Extracted text (via pymupdf)
6242 characters
INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR061304 IGA Amendment No: 1 Procurement Officer: Gracie Torrecillas Page 1 of 4 Revised 05/29/2024 HIV Care Services It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is hereby revised with the following: 1.1. The Price Sheet is revised and replaced. 1.2. Exhibit – 2 CFR 200.332 is revised and replaced. ALL CHANGES ARE REFLECTED IN RED All other provisions of this agreement remain unchanged. Maricopa County Department of Public Health - Ryan White Part A Program Contractor Name: County Authorized Signature 4041 North Central Avenue Address: Print Name Phoenix AZ 85012 City State Zip Title and Date Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona This Intergovernmental Agreement Amendment shall be effective the date indicated. The Public Agency is hereby cautioned not to commence any billable work or provide any material, service or construction under this IGA until the IGA has been executed by an authorized ADHS signatory. State of Arizona Signature Date Signed this day of 2024. Print Name Procurement Officer Contract No.: CTR061304, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona. Signature Date Assistant Attorney General Print Name INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR061304 IGA Amendment No: 1 Procurement Officer: Gracie Torrecillas Page 2 of 4 Revised 05/29/2024 Cost Reimbursement Contract HIV Care and Services Contract Price Sheet Through 6/30/2027 ACCOUNT CLASSIFICATION LINE-ITEM TOTALS PERSONNEL SERVICES AND ERE* $0 TRAVEL* $0 PROFESSIONAL & OUTSIDE SERVICES* $3,000,000.00 CAPITAL EXPENSES $0.00 OTHER OPERATING EXPENSES* $0 INDIRECT $0 CONTRACT NOT TO EXCEED (NTE): $3,000,000.00 *Indicates Indirect Cost calculation. If applicable, the Contractor is authorized to transfer up to a maximum of 25% of the total budget amount between line items with the written approval from an ADHS program representative. Transfers exceeding 25% or to a non-funded line item shall require an Amendment. INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR061304 IGA Amendment No: 1 Procurement Officer: Gracie Torrecillas Page 3 of 4 Revised 05/29/2024 2 CFR 200.332 § 200.332 Requirements for pass-through entities. All pass-through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward. Prime Awardee: Arizona Department of Health Services UEI # QMWUG1AMYF65 Federal Award Identification (Grant Number): X07HA00080‐34‐01 Subrecipient name (which must match the name associated with its unique entity identifier): Maricopa County Department of Public Health Subrecipient's unique entity identifier (UEI #): LM85MG1513K5 Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): X07HA00080 Federal Award Date (see the definition of Federal award date in § 200.1 of this part) of award to the recipient by the Federal agency; 04/01/2023 Subaward Period of Performance Start and End Date; 4/1/24-3/31/25 Subaward Budget Period Start and End Date: 4/1/24-3/31/25 Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $3,000,000 Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation (how much is available for contracts): $3,000,000 Total Amount of the Federal Award committed to the subrecipient by the pass-through entity N/A -no pass through Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) RYAN WHITE CARE ACT TITLE II INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR061304 IGA Amendment No: 1 Procurement Officer: Gracie Torrecillas Page 4 of 4 Revised 05/29/2024 Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity Health Resources & Services Administration India Smith Grants Management Specialist Office of Federal Assistance Management (OFAM) Division of Grants Management Office (DGMO) ISmith@hrsa.gov (301) 443-2096 Assistance Listings number and Title; the pass- through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement: $17,217,265.00/ CFDA 93.917 Identification of whether the award is R&D Not R & D Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414 N/A