FE_16-05-ED_Amendment_7.pdf
PDF 432 KB Posted
- Attached to
- Master Agreement AZ|CTR043817
- Contract number
- CTR043817
- Issued by
- Arizona
About this file
This document is a Contract/Agreement Amendment from the Arizona Department of Education's Procurement Section, involving Northern Arizona University (NAU) for Amendment No. 7 to Agreement No. 16-05-ED. The amendment pertains to an interagency service agreement between the Arizona Department of Education and Northern Arizona University, with the contract being for the Evidence Based Practice (EBP) Conference.
The amendment extends the agreement period from October 1, 2021, to September 30, 2022, with a total budget of $45,000. The budget breakdown includes $12,656.80 for non-instructional salaries, $8,223.41 for employee benefits, $808 for supplies and materials, $19,878.46 for purchased services/consultant fees, $100 for printing and reproduction, and $3,333.33 for indirect costs. The conference, titled "IHD/AT Disability Conference," will be co-sponsored by NAU, with the budget covering various operational expenses associated with hosting the annual Evidence Based Practice Conference.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 16-05-ED_AMD_5_FE.pdf | ||
| 16-05-ED_FE_Amendment11.pdf | ||
| FE_16-05-ED_Amendment_10.pdf | ||
| 16-05-ED_Amendment_6_FE.pdf | ||
| 16-05-ED_FE_Amendment_9.pdf | ||
| 16-05-ED_Fully_Executed.pdf | ||
| FE_16-05-ED_Amendment_12.pdf | ||
| 16-05-ED_FE_Amendment_4.pdf | ||
| FE_16-05-ED_Amendment_8.pdf |
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Text version
ARIZONA DEPARTMENT OF EDUCATION
Procurement Section
1535 West Jefferson Street, Bin #37 Phoenix, Arizona 85007-3209
CONTRACT/AGREEMENT AMENDMENT
10. EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT/AGREEMENT NOT HERETOFORE CHANGED
AND/OR AMENDED REMAIN UNCHANGED AND IN FULL EFFECT.
IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.
CONTRACTOR ARIZONA DEPARTMENT OF EDUCATION
(SIGNATURE OF AUTHORIZED INDIVIDUAL)
NAME (Typed/Printed):
(SIGNATURE)
NAME: Steven Paulson TITLE: TITLE: Chief Procurement Officer
DATE: DATE:
1. AGREEMENT NO.:
16-05-ED
2. AMENDMENT NO.:
3. EFFECTIVE DATE:
Upon Execution
4. PROGRAM:
EBP Conference
5. CONTRACTOR NAME:
Northern Arizona University P.O. Box 4130 Flagstaff, AZ 86011-4130
6. AUTHORITY FOR AMENDMENT: Paragraph 7, “Changes”, Paragraph 3 “Renewal of Agreement”
7. PURPOSE OF AMENDMENT: Updated Budget
8. DESCRIPTION OF THE SERVICE: Co-Sponsor Annual Evidence Based Practice Conference with NAU
9. THE ABOVE REFERENCED AGREEMENT IS HEREBY AMENDED AS FOLLOWS:
a. In accordance with paragraph 7, Changes, the budget is hereby replaced by Attachment B:
b. Pursuant to the Agreement, Paragraph 3 “Renewal of Agreement”, I hereby extend the agreement for the periods of October 1, 2021 to September 30, 2022.
Kerwin Lawrence
Assistant Director
09/10/2021
ARIZONA DEPARTMENT OF EDUCATION
Procurement Section
1535 West Jefferson Street, Bin #37 Phoenix, Arizona 85007-3209
CONTRACT/AGREEMENT ATTACHMENT B
ARIZONA DEPARTMENT OF EDUCATION INTERAGENCY
SERVICE/INTERGOVERNMENTAL AGREEMENT BUDGET/
ESTIMATED NEEDS PAYMENT SCHEDULE FOR
INSTITUTIONS OF HIGHER EDUCATION, STATE AGENCIES
AND OTHER AGENCIES
INSTRUCTIONS
Submit original to ADE Contracts Management Unit as part of proposed Agreement/amendment. Final Agreement will contain instructions for submission of periodic/completion reports
A. AGREEMENT IDENTIFICATION FOR THE BUDGET PERIOD FROM : 10/01/2021 TO: 9/30/2022
1. Applicant Agency:
IHD/NAU
2. Contact Person: Jill Pleasant Phone No: 602-728-9532
3. Agreement No.: 16-05-ED
Index No.: 4. Funding Source (Chapter 1, etc.)
ADE
5. Date submitted
6. Proposal Name (if any):
IHD/AT Disability Conference
7. Check ONE ☐ New ☐ Renewal Application
☐ Completion Report ☒ Amendment ☐ADE Revision
B. AGREEMENT BUDGET
*EXPENDITURE CATEGORIES
BUDGET
(1)
REQUEST
CHANGES
(2)
AMENDED
BUDGET
(3)
EXPENDITURE
TO DATE
(4)
BUDGET
BALANCE
(5)
8. Salaries – Instructional
9. Salaries – Non-Instructional $12,656.80
10. Employee Benefits $8,223.41
11. Travel
12. Supplies and Materials $808
13. Purch Services/Consultant Fees $19,878.46
14. Tuition
15. Printing and Reproduction $100
16. Utilities and Communications
17. Other:
18. SUBTOTAL $41,666.67
19. Indirect Cost (8% of Line 18) $3,333.33
20. Capital Outlay
21. TOTAL $45,000
22. Administrative Costs
23. Cash Balance (For Completion Purposes)
*SEE INSTRUCTIONS ON REVERSE SIDE
C. COMPLETION REPORT SIGNATURE (Blue Ink Only) I hereby certify that this is a reasonable statement of total expenditures for this contract.
Applicant Authorized Agent Date
D. SUMMARY OF AVAILABLE FUNDS INCLUDED IN BUDGET ABOVE
Prior FY C/O + FY State C/O + FY (New)+ Other = TOTAL FY
| 2021-09-23T09:58:04-0700 | |
| Steven Paulson |
File details come from the government source that posted it. Updated .