CONTRACT AMENDMENT RE SNAP_ED WITH ADHS.PDF

401-15-4c ' 14- ARIZONA DEPARTMENT
OITAT LI .6 GRANT AMENDMENT OF HEALTH SERVICES
1740 W. Adams, Room
T4 ' 303
Phoenix, Arizona 85007
(602) 542-1040
Contract No:ADHS12-030680 Amendment No: 2 Tracey Thomas
BNPA AzNN, SNAP-Ed, LIA
Effective October 1, 2013, it is mutually agreed that the Grant referenced is amended as follows:
1. Pursuant to Terms and Conditions, Provision 2, Option to Renew Grant, the Grant is hereby extended through
September 30, 2014.
2. Replace Price Sheet in Amendment One (1) with the revised Price Sheet in Amendment Two (2). The revised Price
Sheet is the Approved Federal Share Budget by USDA. The pricing shall be updated in the ProcureAZ Items Tab
upon execution of this Amendment Two (2) to reflect the following line item changes:
Item 1. Personnel shall be increased by $288,086.00;
Item 2. Fringe Benefits shall be increased by $81,901.00;
Item 3. Contracts, Grants, and Agreements shall be increased by $27,666.00;
Item 4. Non-capital Equipment/Supplies shall be decreased by $25,432.00;
item 5. Materials shall be increased by $285,971,00;
Item 6. Travel Expenses shall be increased by $3,611.00;
Item 7. Building Space shall be increased by $4,643.00;
Item 8. Maintenance — Utilities shall be increased by $350.00; and
Item 9. Indirect Costs shall be increased by $92,123.00.
All other provisions shall remain in their entirety.
Contractor hereby acknowledges receipt and acceptance of The above referenced Contract Amendment is hereby
above amendment and that a signed copy must be filed with executed this day of , 2013 at
the Procurement Office before the effective date. Phoenix, Arizona
Signature / Date
Authorized Signatory's Name and Title: Procurement Officer
Contractor's Name:
Maricopa County Public Health
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Is , ARIZONA DEPARTMENT
"1111•- "4 GRANT AMENDMENT OF HEALTH SERVICES
1740 W. Adams, Room
PolV j 303
NI*
Phoenix, Arizona 85007
(602) 542-1040
Contract No:ADHS12-030680 Amendment No: 2 Tracey Thomas
REVISED PRICE SHEET
A. PERSONNEL COSTS/SALARY $716,407.00
B. FRINGE BENEFITS $274,658.00
C. CONTRACTS/GRANTS/AGREEMENTS $1,061,466.00
D. NON-CAPITAL EQUIPMENT SUPPLIES $54,468.00
E. MATERIALS $655,778.00
F. TRAVEL $14,756.00
G. BUILDING/SPACE $22,643.00
H. MAINTENANCE $4,354.00
I. EQUIPMENT & OTHER CAPITAL $0.00
J. INDIRECT COSTS 266,545.00
TOTAL $3,071,075.00
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