Exhibit_H_-_Monthly_Invoice_Report.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Master Agreement AZ|CTR079728
Contract number
CTR079728
Issued by
Arizona

About this file

This document is an Exhibit H Monthly Invoice Report for a contract between Southwest Human Development and the Arizona Department of Economic Security, specifically the Child and Community Services Division/Program Development Unit. The document includes contact information for invoice submissions, with payments to be remitted to Southwest Human Development's Phoenix address or via credit card through their accounts receivable department.

The contract covers a range of services including Tier 1, 2, and 3 staffing services, administrative/supervisory staffing, technical assistance, training sessions, and communities of practice. The pricing structure is unit-rate based, with specific rates for different service types: Tier 1 services at 24 units per month, Tier 2 services at 60 units per month, Tier 3 services at 36 units per month, and administrative staffing at 12 units per month. Additional service rates include $700 per hour of completed technical assistance, $150 for virtual two-hour training sessions, $200 for in-person training sessions, $10 for community of practice sessions, and 12 units each for operating expenses and administrative/indirect costs.

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Text version

Sheet1

Exhibit H
Contract No.
Address
Phone
INVOICE
Bill to:Invoice #:
Date:
Arizona Department of Economic SecurityBalance Due:$ - 0
Attn: Child and Community Services Division/Program Development UnitDES PO #
Email Address: dcccontracts@azdes.gov
Contract Number:
Date of Service:
Service:

Description Unit Rate Units Total Costs

One (1) Month of Tier 1 services provided per staff member (2 FTE)24
One (1) Month of Tier 2 services provided per staff member (5 FTE)60
One (1) Month of Tier 3 services per staff member (3 FTE)36
One (1) Month of administrative/supervisory staff member (1 FTE)12
One (1) Hour of Completed TA700
One (1) Completed Virtual Two-Hour Training Session (5-50 Participants)150
One (1) Completed In-Person Training Session (5-25 Participants)200
One (1) Completed Community of Practice (5-25 Participants)10
One (1) Month of Operating Expenses12
One (1) Month of Administrative/ Indirect12

Total Invoiced:

Please remit payments to: Southwest Human Development 2850 N. 24th Street, Phoenix, AZ 85008 Or contact Accounts Receivable at 602-224-1753 to pay by credit card

File details come from the government source that posted it. Updated .