf

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AZ|CTR078967
Contract number
CTR078967
Issued by
Arizona

About this file

This document is a Contract Amendment issued by the Arizona Department of Economic Security, specifically for the Refugee Program - Case Coordination. The contract is between the Arizona Department of Economic Security and Arizona Immigrant and Refugee Services, with contract number CTR078967 and Amendment Number One. The contract covers two separate budgets: one for Refugee Housing with a total allocation of $437,500.00 and another for Case Coordination with a total allocation of $700,000.00, both for the contract period of October 21, 2025 through September 30, 2026.

The amendment modifies the Scope of Work to allow the contractor to allocate up to 10% of the Housing Coordinator's expenses as an administrative cost, with remaining salary and associated costs to be charged to RSS administrative funds. The contract also requires maintaining a staffing structure with a minimum of 60% of program funding allocated to direct services staffing. The budgets detail various cost categories including personnel, professional services, travel, space, equipment, materials, operating services, and indirect costs. For the Refugee Housing budget, a significant portion ($435,960.00) is allocated to housing voucher-rent, while the Case Coordination budget includes detailed allocations for personnel, services, and administrative expenses. Both budgets are fully funded by the Arizona Department of Economic Security Refugee Program.

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CI26003_Determination.pdf PDF
CTR078967_Contract_Documents.pdf PDF
CTR078967_Pre-Contract_Documents.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:

CTR078967 One (1)

DESCRIPTION/ LABEL: Refugee Program – Case Coordination

CONTRACTOR NAME: Arizona Immigrant and Refugee Services

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: Arizona Immigration & Refugee Svcs - Phoenix

Service: RRP-Housing Contract #: CTR078967 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):

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

ATTACHMENT

ITEMIZED SERVICE BUDGET

1. PERSONNEL & ERE

2. PROFESSIONAL AND OUTSIDE SERVICES

Revised 3.26.13

$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

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

4. SPACE

3. TRAVEL

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

Other 10 Hour Moving cost $15.40 10 $1,540.00

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

TOTAL EQUIPMENT: $1,540.00

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

5. EQUIPMENT

6. MATERIALS AND SUPPLIES

(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 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 Case Management 21 Other Housing Voucher-Rent $1,730.00 12 Month $435,960.00

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

7. OPERATING SERVICES

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: $435,960.00

Total Cost

Personnel $0.00

ERE $0.00

Professional & Outside Services $0.00 Travel $0.00 Space $0.00

Equipment $1,540.00

Materials & Supplies $0.00 Operating Services $0.00

Indirect Costs $0.00

Client Direct Services/Vouchers $435,960.00

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

Funding: RSS Agency: Arizona Immigration & Refugee Svcs - Phoenix )

Service: RRP-Case Coordination Contract #: CTR078967 Total Allocation: $700,000.00 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

No Case Management 1 Program Manager $67,200.00 20.00% 100.00% $67,200.00 $13,440.00 $80,640.00 No Case Management 1 Case Manager $46,080.00 20.00% 100.00% $46,080.00 $9,216.00 $55,296.00 No Case Management 1 Housing Coordinator $46,080.00 20.00% 100.00% $46,080.00 $9,216.00 $55,296.00 No Case Management 1 Case Manager $42,240.00 20.00% 100.00% $42,240.00 $8,448.00 $50,688.00 No Case Management 1 Case Manager $42,240.00 20.00% 100.00% $42,240.00 $8,448.00 $50,688.00 No Case Management 1 Case Manager $40,320.00 20.00% 50.00% $20,160.00 $4,032.00 $24,192.00 No Case Management 1 Case Manager $50,000.00 20.00% 60.00% $30,000.00 $6,000.00 $36,000.00 No Other 1 Director/ Service provider $60,000.00 20.00% 60.00% $36,000.00 $7,200.00 $43,200.00 No Case Management 1 Case Manager $42,240.00 20.00% 80.33% $33,933.33 $6,786.67 $40,720.00 No Case Management 1 Case Manager $59,520.00 20.00% 50.00% $29,760.00 $5,952.00 $35,712.00

$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: $393,693.33 $78,738.67 $472,432.00

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 Other 9 Other Payroll expenses $50.00 24 Year $10,800.00 Yes Other 20 Hour nterpretation and Translatio $20.00 12 Month $4,800.00 Yes Other 1 Other Audit Services $32,568.00 1 Year $32,568.00 Yes Other 5 Hour Accounting services $100.00 12 Month $6,000.00 Yes Other 1 Other Tax return fee $1,000.00 1 Year $1,000.00 No Other 1 Other Immigration services $287.46 10 Month $2,874.60

$0.00

ATTACHMENT

ITEMIZED SERVICE BUDGET

1. PERSONNEL & ERE

2. PROFESSIONAL AND OUTSIDE SERVICES

$0.00

TOTAL PROFESSIONAL AND OUTSIDE SERVICES: $58,042.60

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

No Other 280 Mile Mileage $1.00 12 Month $3,360.00

No Other 2 Other Vehicle operation $109.29 56 Week $12,240.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL TRAVEL: $15,600.00

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

No Admin 1 Other Office Rent $5,000.00 12 Month $60,000.00 No Admin 1 Other Storage Rent $375.00 12 Month $4,500.00

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

4. SPACE

3. TRAVEL

TOTAL SPACE: $64,500.00

(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 2 Other Computer $1,000.00 1 Year $2,000.00

Yes Admin 1 Other Copying/Printing $300.00 12 Month $3,600.00 Yes Case Management 2 Other Laptop $1,300.00 1 Year $2,600.00

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

TOTAL EQUIPMENT: $8,200.00

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

Yes Admin 12 Other Office supplies $450.00 1 Month $5,400.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL MATERIALS AND SUPPLIES: $5,400.00

5. EQUIPMENT

6. MATERIALS AND SUPPLIES

7. OPERATING SERVICES

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

Number of reoccurrences

Rate of reoccurrence (dropdown) Total Cost

Yes Admin 1 Other Telephone $600.00 12 Month $7,200.00 Yes Admin 1 Other Internet $400.00 12 Month $4,800.00 Yes Admin 1 Other Insurance $4,100.00 12 Month $49,200.00 Yes Admin 1 Other postage $100.00 12 Month $1,200.00 Yes Admin 1 Other ues/ Fees/ Licenses/ Regist $280.00 12 Month $3,360.00 Yes Admin 1 Other eneral Services/Maintenanc $265.00 12 Month $3,180.00

$0.00 $0.00 $0.00 $0.00

TOTAL OPERATING SERVICES: $68,940.00

Cost Category Total costs eligible for

Indirects Indirect % Total Cost Not Applicable -$ $0.00 Case Management 4,600.00$ 5.00% $230.00 Employment -$ $0.00 Admin 77,940.00$ 5.00% $3,897.00 Other 55,168.00$ 5.00% $2,758.40

TOTAL INDIRECT COSTS: $6,885.40

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

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: $0.00

Total Cost

Personnel $393,693.33

ERE $78,738.67

Professional & Outside Services $58,042.60 Travel $15,600.00 Space $64,500.00

Equipment $8,200.00

Materials & Supplies $5,400.00 Operating Services $68,940.00

Indirect Costs $6,885.40

Client Direct Services/Vouchers $0.00

TOTAL COSTS: $700,000.00

Revenue: Total Cost

ADES Refugee Program $700,000.00

TOTAL REVENUE: $700,000.00

Budget Check:

Total Allocation $700,000.00

Total Revenue ADES Cost $700,000.00 (Should equal zero) $0.00

CTR078967 Contract Amendment 1 - AIRSv2
APPROVED AIRS_Refugee_-_ISB_Housing_(2) (1)
Original ISB
APPROVED 6-AIRS_Refugee CC_ISB__Updated_
Original ISB

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