CONTRACT AMD RE COMMUNITY HLTH NURSING WITH SW HUMAN DEV.PDF

CONTRACT NO: C-86-14-004-3-03 AMENDMENT NO: 3
AMENDMENT NO. 310
CONTRACT
Between
MARICOPA COUNTY
By and Through its
DEPARTMENT OF PUBLIC HEALTH
and
SOUTHWEST HUMAN DEVELOPMENT
I. The above named contract is hereby amended as specified below:
A. The budget term will be extended from October 1, 2014 to September 30, 2015.
B. Increase Contract amount to an aggregate not-to-exceed (NTE) amount of
$1,241,545 (increased by $223,587 for budget term October 1, 2014 through
September 30, 2015.)
All other terms and conditions of the original Contract and its amendments shall
remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY SOUTHWEST HUMAN DEVELOPMENT
By:
By:
Chairman, Board of Supervisors
Date Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date
1

Line Item Budget
IVIIECHV - Southwest Human Development Budget
Budget Period: October 1, 2014 - September 30, 2015
CONTRACTOR: Southwest Human Development
ADDRESS: 2850 North 24th Street
Phoenix AZ 85008 .
PGM 45628 Version: 02/912015
Fu (*RotioAtk Total Cot
PERSONNEL SERVICES • PERSONNEL SERVICES SUB TOTAL .398,087
Program Management 56,344
Program Direct Staff 323,778
Program Administrative Staff 15,600
Agency Administrative Staff 2,365
Other
awimAYEEARuATRvfXPE.N5E$.1 EIVIPLOY,EE RELATED EXPENSES SUB TOTAL $ -107,483
Fringe Benefits or other ERE 107,483
ORpF051ONALANp:.,OOTSIpgRvicEs PROFESSIONAL AND OUTSIDE SERVICES SUB TOTAL I 24,486
Contnctt?cl Ser,47.es 24,486
TRAVEL • .TRAVEL SUB TOTAL 20,125.
In Stet,: 13,350
Out of State 6.775
AgT0::OTKR:oRqANIZAToNs AID..-nfidtatkoiitANTiktidiI3t013 TOTAL,„
Subgrants or Subcontracts to organizations/ agencies/entities
OTHMOKRATINq..EXRENSEliRofer.o.itoDop.r. Ex.P ell s•O TO* OTHER OPERATING EXPENSES SUB TOTAL 58,420
Advertising
Conferences/Workshops/Training Fees for Staff
Dues/Subscriptions
Equipment Maintenance
Evaluation (non-contracted & non-personnel expenses)
Food 200
Furniture 3,000
General Office Supplies 3,100
Insurance
Internet Access
Postage 650
Printing/Copying 1,800
Professional Development/Staff Training 3,875
Program Incentives 7,500
Program Materials 13,375
Program Supplies
Rent/Occupancy 18,200
6,720
.:<:.NONAPITAL'EQUIP.MENT SU8 -707W:
Equipment $4,999 or less in ,alue 3,750
Sub Total Costs J 612,351
Indirect/Admin Costs
ADMINISTRATIVE/INDIRECT COSTS ADMINISTRATIVE/INDIRECT COSTS SUBTOTAL. I $ 61,235
TOtal bipenies 673,587
Revenue 673,537
45628 - MIECHV Updated 02-09-2015