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59. IGA FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FUNDS TO THE OFFICE OF PREPAREDNESS AND RESPONSE Approve the Intergovernmental Agreement (IGA) (ADHS12-007891) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to provide funding in the not-to-exceed amount of $3,293,427.45, for the budget period August 31, 2011 through August 30, 2012, for the Office of Preparedness and Response (OPR). The term of this IGA is August 31, 2011 through August 30, 2016. The Department of Public Health indirect rate for FY11-12 is 16.7%. Grant indirect costs are fully recoverable, and are estimated to be $471,296. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this agreement is provided by a Grant from ADHS and will not increase the County general fund budget. (C-86-12-021-3-00)

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34. AMENDMENT TO IGA FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FUNDS TO THE OFFICE OF PREPAREDNESS AND RESPONSE Approve Amendment No. 1 to the Intergovernmental Agreement (IGA) (ADHS12-007891) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health to add additional language. The term of this IGA is August 31, 2011 through August 30, 2016. Funding for this agreement is provided by a Grant from ADHS and does not effect the County general fund. (C-86-12-021-3-01)

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42. IGA FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FUNDS TO THE OFFICE OF PREPAREDNESS AND RESPONSE Approve the Intergovernmental Agreement (IGA) (ADHS12-007891) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, Office of Preparedness and Response (OPR), to decrease funding by $200,430, for a new not-to-exceed amount of $3,092,997.45, budget period August 31, 2011 through August 30, 2012. The term of this IGA is August 31, 2011 through August 30, 2016. The Department of Public Health indirect rate for FY11-12 is 16.7%. Grant indirect costs are fully recoverable, and decrease indirect are estimated to be ($28,682). The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. Funding for this agreement is provided by a Grant from ADHS and will not affect the County general fund. (C-86-12-021-3-02)

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64. PURCHASE ODER TO THE IGA FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FUNDS TO THE OFFICE OF PREPAREDNESS AND RESPONSE Approve Purchase Order (ADHS12-007891:1) to the Intergovernmental Agreement (IGA) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, Office of Preparedness and Response (OPR), to extend the budget period June 30, 2013. The term of this IGA is August 31, 2011 through August 30, 2016. Funding for this agreement is provided by a Grant from ADHS and will not affect the County general fund. (C-86-12-021-3-04)

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41. AMENDMENT TO THE IGA FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FUNDS TO THE OFFICE OF PREPAREDNESS AND RESPONSE Approve Amendment No. 5, to the Intergovernmental Agreement (IGA) (ADHS12-007891) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, Office of Preparedness and Response (OPR), which replaces the Price Sheet (Attachment A) to reduce the amount by $224,249.00 and makes the new not-to-exceed amount of $3,017,326.00, budget period August July 1, 2012 to June 30, 2013. The term of this IGA is August 31, 2011 through August 30, 2016. Funding for this agreement is provided by a Grant from ADHS and will not affect the County general funds. The overall grant budget will be adjusted as necessary to accommodate this reduction through a future reconciliation. (C-86-12-021-3-06)

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83. AMENDMENT TO THE IGA FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR FUNDS TO THE OFFICE OF PREPAREDNESS AND RESPONSE Approve Amendment No. 6, to the Intergovernmental Agreement (IGA) (ADHS12-007891) from Arizona Department of Health Services (ADSH) to Maricopa County through its Department of Public Health, Office of Preparedness and Response (OPR). This amendment replaces the Price Sheet, Page Two (2), of Amendment Five (5),with the Price Sheet, of this Amendment Six (6), Page Two (2). The total Price Sheet is increased in the amount of $250,000.00, to assist in the purchase of digital x-ray equipment for the Office of the Medical Examiner (OME) to be used for x-rays in a mass fatality management emergency, as needed, during public health or pandemic emergencies, and makes the new not-to-exceed amount $3,267,326.00, effective June 1, 2013. The term of this IGA is August 31, 2011 through August 30, 2016. The Department of Public Health FY 2012-13 indirect rate is 15.8%. This amendment is for capital purchase therefore indirect cost in the amount of $39,500 is unallowable. Funding for this agreement is provided by a Grant from ADHS and will not affect the County general funds. (C-86-12-021-3-07)

Vote: adopted

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31. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE OFFICE OF PREPAREDNESS AND RESPONSE Approve Amendment No. 7, to the Intergovernmental Agreement (IGA) (ADHS12-007891) from Arizona Department of Health Services (ADHS) to Maricopa County through its Department of Public Health, Office of Preparedness and Response (OPR) to provide funding for the CDC Deliverables for Public Health Emergency Preparedness (PHEP). This amendment replaces the Price Sheet, Page Two (2), of Amendment Six (6),with the Price Sheet, of this Amendment Seven (7). The total Price Sheet is in the amount of $2,691,758.72, for the budget period effective July 1, 2013 through June 30, 2014. The term of this IGA is August 31, 2011 through August 30, 2016. The Department of Public Health indirect rate for FY2013-14 is 15%. The indirect costs are estimated at $351,099, 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-86-12-021-3-08)

Attachments (1)

Vote: adopted

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39. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS Approve Amendment No. 8 to the Intergovernmental Agreement (IGA) ADHS12-007891 between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health, Office of Preparedness and Response (OPR) to provide funding for the CDC Deliverables for Public Health Emergency Preparedness (PHEP). This Amendment replaces the Price Sheet, Page Three (3), replaces Attachment A from Amendment No. 7, County Requirements and Deliverables Document pages Four (4) through Nineteen (19), and delete in its entirety Contract Terms and Conditions, Provisions Eighteen (18), Health Insurance Portability and Accountability Act of 1996 (HIPAA) and replace with page Two (2). The total price sheet is in the not-to-exceed amount of $2,737,151.21 for the budget period effective July 1, 2014 through June 30, 2015. The term of this IGA is August 31, 2011 through August 30, 2016. All other terms and conditions not previously amended will remain in full force and effect. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. The indirect costs are estimated at $352,873, 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. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. This award requires a ten percent (10%) "in-kind" or "soft" match from all the grant participants. Our "in-kind" match is included in the budget. (C-86-12-021-3-09)

Attachments (1)

Vote: adopted

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71. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE OFFICE OF PREPAREDNESS AND RESPONSE Approve Amendment No. 9 to the Intergovernmental Agreement (IGA) ADHS12-007891 from Arizona Department of Health Services (ADHS) to Maricopa County by and through its Department of Public Health, Office of Preparedness and Response (OPR) to provide funding for the CDC Deliverables for Public Health Emergency Preparedness (PHEP). This Amendment revises Attachment A to add Section 10 for activities related to Ebola Virus Disease (EVD) investigation as outlined on Page 2 and Page 3 of this Amendment. This Amendment replaces the Price Sheet, Page 4 to add additional funding in the amount of $50,913 for a contract total in the not-to-exceed amount of $2,788,063.81 for the budget period effective July 1, 2014 through June 30, 2015. The term of this IGA is August 31, 2011 through August 30, 2016. All other terms and conditions not previously amended will remain in full force and effect. The Department of Public Health’s indirect rate for FY14-15 is 14.8%. The indirect costs are estimated at $6,564, 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. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-12-021-3-10)

Attachments (1)

Vote: adopted

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51. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE OFFICE OF PREPAREDNESS AND RESPONSE Approve a retro-active Amendment No. 10 to the Intergovernmental Agreement (IGA) ADHS12-007891 from Arizona Department of Health Services (ADHS) to Maricopa County by and through its Department of Public Health (MCDPH), Office of Preparedness and Response (OPR) to provide funding for the CDC Deliverables for Public Health Emergency Preparedness (PHEP). This Amendment adds Attachment C to address activities related to Ebola Virus Disease (EVD) and Infectious Disease Preparedness and Response and replaces the Price Sheet in the amount of $700,000 for a contract total not-to-exceed $3,488,064. The term of this IGA is August 31, 2011 through August 30, 2016. The budget period for the additional funding is April 1, 2014 through August 30, 2016. Maricopa County Department of Public Health’s Indirect Rate for FY16 is 15.8%. The indirect costs are estimated at $95,509 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. 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. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-12-021-3-11)

Attachments (1)

Vote: adopted

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48. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE OFFICE OF PREPAREDNESS AND RESPONSE Approve a retro-active Amendment No. 11 to the Intergovernmental Agreement (IGA) ADHS12-007891 from Arizona Department of Health Services (ADHS) to Maricopa County by and through its Department of Public Health (MCDPH), Office of Preparedness and Response (OPR), to provide funding for the CDC Deliverables for Public Health Emergency Preparedness (PHEP). This Amendment replaces Amendment Ten (10) Price Sheet, with Price Sheet of this Amendment Eleven (11). The Public Health Emergency Preparedness (PHEP) amount for the FY16 has been revised to $2,734,882.00, for Budget Period 4, effective July 1, 2015 through June 30, 2016. In addition, replace Amendment Eight (8) Attachment A with Attachment A, Budget Period Four (4), County Requirements and Deliverables Document of this Amendment Eleven (11). The term of this IGA is August 31, 2011, through August 30, 2016. This retro-active document is necessary due to processing time at ADHS. All other terms and conditions not previously amended will remain in full force and effect. Maricopa County Department of Public Health’s Indirect Rate for FY2015/16 is 15.8%. The indirect costs are estimated at $373,153.00 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. 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. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-12-021-3-12)

Attachments (1)

Vote: approved

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51. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR EMERGENCY PREPAREDNESS RESPONSE Approve a retro-active Amendment 1 to Intergovernmental Agreement (IGA) Agreement No. (ADHS17-133194), Emergency Preparedness Response between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Preparedness and Response (OPR) to provide Zika funding to Maricopa County. (The Ebola funds in the amount of $280,132.66 were approved on July 22, 2015, under file C-86-12-021-3-11.) The Zika cost reimbursement Price Sheet is for the budget period July 1, 2016 through July 31, 2017, for the total budget amount of $357,810 and a cumulative budget amount of $2,881,483.25. The Amendment Performance Period is through July 30, 2018. The IGA term begins July 1, 2016 and terminates June 30, 2021. The retro-active is due to recent issuance of this amendment by ADHS. • Public Health Emergency Preparedness, PHEP Zika funding in the amount of $44,000 • Bureau of Epidemiology & Disease Control, EDC Zika funding in the amount of $313,810 Maricopa County Department of Public Health’s Indirect Rate for FY2016-17 is 15.1%. The indirect costs are estimated at $46,941 which is fully recoverable. Departmental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. 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. Funding for this Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-16-112-3-01)

Attachments (1)