Vote: adopted

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52. GRANT AGREEMENT, REQUEST FOR GRANT APPLICATION CONTRACT WITH ARIZONA EARLY CHILDHOOD DEVELOPMENT AND HEALTH BOARD, FIRST THINGS FIRST FOR ORAL HEALTH Approve and accept an award for a Grant Agreement, Request for Grant Application (RFGA) (FTF-MULTI-16-0519-00), Contract No. (FTF-MULTI-16-0519-02), Oral Health Grant program between Arizona Early Childhood Development and Health Board (AECDHB), First Things First (FTF) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, First Teeth First (OOH FTF) to provide funding for an Oral Health program. The OOH FTF will be an Administrative Home collaborating and providing preventive oral health education, dental screenings and fluoride varnish to children ages zero to five, professional development, throughout Phoenix South, East Maricopa, Northwest Maricopa, Phoenix North, Southwest Maricopa and Southeast Maricopa Regions. The amount of the contract grant award is $2,125,000. The initial RFGA Contract period is July 1, 2015 through June 30, 2016, which may be renewed for additional twelve (12) month periods. This Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement as delegated in the grant application. MCDPH indirect rate for FY2015-2016 is 15.8%. The full indirect costs are estimated at $225,041 of which $142,431 is recoverable and $82,610 is unrecoverable. The pass-thru amount is $558,262, which is not subject to indirect cost. 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 Agreement 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 grant will be provided by First Things First and will not affect the County general fund. (C-86-15-105-3-00)

Attachments (1)

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53. AMENDMENT TO IGA WITH PEORIA UNIFIED SCHOOL DISTRICT FOR TRANSPORTATION AND COORDINATION OF ORAL HEALTH SERVICES Approve retroactive Amendment No. 1 to Inter governmental Agreement ( IGA), Transportation and Coordination of Oral Health Services between Peoria Unified School District (PUSD) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health Services (OOHS) to provide funding to PUSD for transportation and coordination of oral health service to pre-school children within the PUSD school district. Retroactive is due to processing time at school district. Amendment No. 1, under item 1., the contract is amended as specified: A. Cover Page, 3. Agreement Amount, will replace the amount with $7,998, (budget period, July 1, 2015 through June 30, 2016); B. Cover Page, 6. Expiration Date, will be extended to June 30, 2016; C. Section IV, Work Statement, 2. Service Goals, remove and replace with revised Work Statement, Page 12 and 13, (Exhibit A.) D. Attachment A, Budget, will be deleted and replace with attached updated Attachment A, Budget (Exhibit B) E. Attachment B, Schedule will be deleted in its entirety. F. Attachment C, Business Associates Agreement will be added. (Exhibit C) All other terms and conditions of the original contract and its amendments shall remain in full force and effect. This IGA amendment is funded through a grant from, Arizona Early Childhood Development and Health Board, First Things First, Oral Health Grant. (C-86-15-105-3-00) (C-86-15-041-3-01)

Attachments (1)

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50. CONTRACT WITH DIGNITY HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, D/B/A CHANDLER REGIONAL MEDICAL CENTER FOR AN ORAL HEALTH PROGRAM Approve a retroactive Contract between Dignity Health (DH), a California nonprofit public benefit corporation d/b/a Chandler Regional Medical Center (CRMC) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, to provide oral health service titled First Teeth First (FTF) program. The FTF program will provide fluoride varnish application and oral health screening for children ages zero (0) to five (5) in Maricopa County. The contract budget (Appendix A) amount is $450,000.00, for the budget period from July 1, 2015 to June 30, 2016. The contract term, subject to the availability of funds and acceptable contractor performance; the contract can be extended for additional one (1) year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. Also, included in the contract is a Business Associates Agreement (Exhibit A) between Maricopa County and DH CRMC. The retroactive is due to the processing of the grant by the funder. DH CRMC was a successful respondent to a Public Health Notice of Intent issued by MCDPH (PH NOI 15-017), pursuant to MC1-330. Also, this Contract with CRMC is funded through a grant from First Things First (FTF-MULTI-16-0519-02) (C-86-15-105-3-00). (C-86-16-014-3-00)

Attachments (1)

Vote: approved

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55. AMENDMENT TO CONTRACT WITH DIGNITY HEALTH DBA CHANDLER REGIONAL MEDICAL CENTER FOR AN ORAL HEALTH PROGRAM Approve Amendment No. 1 to the Contract between Dignity Health (DH), a California nonprofit public benefit corporation d/b/a Chandler Regional Medical Center (CRMC) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, to provide oral health service titled First Teeth First (FTF) program. The FTF program will provide fluoride varnish application and oral health screening for children ages zero (0) to five (5) in Maricopa County. The contract budget amount remains $450,000.00, for the budget period from July 1, 2016 to June 30, 2017. The contract term is subject to the availability of funds and acceptable contractor performance. The contract can be extended for additional one (1) year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. The approved Business Associates Agreement between Maricopa County and DH CRMC remains a part of the contract. DH CRMC was a successful respondent to a Public Health Notice of Intent issued by MCDPH (PH NOI 15-O17), pursuant to MC1-330. Also, this Contract with CRMC is funded through a grant from First Things First (FTF-MULTI-16-0519-02) (C-86-15-105-3-00). (C-86-16-014-3-01)

Attachments (1)

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61. AMENDMENT TO IGA WITH PEORIA UNIFIED SCHOOL DISTRICT FOR TRANSPORTATION AND COORDINATION OF ORAL HEALTH SERVICES Approve Amendment No. 2 to Intergovernmental Agreement (IGA), Transportation and Coordination of Oral Health Services between Peoria Unified School District (PUSD) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health Services (OOHS) to provide funding to PUSD for transportation and coordination of oral health service to pre-school children within the PUSD school district. The Agreement amount is for the budget year July 1, 2016 through June 30, 2017 in the amount of $7,998 annually. The term of the Agreement is for the period July 1, 2016 through June 30, 2019, for a not-to-exceed total budget of $23,994.00. The contract is amended as specified: I. Cover Page 5. Start Date: July 1, 2016 6. Expiration Date: June 30, 2017 II. Attachment B is replaced with the revised Attachment B All other terms and conditions of the original contract and its amendments shall remain in full force and effect. This IGA amendment is funded through a grant from, Arizona Early Childhood Development and Health Board, First Things First, Oral Health Grant. (C-86-15-105-3-00) (C-86-15-041-3-02)

Attachments (1)

Vote — approved

Steve Gallardo	abstain
Bill Gates	abstain
Clint Hickman	abstain
and Clint Hickman	yes
Denny Barney	abstain
Gallardo Assessor	yes
Steve Chucri	yes

67.AMENDMENT TO GRANT AGREEMENT WITH ARIZONA EARLY CHILDHOOD DEVELOPMENT AND HEALTH BOARD, FIRST THINGS FIRST FOR ORAL HEALTHApprove Grant Renewal Amendment Notification and award for Grant (FTF-MULTI-16-0519-02-Y3), between Arizona Early Childhood Development and Health Board (AECDHB), First Things First (FTF) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, First Teeth First (OOH FTF) to provide funding for an Oral Health program. The OOH FTF w

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67. AMENDMENT TO GRANT AGREEMENT WITH ARIZONA EARLY CHILDHOOD DEVELOPMENT AND HEALTH BOARD, FIRST THINGS FIRST FOR ORAL HEALTH Approve Grant Renewal Amendment Notification and award for Grant (FTF-MULTI-16-0519-02-Y3), between Arizona Early Childhood Development and Health Board (AECDHB), First Things First (FTF) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, First Teeth First (OOH FTF) to provide funding for an Oral Health program. The OOH FTF will continue to provide preventive oral health education, dental screenings and fluoride varnish to children ages zero to five, and professional development, throughout Phoenix South, East Maricopa, Northwest Maricopa, Phoenix North, Southwest Maricopa and Southeast Maricopa Regions. The amount of the contract grant award is $2,125,000.00 for the Contract period July 1, 2017, through June 30, 2018, which may be renewed for additional twelve (12) month periods. This Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement as delegated in the grant application. MCDPH indirect rate for FY2016-17 is 15.1%. The full indirect costs are estimated at $229,932 of which $152,273 is recoverable and $77,659 is unrecoverable. The pass-thru amount to Dignity Health, dba Chandler Regional Medical Center, is $450,000 and is not subject to indirect cost. 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 Agreement 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 grant will be provided by First Things First and will not affect the County general fund. (C-86-15-105-3-02)

Attachments (1)

Vote — approved

and Clint Hickman	yes
Gallardo Assessor	yes
Steve Chucri	yes

38.AMENDMENT TO THE CONTRACT WITH DIGNITY HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, D/B/A CHANDLER REGIONAL MEDICAL CENTER FOR AN ORAL HEALTH PROGRAMApprove Amendment 2 to the Contract between Dignity Health (DH), a California nonprofit public benefit corporation d/b/a Chandler Regional Medical Center (CRMC) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, to provide oral health service titled First Teeth First (FTF) program. The

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38. AMENDMENT TO THE CONTRACT WITH DIGNITY HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, D/B/A CHANDLER REGIONAL MEDICAL CENTER FOR AN ORAL HEALTH PROGRAM Approve Amendment 2 to the Contract between Dignity Health (DH), a California nonprofit public benefit corporation d/b/a Chandler Regional Medical Center (CRMC) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health, to provide oral health service titled First Teeth First (FTF) program. The FTF program will provide fluoride varnish application and oral health screening for children ages zero (0) to five (5) in Maricopa County. The contract budget amount remains $450,000.00, for the budget period from July 1, 2017 to June 30, 2018. The contract term, subject to the availability of funds and acceptable contractor performance, can be extended for additional one (1) year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. The maximum extension is June 30, 2021. The approved Business Associates Agreement between Maricopa County and DH CRMC remains a part of the contract. DH CRMC was a successful respondent to a Public Health Notice of Intent issued by MCDPH (PH NOI 15-O17), pursuant to MC1-330. Also, this Contract with CRMC is funded through a grant from First Things First (FTF-MULTI-16-0519-02) (C-86-15-105-3-00). (C-86-16-014-3-02)

Attachments (1)

Vote — approved

Gallardo PRESENTATION	yes
Steve Chucri	yes

83.AMENDMENT TO IGA WITH PEORIA UNIFIED SCHOOL DISTRICT FOR TRANSPORTATION AND COORDINATION OF ORAL HEALTH SERVICESApprove Amendment No. 3 to Intergovernmental Agreement (IGA), Transportation and Coordination of Oral Health Services between Peoria Unified School District (PUSD) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health Services (OOHS) to provide funding to PUSD for transportation and coordination of oral health service to pre-school childre

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83. AMENDMENT TO IGA WITH PEORIA UNIFIED SCHOOL DISTRICT FOR TRANSPORTATION AND COORDINATION OF ORAL HEALTH SERVICES Approve Amendment No. 3 to Intergovernmental Agreement (IGA), Transportation and Coordination of Oral Health Services between Peoria Unified School District (PUSD) and Maricopa County by and through its Department of Public Health (MCDPH), Office of Oral Health Services (OOHS) to provide funding to PUSD for transportation and coordination of oral health service to pre-school children within the PUSD school district. The Agreement amount is for the budget year July 1, 2017 through June 30, 2018 in the amount of $7,998 annually. The term of the Agreement is for the period July 1, 2016 through June 30, 2019, for a not-to-exceed total budget of $23,994.00. The contract is amended as specified: I.Cover Page 5. Start Date: July 1, 2017 6. Expiration Date: June 30, 2018 II. Attachment B is replaced with the revised Attachment B All other terms and conditions of the original contract and its amendments shall remain in full force and effect. This IGA amendment is funded through a grant from, Arizona Early Childhood Development and Health Board, First Things First, Oral Health Grant. (C-86-15-105-3-00) (C-86-15-041-3-03)

Attachments (1)