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41. IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WIC SERVICE AND BREASTFEEDING PEER COUNSELING Approve Intergovernmental Agreement Cost Reimbursement Contract No. HG050297 between Arizona Department of Health Services (ADHS) and the Maricopa County Department of Public Health (MCDPH) in the not-to-exceed amount of $12,840,223 for the term beginning October 1, 2010 through September 30, 2013 for the following programs: Women, Infants and Children (WIC) Services $11,757,860.00 Breastfeeding Peer Counseling (BFPC) Program $1,082,363.00 Farmers Market Nutrition (FMNP) Program as funding becomes available If additional funding becomes available for the WIC, the BPC and/or the FMNP Programs, subsequent actions to accept additional funding will be made through the Board’s Agenda Process. These amendments may come in the form of Purchase Orders or amended budget actions. The Department of Public Health’s indirect rate for FY2011 is 17%. The full indirect costs are estimated at a $1,708,407 for WIC Services and $157,266 for BFPC, of which are fully recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this grant will be provided by ADHS and will not affect the County general fund. (C-86-11-004-3-00)

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44. AMENDMENT TO INTERGOVERNMENTAL AGREEMENT WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FARMERS MARKET NUTRITION PROGRAM SERVICES Approve Amendment No. 1 to the Intergovernmental Agreement (IGA) Cost Reimbursement Contract No. HG050297 between Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health (MCDPH). This amendment replaces the original Price Sheet with a revised Price Sheet to include funding for Farmer’s Market Nutrition Program (FMNP) Services, effective March 1, 2011, for the amount not-to-exceed $1,351.25. The FMNP Services Price Sheet shall be changed from a cost reimbursement configuration to fixed price. Additional administrative changes are included in this amendment. All other provisions shall remain unchanged. The Department of Public Health’s indirect rate for FY2011 is 17%. The full indirect costs are estimated at a $196 for FMNP Services, which are fully recoverable. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this grant will be provided by ADHS and will not affect the County general fund. (C-86-11-004-3-01)

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98. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR WIC SERVICES, BREASTFEEDING PEER COUNSELING AND FARMERS MARKET Approve Amendment No. 2 to Intergovernmental Agreement (IGA) Cost Reimbursement Contract (HG050297) between Arizona Department of Health Services (ADHS) and the Maricopa County through its Department of Public Health (MCDPH), Women, Infants and Children (WIC) Services, Breastfeeding Peer Counseling (BFPC) Program and Farmers Market Nutrition (FMNP) Program to change the contract number. The Amendment Pursuant to the Uniform Terms and Conditions of Contract (HG050297), Page seven (7), Provision six (6)., Contract Changes, Item 6.1., Amendments, Purchase Orders and Change Orders, the contract no. HG050297 is changed to ADHS11-006673. All other provisions of this agreement remains unchanged. (C-86-11-004-3-02)

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49. AMENDMENT TO IGA WITH ADHS FOR WIC SERVICES, BREASTFEEDING PEER COUNSELING AND FARMERS MARKET NUTRITION PROGRAM Approve Amendment No. 3, Intergovernmental Agreement (IGA) Contract No. ADHS11-006673 between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH) to decrease funding for the Women, Infants and Children (WIC) Services. The decreased amount is $954,490, bringing the total price sheet not-to-exceed amount from $11,757,860 to $10,803,370, effective April 1, 2011 through September 30, 2011. No other price sheet/fee schedule changes are made for FY2011. The Department of Public Health’s indirect rate for FY2011 is 17%. The decreased full indirect costs are estimated at a $138,686 for WIC Services. Also approve additional actions for Amendment No. 3, IGA Contract No. ADHS11-006673 between ADHS and MCDPH to provide funding for not-to-exceed amount of $11,100,814, effective October 1, 2011 through September 30, 2012 for the following programs: Women, Infants and Children (WIC) Services $10,343,160 Breastfeeding Peer Counseling (BFPC) Program $757,654 Farmers Market Nutrition (FMNP) Program as funding becomes available The Department of Public Health’s indirect rate for FY2012 is 16.7%. The full indirect costs are estimated at a $1,480,127 for WIC Services and $108,422 for BFPC, of which are fully recoverable. The term of the agreement is October 1, 2010 through September 30, 2013. Additional administrative changes are included in this amendment. All other provisions of this agreement remain unchanged. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this grant will be provided by ADHS and will not affect the County general fund. Detailed financial line items are provided in the attached budget worksheet (25FY12 Agenda Template-WIC). (C-86-11-004-3-03)

Vote: adopted

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61. PURCHASE ORDER TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FARMERS MARKET NUTRITION PROGRAM SERVICES Approve Purchase Oder (ADHS12-006673:7) to the Intergovernmental Agreement (IGA) Contract No. (ADHS12-006673) between Arizona Department of Health Services (ADHS) and Maricopa County through its Department of Public Health (MCDPH) to provide funding for the Farmer’s Market Nutrition Program (FMNP) portion of the combined Women, Infants and Children (WIC) Services grant by $3,476.25 for the budget period February 1, 2013 through September 30, 2013. The term of the IGA is October 1, 2010 through September 30, 2013. All other provisions of this agreement remain unchanged. The Department of Public Health’s indirect rate for FY2012-13 is 15.8%. The full indirect costs are estimated at a $474 for FMNP Services, which are fully recoverable. Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures of local revenues duly adopted by the Board pursuant to A.R.S. 42-17105. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. (C-86-11-004-3-06)