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Revised: 8/22/13 Intergovernmental Agreement CONTRACT AMENDMENT 1. CONTRACTOR (Name and address) Maricopa County Human Services Department 234 N. Central Ave. Suite 300 Phoenix, AZ 85004 2. CONTRACT ID NUMBER ADES15-089115 3. AMENDMENT NUMBER Fourteen (14) 4. THE PARTIES AGREE TO THE FOLLOWING AMENDMENT Pursuant to the Terms and Conditions, Section 32.0 Levels of Service, the Case Management service reimbursement ceiling for the period of July 1, 2019 through June 30, 2020 is revised from $5,388,470 to $5,371,931.63. Therefore, the revised Case Management Service Budgets for the period of July 1, 2019 through June 30, 2020 are 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. ARIZONA DEPARTMENT OF ECONOMIC SECURITY 7. NAME OF CONTRACTOR 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: __________________________________ Page 1 of 5 C-22-15-064-3-14 CONTRACT SERVICE: Case Management - Intake Costs (CMG-CAP-INT) Agency: Maricopa County ADES15-089115 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 1 0.35 CAA Program Manager $80,163 $28,057 $28,057 1 0.45 Program Coordinator- Utility Assist $19,310 $19,310 $19,310 TOTAL PERSONNEL $47,367.00 $47,367.00 $0.00 $0.00 $0.00 2. TOTAL 96% 1% 2% 1% DES service LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost FICA, Unemployment Insurance, Health Benefits, $47,367 $9,485 $9,485 Life Insurance, Retirement, Workers Comp, etc. X 19.76% $9,360 $11,856 .80FTEs $9,485 $9,360 $9,360 TOTAL EMPLOYEE RELATED EXPENSES . $18,845.00 $18,845.00 $0.00 $0.00 $0.00 3. TOTAL LIHEAP SSBG TANF NHN COST COST COST Cost Cost APS Energy Education $5,010 $5,010 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $5,010.00 $5,010.00 $0.00 $0.00 $0.00 4. TRAVEL . TOTAL LIHEAP SSBG TANF NHN ITEM COST COST COST Cost Cost $2,000 $2,000 $1,000 $1,000 TOTAL TRAVEL $3,000.00 $3,000.00 $0.00 $0.00 $0.00 5. SPACE TOTAL LIHEAP SSBG TANF NHN ITEM 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 COST COST COST Cost Cost TOTAL EQUIPMENT $0.00 $0.00 $0.00 $0.00 $0.00 7. TOTAL LIHEAP SSBG TANF NHN ITEM COST COST COST Cost Cost BASIS EMPLOYEE RELATED EXPENSES MATERIALS AND SUPPLIES ITEM ITEMIZED SERVICE BUDGET Contract Period: 07/01/2019 - 06/30/2020 BASIS BASIS BASIS PROFESSIONAL AND OUTSIDE SERVICES BASIS Conference and training related lodging/travel Staff Mileage Page 2 of 5 TOTAL MATERIALS AND SUPPLIES $0.00 $0.00 $0.00 $0.00 $0.00 8. TOTAL LIHEAP SSBG TANF NHN ITEM 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 VOUCHER COST $74,222.00 $74,222.00 $0.00 $0.00 $0.00 11. VOUCHERS TOTAL $0.00 $0.00 $0.00 $0.00 DES service LIHEAP SSBG TANF NHN COST COST COST Cost Cost $546,030 $436,253 $0 $109,777 TOTAL VOUCHERS $546,030.00 $436,253.00 $0.00 $109,777.00 $0.00 12. TOTAL SERVICE COST/DES TOTAL COST: $620,252.00 $510,475.00 $0.00 $109,777.00 $0.00 REVENUE SOURCES: DES - DAAS $620,252.00 $510,475.00 $0.00 $109,777.00 $0.00 TOTAL REVENUE: $620,252.00 $510,475.00 $0.00 $109,777.00 $0.00 BASIS ITEM OPERATING SERVICES Sub-contracted providers for crisis case manage Page 3 of 5 CONTRACT SERVICE: Case Management Agency: Maricopa County ADES15-089115 1. PERSONNEL Number of FTE Total Salary for the Total TOTAL LIHEAP SSBG TANF NHN Service DES 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 0.33 Assistant Director $97,760 $32,261 $32,261 $22,485 $4,888 $4,888 $0 1 0.97 Admin Services Supervisor $71,490 $69,345 $69,345 $19,302 $42,894 $7,149 $0 1 0.60 CAA Prg Mgr $80,163 $48,098 $48,098 $40,082 $8,016 $0 1 0.40 CSBG Program Coordinator $64,064 $25,626 $25,626 $0 $25,626 $0 $0 1 0.95 Management Assist $43,243 $41,081 $41,081 $25,946 $15,135 $0 $0 1 0.74 Management Analyst $57,325 $42,421 $42,421 $5,733 $22,357 $14,331 $0 1 0.30 Program Coordinator- Evict Preve $68,017 $20,405 $20,405 $0 $0 $20,405 $0 1 0.85 Program Specialist $34,278 $29,137 $29,137 $20,567 $8,570 $0 $0 1 0.15 Program Coordinator- Utility Assis $42,911 $6,437 $6,437 $0 $0 $6,437 $0 1 1.00 Grant Accountant $68,000 $68,000 $68,000 $40,800 $23,800 $3,400 $0 1 0.00 $0 $0 $0 $0 $0 $0 Total FTE: 6.29 3% Cost of Living $0 $0 $0 $0 $0 $382,811.00 $382,811.00 $134,833.00 $183,352.00 $64,626.00 $0.00 TOTAL PERSONNEL $382,811.00 $382,811.00 $134,833.00 $183,352.00 $64,626.00 $0.00 2. Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST FICA $382,811 $74,574.00 $74,574.00 $28,454.00 $34,264.00 $11,856.00 $0.00 Unemployment Insurance X19.76% $0 Health Benefits $75,643 Life Insurance Retirement $11,856 etc… X 6.29 FTEs Unemployment & Workers Comp $74,574 $75,643.00 $75,643.00 $26,643.00 $36,230.00 $12,770.00 $0.00 TOTAL EMPLOYEE RELATED EXPENSES . $150,217.00 $150,217.00 $55,097.00 $70,494.00 $24,626.00 $0.00 3. Total Service TOTAL DES LIHEAP SSBG TANF NHN BASIS COST COST COST COST COST COST $0 $0 $0 $0 $0 $0 Crisis Case Mgt & Financial Asst Services $0 $0 $0 $0 $0 $0 Other Contracts $0 $0 $0 $0 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 4. TRAVEL Total . Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Conference and Training Related Lodging/Travel $13,325 $13,325 $1,349 $11,976 $0 $0 Staff Mileage $4,407 $4,407 $300 $1,200 $2,907 $0 TOTAL TRAVEL $17,732.00 $17,732.00 $1,649.00 $13,176.00 $2,907.00 $0.00 5. SPACE Total Service TOTAL DES 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 ITEMIZED SERVICE BUDGET Contract Period: 07/01/2019 - 06/30/2020 EMPLOYEE RELATED EXPENSES PROFESSIONAL AND OUTSIDE SERVICES ITEM Sub-Contracted Providers of Page 4 of 5 6. EQUIPMENT Total Service TOTAL DES 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. Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST $18,013.00 $18,012.63 $1,878.63 $14,622.00 $1,512.00 $0.00 $0 TOTAL MATERIALS AND SUPPLIES $18,013.00 $18,012.63 $1,878.63 $14,622.00 $1,512.00 $0.00 8. Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Records Management (Storage & Destruction) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Staff Monthly Parking Fees $8,383.00 $8,383.00 $0.00 $8,383.00 $0.00 $0.00 Staff Training - Registration Fees $4,835.00 $4,835.00 $0.00 $4,835.00 $0.00 $0.00 Memberships $2,750.00 $2,750.00 $0.00 $2,750.00 $0.00 $0.00 TOTAL OPERATING EXPENSES $15,968.00 $15,968.00 $0.00 $15,968.00 $0.00 $0.00 9 INDIRECT COSTS Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Maricopa County Human Services $0 $133,032.00 $133,032.00 $56,864.00 $56,354.00 $19,814.00 $0.00 Provisional indirect cost rate is 22.2% Personnel and ERE only TOTAL INDIRECT COSTS $133,032.00 $133,032.00 $56,864.00 $56,354.00 $19,814.00 $0 10 SUBTOTAL ADMIN COST $717,773.00 $717,772.63 $250,321.63 $353,966.00 $113,485.00 $0 11. VOUCHERS TOTAL TOTAL DES LIHEAP SSBG TANF NHN COST COST COST COST COST COST $370,062.00 $370,062.00 $370,062.00 $3,656,935.00 $3,656,935.00 $3,656,935.00 NHN $6,910.00 $6,910.00 $6,910.00 TOTAL VOUCHERS $4,033,907.00 $4,033,907.00 $3,656,935.00 $0.00 $370,062.00 $6,910.00 12. TOTAL SERVICE COST/DES TOTAL COST: $4,751,679.63 $3,907,256.63 $353,966.00 $483,547.00 $6,910.00 REVENUE SOURCES: DES - DAAS $4,751,679.63 $3,907,256.63 $353,966.00 $483,547.00 $6,910.00 TOTAL REVENUE: $4,751,679.63 $3,907,256.63 $353,966.00 $483,547.00 $6,910.00 MATERIALS AND SUPPLIES General office supplies Avg. $283 Mo X 12 Months OPERATING SERVICES LIHEAP ITEM TANF Page 5 of 5