FE_25-18-ED_Inclusionary_Literacy_Practice.pdf

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Master Agreement AZ|CTR076452
Contract number
CTR076452
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Arizona

About this file

This document is an Intergovernmental Agreement (IGA) between the Arizona Department of Education (ADE) and the University of Kansas Center for Research, Inc. The agreement is established under Arizona Revised Statutes and involves a collaborative effort focused on educational services, specifically supporting literacy practices for students with disabilities.

The contract, numbered 25-18-ED, covers professional learning and technical assistance services to be provided by the University of Kansas. The contractor will facilitate virtual webinars, provide coaching support to the ADE's Academic Achievement & Inclusive Practices Leadership Team, and develop strategic planning tools. The total contract value is $24,230, with funding sourced from IDEA200FAY23. The agreement is effective upon execution and will run for 12 months, with potential for renewal. Key deliverables include virtual professional learning sessions, research resources, technical assistance for two pilot schools, and quarterly and annual implementation reports. The pricing is structured with non-instructional salaries, employee benefits, travel expenses, and an 8% indirect cost rate.

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INTERGOVERNMENTAL

AGREEMENT (IGA)

ARIZONA DEPARTMENT OF EDUCATION

1535 W. Jefferson, Bin # 37

Phoenix, Arizona 85007

(602) 364-2517

IGA No: 25-18-ED

PROJECT TITLE: Effective Date: Upon Execution

INCLUSIONARY LITERACY

PRACTICE

Termination Date: 12 Months from Execution Date

Pursuant to Arizona Revised Statutes (A.R.S.) § 11-952 et seq. this Intergovernmental Agreement is entered into by the Arizona Department of Education (“ADE”), an agency of the State of Arizona, and the University of Kansas Center for Research Inc. (“CONTRACTOR”). Pursuant to A.R.S. § 11-951 et seq. both parties are authorized to enter into agreements for the joint exercise of any power common to the contracting parties as to governmental functions necessary to the public health, safety and welfare, and the proprietary functions of such public agencies.

Therefore, the ADE and the CONTRACTOR agree to abide by all the terms and conditions set forth in this agreement.

For and on behalf of the CONTRACTOR:

For and on behalf of the Arizona Department of Education 1535 W Jefferson Street, Bin # 37 2385 Irving Hill Rd Phoenix, Arizona 85007

Lawrence Kansas

Ap

66045

7, 2025

Signature of Person Authorized to Sign Date Signature of Person Authorized to Sign Date Braulio Garcia

Printed Name Director, Research Administration

Printed Name Procurement Services Supervisor

Title Title

Signature of Person Authorized to Sign Date Tim McCain/Chief Financial Officer ADE Typed Name and Title

INTERGOVERNMENTAL AGREEMENT DETERMINATION

In accordance with A.R.S. § 11-952, this agreement has been reviewed by the undersigned who has determined that this agreement is in appropriate form and within the powers and authority granted to the respective public body.

Signature

Alicia M. Reed, Director, Research Administration Signature

Maria Syms/Director of Legal Services ADE Typed Name and Title

03/31/2025 Typed Name and Title 04/07/2025

Date Date

Revised 2/8/2008 https://azedsign.na1.echosign.com/verifier?tx=CBJCHBCAABAANhNAXCNoJIKvOZwwDp2nLNNxUGp9KAhL

Arizona Department of Education 1535 W Jefferson, Bin # 37

Phoenix, Arizona 85007 IGA No. 25-18-ED

1. Purpose of Agreement

The focus on academic achievement and the least restrictive environment to support the literacy impact and outcomes of students with disabilities is a priority in the state. The specific evidence-based practices and research provided through the KU Center will support our state in targeting needs and developing a scope and sequence of virtual professional learning, technical assistance, and coaching support for general education and special education teachers and leaders.

2. Term of Agreement

This agreement is effective Upon Execution for a period of twelve (12) months, and can be renewed in accordance with Section 3, or be terminated in accordance with Sections 9 and 11.

3. Renewal of Agreement This agreement may be renewed for additional terms, upon agreement of the CONTRACTOR and ADE, and by both parties signing an Amendment extending this Agreement. ADE shall prepare the Amendment for additional periods for both parties’ signatures.

4. Scope of Services

ADE and the CONTRACTOR shall perform the obligations agreed to by each as set forth in

Attachment “A,” Scope of Work attached hereto and incorporated herein by reference.

5. Payment

As payment for full and satisfactory performance of the services, the ADE agrees to pay the

CONTRACTOR as outlined in Attachment “B” Price Sheet.

Pricing prorated monthly, and is based on 15% of the salary and benefits of the Principle

Investigator; plus an indirect cost rate.

Travel will be paid as incurred and will be paid in accordance with the ADE travel provision of

Section 20.

6. Changes This agreement may only be changed in writing and must be signed by both parties and their duly authorized agents (an Amendment). In the event that state or federal law enacted after the effective date of this agreement conflicts with any term of this agreement, controlling law will apply and supersede that/those term(s). The parties agree to promptly consider an appropriate Amendment to the agreement to remove each conflict.

7. Arbitration

Both parties agree to resolve all disputes arising out of or relating to this agreement through non-binding arbitration, after exhausting applicable administrative review, to the extent required by A.R.S. § 12-1518, except as may be required by other applicable statutes.

8. Breach

This agreement may be terminated by either party if the other party fails to fulfill its obligations.

9. Termination

Except as otherwise provided, this agreement may be terminated without cause upon thirty

(30) days written notice by either party.

10. Governing Law

The parties agree to remain silent on the issue of Governing Law.

11. Non-Availability of Funds

Every payment obligation of the Arizona Department of Education (ADE) under this agreement is conditioned upon the availability of funds appropriated or allocated for the payment of such obligation. If funds are not allocated and available for the continuance of the agreement, this agreement may be terminated by the State at the end of the period for which funds are available. No liability shall accrue to ADE in the event this provision is exercised, and ADE shall not be obligated or liable for any future payments or for any damages as a result of termination under this paragraph.

12. Cancellation for Conflict of Interest

Pursuant to A.R.S. § 38-511, the State of Arizona (“State”), its political subdivisions or any department or agency of either may, within three years after its execution, cancel any contract (agreement), without penalty or further obligation, made by the State, its political subdivisions, or any of the departments or agencies of either if any person significantly involved in initiating, negotiating, securing, drafting or creating the contract on behalf of the State, its political subdivisions or any of the departments or agencies of either is, at any time while the contract (agreement) or any extension of the contract (agreement) is in effect, an employee or agent of any other party to the contract (agreement) in any capacity or a consultant to any other party of the contract (agreement) with respect to the subject matter of the contract(agreement). A cancellation made pursuant to this provision shall be effective when either party receives written notice of the cancellation unless the notice specifies a later time.

13. Non-Discrimination

The Contractor shall comply with State Executive Order Nos. 2023-09, 2023-01, 2009-09, and any and all other applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act. Contractor shall include these provisions in contracts with Subcontractors when required by Federal or State law.

14. Records

Pursuant to A.R.S. §§ 35-214 and 35-215, the CONTRACTOR shall retain and shall contractually require each subcontractor to retain all data, books and other records ("Records") relating to this agreement for a period of five years after completion of the agreement. All Records shall be subject to inspection and audit by the State at reasonable times. Upon request, the CONTRACTOR shall produce the original of any or all such Records.

15. Compliance Requirements for A.R.S. § 41-4401, Government Procurement: E-Verify Requirement

A. The contractor assures compliance with all Federal immigration laws and regulations relating to employees and warrants its compliance with Section A.R.S. § 23-214, Subsection A. (That subsection reads: “After December 31, 2007, every employer, after hiring an employee, shall verify the employment eligibility of the employee through the E- Verify program.)

B. A breach of this assurance regarding compliance with immigration laws and regulations shall be deemed a material breach of the contract and the contractor may be subject to penalties up to and including termination of the contract.

C. Failure to comply with a State audit process to randomly verify the employment records of contractors and subcontractors shall be deemed a material breach of the contract and the contractor may be subject to penalties up to and including termination of the contract.

D. ADE retains the legal right to inspect the papers of any employee who works on the contract to ensure that the contractor or subcontractor is complying with the assurance under paragraph A.

16. Confidentiality

ADE and CONTRACTOR may choose, from time to time, in connection with work contemplated under this agreement, to disclose confidential information to each other (Confidential Information). All such disclosures must be in writing and marked as Confidential Information.

The Parties shall not disclose to unauthorized third parties any Confidential Information of the other Party and will use such information only for the purposes of this Agreement, and for three

(3) years after the termination of this agreement; provided that the receiving Party's obligations hereunder shall not apply to information that: (A) is already in the receiving Party's possession at the time of disclosure; or, (B) is or later becomes part of the public domain through no fault of the receiving Party; or, (C) is received from a third party with no duty of confidentiality to the disclosing party; or, (D) was developed independently by the receiving party prior to disclosure;

or, E. is required to be disclosed by law or regulation.

Any information that is transmitted orally or visually, in order to be protected hereunder, shall be identified as such by the disclosing party at the time of disclosure, and identified in writing to the receiving party, as Confidential Information, within thirty (30) days after such oral or visual disclosure. The CONTRACTOR shall retain the right to refuse acceptance of such Confidential Information that is not required for the purposes of this agreement.

Both parties agree to comply with the federal Family Educational Rights and Privacy Act of 1974. This applies to all provisions of this agreement which involves identifiable individual student data.

17. Property Disposition

Disposition of property acquired for the purpose of this agreement, either by ADE or with funds provided by ADE, shall be determined by ADE upon termination or completion of the agreement. Upon termination or completion of this agreement, the CONRACTOR shall provide ADE with a listing of all such property, and shall make arrangement to return or dispose of this property as directed by ADE. The CONTRACTOR shall provide ADE with an inventory for this property within 90 days of this agreement becoming effective, and annually thereafter.

18. Property of the State

Title and exclusive copyright to all reports, information, data, curricula, materials, and software prepared and delivered by CONTRACTOR in performance of this agreement shall vest in the State of Arizona.

19. Notices

All written communications shall be addressed and mailed or personally served as follows:

To the CONTRACTOR: To ADE:

Alicia Reed, Director, Research Administration University of Kansas Center for Research, Inc.

2385 Irving Hill Rd.

Lawrence KS 66045-7552 Telephone:785-864-3441 Email: kucrpropmgmt@ku.edu

Arizona Department of Education Academic Achievement & Inclusive Practices 1535 W. Jefferson St.

Phoenix, AZ 85007 602-364-2440 ESSAcadAchIncPractices@azed.gov mailto:kucrpropmgmt@ku.edu mailto:ESSAcadAchIncPractices@azed.gov

20. Travel Travel expenses must be authorized in advance and will be reimbursed at cost, in accordance with the current State of Arizona Travel Policy and the ADE Travel Authorization Policy Procedure hereby incorporated herein. State travel policy includes the travel reimbursement schedules. Actual receipt for travel must be submitted for reimbursement of allowable direct costs (lodging, automobile, meals, etc.). The travel policies may be revised. The current policies may be accessed via the internet at the State of Arizona Department of Education’s website (http://www.azed.gov/accounting/).

21. Indemnification To the fullest extent permitted by the Kansas Tort Claims Act, K.S.A. 75-6101 et seq. Each party (as 'indemnitor') agrees to indemnify, defend, and hold harmless the other party (as 'indemnitee') from and against any and all claims, losses, liability, costs, or expenses (hereinafter collectively referred to as 'claims') arising out of bodily injury of any person (including death) or property damage but only to the extent that such claims which result in vicarious/derivative liability to the indemnitee, are caused by the act, omission, negligence, misconduct, or other fault of the indemnitor, its officers, officials, agents, employees, or volunteers.

This indemnity shall not apply if the contractor or sub-contractor(s) is/are an agency, board, commission or university of the State of Arizona.

http://www.azed.gov/accounting/)

INTERGOVERNMENTAL AGREEMENT

ATTACHMENT A – SCOPE OF WORK

IGA Number 25-18-ED

1. MISSION STATEMENT

1.1. The Arizona Department of Education is a service organization committed to raising academic outcomes and empowering parents.

2. BACKGROUND

As part of a critical component of the IDEA’s general supervision framework, Exceptional Student Services provides targeted resources, professional learning, and technical assistance to districts, schools, and parents.

The focus on academic achievement and the least restrictive environment to support the literacy impact and outcomes of students with disabilities is a priority in the state. The specific evidence-based practices and research provided through the KU Center will support our state in targeting needs and developing a scope and sequence of virtual professional learning, technical assistance, and coaching support for general education and special education teachers and leaders.

3. CONTRACTOR RESPONSIBILITIES

Contractor shall:

3.1. Contractor, through Principal Investigator, will provide virtual professional learning and technical assistance (TA) to teachers in implementing and sustaining high-leverage evidence-based literacy practices through a series of virtual professional learning sessions.

3.1.1. Facilitate Virtual Webinars

3.1.1.1. High-leverage practices for students with disabilities

3.1.1.2. Data-driven decision-making for collaborative teams

3.1.2. Deliverables:

3.1.2.1. Timelines

3.1.2.2. PPT, research, tools, and measures, including professional learning Survey

3.1.2.3. Research and resources for educators implementing high-leverage practices and evidence-based practices

3.1.3. Time allocation: 50 hours

3.1.3.1. Facilitate two webinars 2 hours in length and setup time (Total of 5 hours)

3.1.3.2. Preparation and development, including collaboration with virtual calls with Academic Achievement and Inclusive Practices Team members (40 hours)

3.1.3.3. Debrief and reflect (5 hours)

3.2. Contractor, through Principal Investigator, will provide TA and coaching support to the Academic

Achievement & Inclusive Practices Leadership Team, supporting data collection and analysis, strategic planning, sustainable implementation, and fidelity measures related to two pilot schools to ensure the literacy impact and outcomes for students with disabilities.

3.2.1.1. Pilot Project: Virtual Coaching and Technical Assistance (two schools) to develop a system of support to target TA and Professional Learning.

3.2.1.2. Science of Reading

3.2.1.3. Inclusive Classrooms

3.2.1.4. Evidence-based Practices

3.2.1.5. High-Leverage Practices in Special Education: A Professional Development Guide for School Leaders

3.2.1.6. Data-Driven Decision-Making

3.2.2. Deliverables

3.2.2.1. PPT, research, tools, and measures, including a needs assessment/inventory for schools to use in determining the level/type of TA assistance needed and a professional learning and coaching survey to debrief sessions

3.2.2.2. Research and resources for educators implementing high-leverage practices and evidence-based practices

3.2.3. Time allocation: 150 hours

3.2.3.1. Virtual Coaching and Technical Assistance (two schools) to develop a system of support to target TA and Professional Learning, including the development of data collection and analysis, strategic planning, sustainable implementation, and fidelity measures using the knowledge and reflection learned from two pilot schools.

3.3. Contractor, through Principal Investigator, will develop content, tools, and resources to support implementation of practices through a strategic planning process.

3.3.1. Academic Achievement & Inclusive Practices Director TA and Coaching support for Strategic Planning

3.3.1.1. Strategic planning process for targeting professional learning and TA and how we use Data collection and analysis measures, including a 1-day in-person planning meeting with the director and lead professional learning specialist of Academic Achievement and Inclusive practices.

3.3.1.1.1. Unit processes and procedures

3.3.1.1.2. Data collection and analysis

3.3.1.1.3. Sustainable implementation

3.3.1.1.4. Fidelity measures

3.3.2. Deliverables:

3.3.2.1. TA request form

3.3.2.2. Coaching log

3.3.2.3. Develop fidelity and implementation tools for ADE

3.3.2.4. Professional Learning Survey

3.3.3. Time allocation: 100 hours and 1-day in-person planning sessions for development, consultation, reflection, and refinement of system development.

3.4. Reports:

3.4.1. A quarterly report reflecting the delivery of virtual sessions, coaching/TA, deliverables development and updates to AAIP staff on progress toward content development

3.4.2. Annual summary report of implementation and outcomes

AGREEMENT

ATTACHMENT B – PRICE SHEET

IGA Number

25-18-ED

1. Payment(s) to CONTRACTOR. The method of payment, time of payment, and source of funds are:

Method: Electronic transfer to include an invoice with detail on what shall be included:

• Company Name

• Complete address

• Telephone Number

• Contact Person

• Itemized services, description, quantity, unit of measure, unit price, and extended price of supplies delivered (including dates services were performed)

• Purchase Order Number

• Invoice date

• Contract number

• Invoice Number

• Shipping and payment terms

Source of funds: IDEA200FAY23

In addition, the Contractor shall comply with the following program specific requirements:

To receive payment, all invoices must be itemized and reporting requirements must be met:

a. Submit summary of activities and communication logs.

b. Include start, end time, and total hours worked.

c. Include name and address where activities were completed.

d. Outline of deliverables completed (PPT, research, tools, and measures)

Invoices must be submitted within 30 calendar days of activity date:

a. ADE will close the purchase order and will no longer accept reimbursements after 30 calendar days of the contract end date if invoices are not received.

b. if invoices or required documentation need to be revised, contractor must submit revisions within 10 business days.

c. If documentation, revisions or invoices are not received within the required timeframe, ADE will no longer be obligated to pay the invoice.

2. The CONTRACTOR shall submit completed ADE FORMs-701d and 701b (subject to modification by the program office).

If indirect cost is included, the CONTRACTOR shall submit a copy of the Indirect Cost Approval letter from its cognizant agency for such indirect cost. Indirect cost may be restricted or disallowed on some projects. Check with the appropriate program office for more information.

3. Per Title 2 Subtitle A Chapter II Part 200 Subpart F, § 200.501 Audit requirements. For awards issued to the grantee prior to 10/1/2024, the audit level is $750,000. For awards issued to the grantee after 10/1/2024, the audit level is $1,000,000

ATTACHMENT B – PRICE SHEET

IGA Number

25-18-ED

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 : Upon Execution TO: 11/30/2025

1. Applicant Agency:

University of Kansas Center for Research, Inc.

2. Contact Person:

Phone No:

3. Agreement No.:

Index No.: IDEA200FAY23

4. Funding Source (Chapter 1, etc.)

ADE

5. Date submitted

12/4/2024

6. Proposal Name (if any):

Inclusionary Literacy Practice

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 $14,916.00

10. Employee Benefits $5,519.00

11. Travel $2,000

12. Supplies and Materials

13. Purch Services/Consultant Fees

14. Tuition

15. Printing and Reproduction

16. Utilities and Communications

17. Other:

18. SUBTOTAL

19. Indirect Cost (8% of Line 18) $1,795.00

20. Capital Outlay

21. TOTAL $24,230.00

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

E. ESTIMATED NEEDS PAYMENT SCHEDULE ☐ Original ☐Revised Date:

FY State C/O FY FY

Jul: Jan: Jul: Jan: Jul: Jan:

Aug: Feb: Aug: Feb: Aug: Feb:

INSTRUCTIONS FOR COMPLETING ADE FORM 701d, AGREEMENT BUDGET REPORT:

APPLICATION

Section A. AGREEMENTT IDENTIFICATION FOR THE BUDGET PERIOD

1. Enter the name of the agency applying for funds.

2. Enter the name and phone number of contact person 3-4. This area will be completed by ADE.

5. Enter date submitted to ADE.

6. Enter proposal name (if any).

7. Check appropriate place.

Section B. AGREEMENT BUDGET BY LINE ITEM 8-17. Enter budget amounts for each line item.

18. Enter budget subtotal.

19. Compute indirect costs. Each funding source has a limit on what per cent of the funds can be designated indirect costs. You will be unable to exceed that limit. You may choose to use more of the funds in the program and establish a smaller indirect cost than the limit.

20. Enter the capital outlay amount. (some Requests for Proposals may restrict capital outlay expenditures.)

21. Enter budget total.

Section C. PAYMENT SCHEDULE Recommend the payment amount for each month that you estimate you will need. Refer to your budget justification, capital outlay justification pages or other reference pages before completing. If a payment schedule is not indicated by the applicant, ADE will complete.

Final payment schedule will be determined by ADE.

Sections D and E: for ADE use only

ADE FORM-701d (FEB 01)

DETAILED INTERAGENCY SERVICE AGREEMENT BUDGET

(1) Applicant Name/Agency: (2) Agreement No.

(3)

EXPENDITURE

CATEGORY

NUMBER

(4)

AGREEMENT

BUDGET

LINE ITEM NAME

(5)

NAME AND TITLE OF STAFF

AND/OR

BREAKDOWN OF INDIVIDUAL ITEMS INCLUDED IN

AGREEMENT BUDGET LINE ITEM TOTAL

(6)

100% COST

OF EACH

ITEM LISTED

COLUMN (3)

(7)

ASSIGNED

TO THIS

(8)

COST

TOTAL:

ADE FORM-701b (FEB 01) 7

INSTRUCTIONS FOR COMPLETION OF ADE FORM 701b, DETAILED EXPENDITURE BUDGETS

1) Enter the full name of applicant agency.

2) Enter agreement no.

3) From budget page, use expenditure category line number.

4) From budget page, use expenditure category name.

5) Briefly detail names/titles or other specifics that describe the proposed expenditures. If more than one item is included within the proposed expenditure for a line item, detail the costs within that line. See example below for sample of detail of line items.

6) Enter the actual 100% cost or actual 100% agency contracted salary amounts, even if a proposed salary or item cost is not in 100% support of the demonstration site.

7) Enter the appropriate % that would be assigned to this agreement.

8) In relation to column 6, how much funding are you requesting in this application?

EXAMPLE

(3)

EXPENDITURE

CATEGORY

NUMBER

(4)

AGREEMENT

BUDGET

LINE ITEM NAME

(5)

NAME AND TITLE OF STAFF

AND/OR

BREAKDOWN OF INDIVIDUAL ITEMS INCLUDED IN

AGREEMENT BUDGET LINE ITEM TOTAL

(6)

100% COST

OF EACH

ITEM LISTED

COLUMN (3)

(7)

ASSIGNED

TO THIS

(8)

COST

8 Salaries - Instructor $10,000 50% $ 5,000 Instructional

9 Salaries Non- Counselor $20,000 100% $20,000 Instructional

10 Benefits Benefits for Instructor $ 2,500 50% $ 1,250

10 Benefits Benefits for Counselor $ 5,000 100% $ 5,000

17 Other Expenses Rent of Facilities $24,000 25% $ 6,000

20 Capital Outlay Computer and Monitor $ 5,000 100% $ 5,000

TOTAL

$42,250

PLEASE NOTE: All capital expenditures with a useful life of one year or more and costing $1,000 or more must be reflected on form ADE FORM 640 (Capital Outlay Request).

ADE FORM-701b (FEB 01)

1. Purpose of Agreement
2. Term of Agreement
3. Renewal of Agreement
4. Scope of Services
5. Payment
6. Changes
7. Arbitration
8. Breach
9. Termination
10. Governing Law
11. Non-Availability of Funds
12. Cancellation for Conflict of Interest
13. Non-Discrimination
14. Records
15. Compliance Requirements for A.R.S. § 41-4401, Government Procurement: E-Verify Requirement
16. Confidentiality
17. Property Disposition
18. Property of the State
19. Notices
20. Travel
21. Indemnification
1. MISSION STATEMENT
2. BACKGROUND
3. CONTRACTOR RESPONSIBILITIES
ARIZONA DEPARTMENT OF EDUCATION
INSTRUCTIONS FOR COMPLETING ADE FORM 701d, AGREEMENT BUDGET REPORT: APPLICATION
Section B. AGREEMENT BUDGET BY LINE ITEM
Section C. PAYMENT SCHEDULE
ARIZONA DEPARTMENT OF EDUCATION DETAILED INTERAGENCY SERVICE AGREEMENT BUDGET
(1) Applicant Name/Agency: (2) Agreement No.
EXAMPLE
PLEASE NOTE: All capital expenditures with a useful life of one year or more and costing $1,000 or more must be reflected on form ADE FORM 640 (Capital Outlay Request).
Signature Block1_es_:signer:signatureblock: 4/7/2025
Signature Block2_es_:signer:signatureblock:
2025-04-07T13:22:46-0700
Braulio Garcia

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