Vote: adopted

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10. PURCHASE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY MANAGEMENT PROGRAM Approve the Purchase Order from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) HG754199 for the Public Health Emergency Management Program (PHEM). The purchase order allows to encumber in full a total not-to-exceed $1,441,206 for the budget period starting August 10, 2008 through August 9, 2009. The Department of Public Health indirect rate for FY 2008-09 is 18.0%. Indirect costs are estimated at $219,845, all of which is fully recoverable. An appropriation adjustment is not requested at this time by Public Health (860) Grant Fund (532) operating budget (0000), as these funds were included in the FY 2008-09 Adopted Budget. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditures of these revenues are not prohibited by the budget law. The approval of this budget adjustment does not alter the budget constraining the expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. Funds for this IGA are provided by a grant from ADHS and do not increase the County’s general fund. (C-86-07-050-2-04)

Vote: adopted

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27. PURCHASE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY MANAGEMENT - CRI Approve the Purchase Order (E9H27899) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) HG754199 for the Public Health Emergency Management Program (PHEM) for City Response Initiative (CRI). The purchase order allows to encumber in full a total not-to-exceed $1,178,365 for the budget period starting August 1, 2008 through August 9, 2009.Also, approve revenue and expenditure appropriation adjustments to the Public Health Grant Fund (Department 860, Fund 532, Function Code 0000) associated with the aforementioned grant in an amount of ($349,434) for FY 2008-09. The appropriations adjustment is necessary because budget estimate included in the FY 2008-09 adopted budget is greater than actual award. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditures of these revenues are not prohibited by the budget law. The approval of this budget adjustment does not alter the budget constraining the expenditures of local revenues duly adopted by the Board pursuant to A.R.S. §42-17105. The Department of Public Health indirect rate for FY 2008-09 is 18.0%. Indirect costs are estimated at $179,751 all of which is fully recoverable. Funds for this IGA are provided by a grant from ADHS and do not increase the County’s general fund. Estimated amount of $1,429,312 was included in FY 2008-09 adopted budget. (C-86-07-050-2-05)

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25. PURCHASE ORDER FOR PUBLIC HEALTH EMERGENCY MANAGEMENT PROGRAM FOR WAREHOUSING SITES Approve the Purchase Order (E9H30091) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) HG754199 for the Public Health Emergency Management Program (PHEM). The purchase order allows to encumber in full a not-to-exceed $4,800 for the budget period starting September 1, 2008 through August 31, 2009, bringing the new total not to exceed $2,624,371. The Department of Public Health indirect rate for FY 2008-09 is 18.0%. Indirect costs are estimated at $864 all of which are not recoverable. This purchase order is to specifically fund additional storage cost for the warehousing of alternative care supplies and is not allowed to charge indirect. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. (C-86-07-050-2-06)

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56. CHANGE ORDER TO PURCHASE ORDER FROM ADHS FOR OFFICE OF PREPAREDNESS AND RESPONSE Approve Procurement Change Order to Purchase Order (E9H27569) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR) formerly known as Public Health Emergency Management Program (PHEM). The purchase order replaces the original price sheet with a new price sheet and also allows to encumber in full a not-to-exceed $52,299 for the budget period starting September 1, 2008 through August 31, 2009, bringing the new total not-to-exceed $2,676,670. The term of this IGA is April 1, 2007 through August 30, 2011. The Department of Public Health indirect rate for FY 2008-09 is 18%. Indirect Cost are estimated at $7,978, all of which is fully recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. (C-86-07-050-2-07)

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31. PURCHASE ORDER TO INCREASE FUNDING FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS Approve the Purchase Order (EOH32742) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) (HG754199) for the Office of Preparedness and Response (OPR). This purchase order funds activities related to Public Health Emergency Preparedness. The purchase order allows to encumber in full a not-to-exceed $1,669,770 for the budget period starting September 1, 2009 through August 30, 2010. Also, approve Purchase Order (EOH32743) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) (HG754199) for the Office of Preparedness and Response (OPR). This purchase order funds activities related to Public Health Emergency Preparedness Program – City Response Initiative (CRI). The purchase order allows to encumber in full a not to exceed $1,046,855 for the budget period starting September 1, 2009 through August 30, 2010. The two purchase orders combined bring the total amount for this grant to the not-to-exceed amount of $2,716,625 for the budget period September 1, 2009 until August 30, 2010. The Department of Public Health indirect rate for FY 2009-10 is 19.5%. Full indirect cost is allowed. Therefore, $443,298.64 is allowable. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. The MCDPH, Office of Preparedness Response was previously known as the Maricopa Department of Public Health Emergency Management Program (PHEM). (C-86-07-050-2-08)

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26. PURCHASE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR EMERGENCY PREPAREDNESS AND RESPONSE PROGRAM Approve the Purchase Order (EOH32961) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) (HG754199) for the Office of Preparedness and Response (OPR). This purchase order funds activities related to Public Health Emergency Preparedness. The purchase order allows to encumber in full a not-to-exceed $8,832 for the budget period starting September 1, 2009 through August 30, 2010. The Department of Public Health indirect rate for FY 2009-10 is 19.5%. This is a supplemental Purchase Order (PO) to cover storage cost of warehousing alternative care supplies for a full year and indirect cost is not factored in the calculation of grant award; therefore indirect costs are not allowable for this specific PO. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. The MCDPH, Office of Preparedness Response was previously known as the Maricopa Department of Public Health Emergency Management Program (PHEM). (C-86-07-050-2-09)

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30. PURCHASE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY RESPONSE H1N1 Approve the Purchase Order (EOH33074) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) (HG754199) for the Office of Preparedness and Response (OPR). This purchase order funds activities related to Public Health Emergency Response H1N1 Focus Area One. The purchase order allows to encumber in full a not-to-exceed $3,291,074.92 for the budget period starting August 1, 2009 through July 31, 2010. The Department of Public Health indirect rate for FY 2009-10 is 19.5%. Full indirect is allowed, therefore $537,037.33 is allowable. Approve increases in the FY 2009-10 appropriated budget for Public Health (860) Public Health Grant Fund (532) Operating (0000) revenues and expenditures in the amount of $2,742,562 for the portion of the Purchase Order related to FY 2009-10. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. The MCDPH, Office of Preparedness Response was previously known as the Maricopa Department of Public Health Emergency Management Program (PHEM). (C-86-07-050-2-10)

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34. PURCHASE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY RESPONSE H1N1 FOCUS AREA 3 Approve the Purchase Order (EOH33299) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) (HG754199) for the Office of Preparedness and Response (OPR). This purchase order funds activities related to Public Health Emergency Response (PHER) H1N1 Focus Area 3. The purchase order allows to encumber in full a not to exceed $8,800,000 for the budget period starting August 1, 2009 through July 31, 2010. The Department of Public Health’s indirect rate for FY 2009-10 is 19.5%. Full indirect cost is allowed. Therefore, $1,435,983 is allowable. Also, approve increases in the FY 2009-10 appropriated budget for Public Health (860) Public Health Grant Fund (532) Operating (0000) revenue and expenditures in the amount of $8,066,667 for the portion of the Purchase Order related to FY 2009-10. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. The MCDPH, Office of Preparedness Response (OPR) was previously known as the Maricopa Department of Public Health Emergency Management Program (PHEM). (C-86-07-050-2-11)

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23. PROCUREMENT CHANGE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR EMERGENCY PREPAREDNESS Approve Procurement Change Order 2 (E0H32742) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to decrease funding for the Intergovernmental Agreement(IGA) (HG754199) for the Office of Preparedness Response. Procurement change order 2 decreases funding for the service, Emergency Preparedness, in the amount of $120,000 for the budget period September 1, 2009 through August 31, 2010 bringing funding for this line from $1,669,770 to $1,549,770. The Department of Public Health indirect rate for FY 2009-10 is 19.5%. Indirect Cost is decreased from an estimated amount of $272,476 to $252,891, all of which is fully recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. The MCDPH, Office of Preparedness and Response (OPR) was formerly known as the Public Health Emergency Management Program (PHEM). (C-86-07-050-2-12)

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36. PROCUREMENT CHANGE ORDER FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR EMERGENCY PREPAREDNESS Approve Procurement Change Order 3 (E0H32742) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to decrease funding for the Intergovernmental Agreement ( IGA) (HG754199) for the Office of Preparedness Response. Procurement change order 3 decreases funding for the service, Emergency Preparedness, in the amount of $3,728.50 for the budget period September 1, 2009 through August 31, 2010 bringing funding for this line from $1,549,770 to $1,546,041.50. The Department of Public Health indirect rate for FY 2009-10 is 19.5%. Indirect Cost is decreased from an estimated amount of $252,891 to $252,283, all of which is fully recoverable. Funds for this IGA are provided by a grant from ADHS and does not affect the County’s general fund. The MCDPH, Office of Preparedness and Response (OPR) was formerly known as the Public Health Emergency Management Program (PHEM). The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-07-050-2-13)

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43. PURCHASE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE Approve Purchase Order (E1H37536) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR) formerly known as Public Health Emergency Management Program (PHEM). The purchase order extends the budget period and also allows OPR to encumber in full, a not-to-exceed $2,737,303 for the budget period starting September 1, 2010 through August 30, 2011. The term of this IGA is April 1, 2007 through August 30, 2011. The Department of Public Health indirect rate for FY 2010-11 is 17%. Indirect Costs are estimated at $397,728 all of which is fully recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-14)

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46. PURCHASE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE CITIES RESPONSE INITIATIVE PROGRAM Approve Purchase Order (E1H37536) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health for additional funding for the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM). This purchase order funds activities related to the Public Health Emergency Preparedness (PHEP) City Response Initiative (CRI) program. The purchase order increases the total FY11 funding by $1,196,326, for an aggregate total, not-to-exceed, amount of $3,933,629 for the budget period starting September 1, 2010 through August 30, 2011. The term of this IGA is April 1, 2007 through August 30, 2011. The Department of Public Health indirect rate for FY 2010-2011 is 17%. Indirect Costs are estimated at $173,825, all of which is fully recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-15)

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24. CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE – H1N1 FOCUS AREA 3 Approve Change Order (E0H33299) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to extend the H1N1 Focus Area 3 budget period of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM). The activities of this change order are related to Public Health Emergency Response (PHER) H1N1 Focus Area 3. This change order extends the budget period of the H1N1 Focus Area 3 program from July 31, 2010 to July 31, 2011. The term of this IGA is April 1, 2007 through August 30, 2011. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-16)

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25. CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE – H1N1 FOCUS AREA 1 AND 2 Approve Change Order (E0H33074) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to extend the H1N1 Focus Area 1 and 2 budget period of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM). The activities of this change order are related to Public Health Emergency Response (PHER) H1N1 Focus Area 1 and 2. This change order extends the budget period of the H1N1 Focus Area 1 and 2 program from July 31, 2010 to July 31, 2011. The term of this IGA is April 1, 2007 through August 30, 2011. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-17)

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54. CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE Approve Change Order (E0H32742) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to decrease line 1 of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) by $383,249.29, which will be re-encumbered in FY 11. The term of this IGA is April 1, 2007 through August 30, 2011. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-19)

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55. CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE Approve Change Order (E1H37536) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to increase line 1 of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) by $383,249.29. The term of this IGA is April 1, 2007 through August 30, 2011. This change order also adjusts the Price sheet to incorporate the increase in funding. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-18)

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56. CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE – CITIES RESPONSE INITIATIVE Approve Change Order (E1H37535) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to increase line 1 of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) by $44,449.83. This purchase order funds activities related to the Public Health Emergency Preparedness (PHEP) City Response Initiative (CRI) program. The term of this IGA is April 1, 2007 through August 30, 2011. This change order also adjusts the Price sheet to incorporate the increase in funding. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County’s general fund. (C-86-07-050-2-20)

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58. CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE – CITIES RESPONSE INITIATIVE Approve Change Order (E0H32743) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to decrease line 1 of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) by $44,449.83, which will be re-encumbered in FY 11. This purchase order funds activities related to the Public Health Emergency Preparedness (PHEP) City Response Initiative (CRI) program. The term of this IGA is April 1, 2007 through August 30, 2011. (C-86-07-050-2-21)

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32. PURCHASE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE – H1N1 PROGRAM Approve Purchase Order (E1H38305) for the Intergovernmental Agreement (IGA) HG754199 between Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health, Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) for the amount of $4,181,653.99. This purchase order funds activities related to the Public Health Emergency Preparedness (PHEP) H1N1 program. The term of this Purchase Order is September 1, 2010 through July 31, 2011. The Department of Public Health indirect rate for FY2010-11 is 17%. Indirect costs are estimated at $607,591 and are fully recoverable. (C-86-07-050-2-22)

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42. PROCUREMENT CHANGE ORDER FOR OFFICE OF PREPAREDNESS AND RESPONSE Approve Procurement Change Order no. 2 (E1H37536) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to decrease line 1 of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) by $232,054.00. The term of this IGA is April 1, 2007 through August 30, 2011. This change order also adjusts the Price sheet to incorporate the decrease in funding. Also, approve Procurement Change Order no. 3 (E1H37536) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to increase line 1 of the Intergovernmental Agreement (IGA) HG754199 for the Office of Preparedness and Response (OPR), formerly known as Public Health Emergency Management Program (PHEM) by $37,160.00. The term of this IGA is April 1, 2007 through August 30, 2011. This change order also adjusts the Price sheet to incorporate the increase in funding. The overall net financial impact is $194,894. The Department of Public Health indirect rate for FY2010-11 is 17%. Indirect costs estimated at $28,318 will also decrease as a result of this change order. (C-86-07-050-2-23)