Extracted text (via pymupdf_layout)
12440 characters
Intergovernmental Agreement C-22-15-064-3-12 CONTRACT AMENDMENT 1. CONTRACTOR (Name and address) 2. CONTRACT ID NUMBER Maricopa County Human Services Department ADES15-089115 234 N. Central Ave. Suite 300 Phoenix, AZ 85004 3. AMENDMENT NUMBER Twelve (12) 4. THE PARTIES AGREE TO THE FOLLOWING AMENDMENT Pursuant to the Terms and Conditions, Section 32.0 Levels of Service, the purpose of this Amendment is to add the initial Case Management Service Budgets and Community Services Service Budget for the period of July 1, 2019 through June 30, 2020. In accordance with the Alert issued March 20, 2019, the initial allocations are as follows: The Case Management service reimbursement ceiling for the period of July 1, 2019 through June 30, 2020 is $4,916,332. The Community Services service reimbursement ceiling for the period of July 1, 2019 through June 30, 2020 is $870,222. Therefore the initial Case Management Service Budgets, and the initial Community Services Service Budget are added and attached. 5. EXCEPT AS PROVIDED HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT AS HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL FORCE AND EFFECT. THE AMENDMENT SHALL BECOME EFFECTIVE ON THE DATE OF LAST SIGNATURE UNLESS OTHERWISE SPECIFIED HEREIN. BY SIGNING THIS FORM ON BEHALF OF THE CONTRACTOR, THE SIGNATORY CERTIFIES HE/SHE HAS THE AUTHORITY TO BIND THE CONTRACTOR TO THIS CONTRACT. 6. 7. NAME OF CONTRACTOR ARIZONA DEPARTMENT OF ECONOMIC SECURITY Maricopa County Human Services Department SIGNATURE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL TYPED NAME TYPED NAME TITLE TITLE DATE DATE IN ACCORDANCE WITH ARS §11-952 THIS CONTRACT AMENDMENT HAS BEEN REVIEWED BY THE UNDERSIGNED WHO HAVE DETERMINED THAT THIS CONTRACT AMENDMENT IS IN APPROPRIATE FORM AND WITHIN THE POWERS AND AUTHORITY GRANTED TO EACH RESPECTIVE PUBLIC BODY. ARIZONA ATTORNEY GENERAL’S OFFICE By: _________________________________________ By: ____________________________________ Assistant Attorney General Public Agency Legal Counsel Date: _______________________________________ Date: __________________________________ Revised: 8/22/13 ITEMIZED SERVICE BUDGET CONTRACT SERVICE: Case Management Agency: Maricopa County Contract Period: 07/01/2019 - 06/30/2020 1. PERSONNEL TOTAL Number of FTE Total Salary for the Total DES service LIHEAP SSBG TANF NHN Service CMG-CAP-LIH CMG-CAP-SBG CMG-CAP-TNF CMG-CAP-NHN Positions Level Position Title Contract Period COST COST COST COST Cost Cost 1 0.50 Assistant Director $89,101 $44,551 $44,551 $44,551 $0 $0 $0 1 1.00 Admin Services Supervisor $68,078 $68,078 $68,078 $34,039 $34,039 $0 $0 1 1.00 CAA Prg Mgr $74,556 $74,556 $74,556 $29,822 $37,278 $7,456 $0 1 0.40 CSBG Program Coordinator $61,413 $24,565 $24,565 $0 $24,565 $0 $0 1 0.25 Management Assist $41,375 $10,344 $10,344 $0 $10,344 $0 $0 1 0.40 Management Analyst $55,020 $30,261 $30,261 $8,253 $22,008 $0 $0 1 0.92 Program Coordinator- Evict Preve $68,539 $63,056 $63,056 $0 $20,562 $42,494 $0 1 1.00 Program Specialist $32,907 $32,907 $32,907 $12,176 $20,731 $0 $0 1 0.75 Program Coordinator- Utility Assi $41,312 $31,397 $31,397 $31,397 $0 $0 $0 1 0.50 Grant Accountant $55,418 $55,418 $55,418 $27,709 $27,709 $0 $0 1 0.00 $0 $0 $0 $0 $0 $0 Total FTE: 6.72 3% Cost of Living $13,054 $13,054 $5,638 $5,917 $1,499 $448,187 $448,187 $193,585 $203,153 $51,449 $0 TOTAL PERSONNEL $448,187 $448,187 $193,585 $203,153 $51,449 $0 2. EMPLOYEE RELATED EXPENSES Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST FICA $448,187 $88,561 $88,561 $38,252 $40,143 $10,166 $0 Unemployment Insurance X19.76% Health Benefits $88,561 Life Inxurance Retirement $11,856 etc… X 7.38 FTEs Unemployment & Workers Comp $87,497 $87,497 $87,497 $37,702.00 $41,259 $8,536 $0 $0 $0 $0 $0 $0 $0 TOTAL EMPLOYEE RELATED EXPENSES . $176,058 $176,058 $75,954 $81,402 $18,702 $0 3. PROFESSIONAL AND OUTSIDE SERVICES Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Sub-Contracted Providers of $0 $0 $0 $0 $0 $0 Crisis Case Mgt & Financial Asst Services APS Energy Education $5,000 $5,000 $5,000 $0 $0 $0 Other Contracts $6,431 $6,431 $1,004 $5,427 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $11,431 $11,431 $6,004 $5,427 $0 $0 4. TRAVEL Total . Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Conference and Training Related Lodging/Travel $0 $0 $0 $0 $0 $0 Staff Milage $1,864 $1,864 $1,051 $813 $0 $0 TOTAL TRAVEL $1,864 $1,864 $1,051 $813 $0 $0 5. SPACE Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Office Space $0 $0 $0 $0 $0 $0 TOTAL SPACE $0 $0 $0 $0 $0 $0 6. EQUIPMENT Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 TOTAL EQUIPMENT $0 $0 $0 $0 $0 $0 7. MATERIALS AND SUPPLIES Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST General office supplies $5,807 $5,807 $5,207 $0 $600 $0 Avg. $480 Mo X 12 Months $0 TOTAL MATERIALS AND SUPPLIES $5,807 $5,807 $5,207 $0 $600 $0 8. OPERATING SERVICES Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Records Management (Storage & Destruction) $0 $0 $0 $0 $0 $0 Staff Monthly Parking Fees $0 $0 $0 $0 $0 $0 Staff Training - Registration Fees $0 $0 $0 $0 $0 $0 TOTAL OPERATING EXPENSES $0 $0 $0 $0 $0 $0 9 INDIRECT COSTS Total Service TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Maricopa County Human Services $0 $138,583 $138,583 $59,838 $63,171 $15,574 $0 Provisional indirect cost rate is 22.2% Personnel and ERE only TOTAL INDIRECT COSTS $138,583 $138,583 $59,838 $63,171 $15,574 $0 10 SUBTOTAL ADMIN COST $781,930 $781,930 $341,639 $353,966 $86,325 $0 11. VOUCHERS TOTAL TOTAL LIHEAP SSBG TANF NHN ITEM COST COST COST COST COST COST TANF $315,817 $315,817 $315,817 LIHEAP $3,265,645 $3,265,645 $3,265,645 NHN $6,910 $6,910 $6,910 TOTAL VOUCHERS $3,588,372 $3,588,372 $3,265,645 $0 $315,817 $6,910 12. TOTAL SERVICE COST/DES TOTAL COST: $4,370,302 $3,607,284 $353,966 $402,142 $6,910 REVENUE SOURCES: DES - DAAS $4,370,302 $3,542,795 $353,966 $402,142 $6,910 TOTAL REVENUE: $4,370,302 $3,542,795 $353,966 $402,142 $6,910 ITEMIZED SERVICE BUDGET CONTRACT SERVICE: Case Management - Intake Costs (CMG-CAP-INT) Agency: Maricopa County Contract Period: 07/01/2019 - 06/30/2020 1. PERSONNEL TOTAL 96% 1% 2% 1% Number of FTE Total Salary for the DES service LIHEAP SSBG TANF NHN Positions Level Position Title Contract Period COST COST COST Cost Cost TOTAL PERSONNEL $0.00 $0.00 $0.00 $0.00 $0.00 2. EMPLOYEE RELATED EXPENSES TOTAL 96% 1% 2% 1% DES service LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL EMPLOYEE RELATED EXPENSES . $0.00 $0.00 $0.00 $0.00 $0.00 3. PROFESSIONAL AND OUTSIDE SERVICES TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL PROFESSIONAL AND OUTSIDE SERVICES $0.00 $0.00 $0.00 $0.00 $0.00 4. TRAVEL . TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL TRAVEL $0.00 $0.00 $0.00 $0.00 $0.00 5. SPACE TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL SPACE $0.00 $0.00 $0.00 $0.00 $0.00 6. EQUIPMENT TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL EQUIPMENT $0.00 $0.00 $0.00 $0.00 $0.00 7. MATERIALS AND SUPPLIES TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL MATERIALS AND SUPPLIES $0.00 $0.00 $0.00 $0.00 $0.00 8. OPERATING SERVICES TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL OPERATING EXPENSES $0.00 $0.00 $0.00 $0.00 $0.00 9 INDIRECT COSTS TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL INDIRECT COSTS $0.00 $0.00 $0.00 $0.00 $0.00 10 SUBTOTAL ADMIN COST $0.00 $0.00 $0.00 $0.00 $0.00 11. VOUCHERS TOTAL $0.96 $0.01 $0.02 $0.01 DES service LIHEAP SSBG TANF NHN ITEM COST COST COST Cost Cost Sub-contracted providers for crisis case ma $546,030.00 $354,848.00 $0.00 $191,182.00 TOTAL VOUCHERS $546,030.00 $354,848.00 $0.00 $191,182.00 $0.00 12. TOTAL SERVICE COST/DES TOTAL COST: $546,030.00 $354,848.00 $0.00 $191,182.00 $0.00 REVENUE SOURCES: DES - DAAS $546,030.00 $354,848.00 $0.00 $191,182.00 $0.00 TOTAL REVENUE: $546,030.00 $354,848.00 $0.00 $191,182.00 $0.00 ITEMIZED SERVICE BUDGET CONTRACT SERVICE: Community Services Agency: Maricopa County Contract Period: 07/01/2019 - 06/30/2020 1. PERSONNEL Total TOTAL 100% 0% 0% Number of FTE Total Salary for the Service DES service CSBG CSBG-DSC CSBG-EMG Positions Level Position Title Contract Period COST COST COST COST Cost 1 0.50 Assistant Director $89,101 $44,551 $44,551 $44,551 $0 $0 1 0.60 CSBG Program Coordinator $61,413 $36,848 $36,848 $36,848 $0 $0 1 0.75 Management Assistant $41,375 $31,031 $31,031 $31,031 $0 $0 1 0.60 Mgmt. Analyst $55,020 $24,759 $24,759 $24,759 $0 $0 1 0.25 Prog. Coordinator - Utility Ass $41,312 $9,915 $9,915 $9,915 $0 $0 1 0.11 Resident Pgm Coordinator $46,007 $5,061 $5,061 $5,061 $0 $0 1 0.11 Resident Pgm Coordinator $44,288 $4,872 $4,872 $4,872 $0 $0 1 0.00 Surpise WDD Specialist $47,432 $11,858 $11,858 $11,858 $0 $0 1 0.00 Scottsdale WDD Specilist $47,432 $11,858.00 $11,858 $11,858 $0 $0 1 0.00 Tempe WDD Specialist $47,432 $11,858.00 $11,858 $11,858 $0 $0 $0.00 $0 $0 $0 $0 4.02 3% Cost of Living Increase $5,778.00 $5,778 $5,778 $0 $0 TOTAL PERSONNEL $198,389 $198,389 $198,389 $0 $0 2. EMPLOYEE RELATED EXPENSES Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST FICA $198,389 $39,202.00 $39,202 $39,202 $0 $0 Unemployment Insurance 19.76% Health Benefits $39,202 Life Insurance Ritirement $11,856 Unemploymrnet & Workers Comp X 3.51 FTEs $41,615 $41,615.00 $41,615 $41,615 $0 $0 TOTAL EMPLOYEE RELATED EXPENSES . $80,817 $80,817 $80,817 $0 $0 3. PROFESSIONAL AND OUTSIDE SERVICES Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST Check Writing Fees/Insurance $25,000.00 $25,000 $25,000 $0 $0 Needs Assessment $45,000.00 $45,000 $45,000 $0 $0 Community Initiatives CAP Contracts $300,000.00 $300,000 $300,000 $0 $0 Other Contracts $13,984.00 $13,984 $13,984 $0 $0 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $383,984 $383,984 $383,984 $0 $0 4. TRAVEL Total . . . Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST Staff and Advisory Board Conference $6,409.00 $6,409 $6,409 $0 $0 ant Training Related Lodging/Travel Staff Mileage $2,974.00 $2,974 $2,974 $0 $0 TOTAL TRAVEL $9,383.00 $9,383 $9,383 $0 $0 5. SPACE Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST Office Space 50% of $10,000 x 12 months $0.00 $0 $0 $0 $0 TOTAL SPACE $0.00 $0 $0 $0 $0 6. EQUIPMENT Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST TOTAL EQUIPMENT $0.00 $0 $0 $0 $0 7. MATERIALS AND SUPPLIES Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST General Office Supplies $600.00 $600 $600 $0 $0 Avg. $50 Month X 12 Months Postage, forms, Business Cards, Calendars, Misc. $1,000.00 $1,000 $1,000 $0 $0 $0 $0 $0 $0 TOTAL MATERIALS AND SUPPLIES $1,600.00 $1,600 $1,600 $0 $0 8. OPERATING SERVICES Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST Records Mgmt & Storage $1,300.00 $1,300 $1,300 $0 $0 Reporgraphics (coping, printint, ets.) $3,000.00 $3,000 $3,000 $0 $0 Staff Monthly Parking Fees $14,040.00 $14,040 $14,040 $0 $0 Fingerprint Clearance Cards $225.00 $225 $225 $0 $0 Staff Training - Registration Fees $7,000.00 $7,000 $7,000 $0 $0 Advisory Board/Community Mtgs Estimated $260 X 5 Events $1,300.00 $1,300 $1,300 $0 $0 Parking Validation Visitor, Parking Stamps $800.00 $800 $800 $0 $0 Telecommunications $5,400.00 $5,400 $5,400 $0 $0 Memberships $1,000.00 $1,000 $1,000 $0 $0 TOTAL OPERATING EXPENSES $34,065.00 $34,065 $34,065 $0 $0 9 INDIRECT COSTS Total Service TOTAL DES DES DES ITEM BASIS COST COST COST COST COST Maricopa County Human Services 22.20% $61,984.00 $61,984 $61,984 $0 $0 provisinal indirect cost rate is 22.2% of Personnel and ERE only TOTAL INDIRECT COSTS $61,984.00 $61,984 $61,984 $0 $0 10 SUBTOTAL ADMIN COST $770,222.00 $770,222 $770,222 $0 $0 11. Program Costs Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM COST COST COST COST Cost vouchers $100,000.00 $100,000 $100,000 $0 $0 TOTAL program cost $100,000.00 $100,000 $100,000 $0 $0 $1 $0 $0 12. TOTAL SERVICE COST/DES TOTAL COST: $870,222 $870,222 $0 $0 REVENUE SOURCES: DES - DAAS $870,222 $870,222 $0 $0 TOTAL REVENUE: $870,222 $870,222 $0 $0