Vote: adopted

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A-8. COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES INCLUDING FOUR PUBLIC HEALTH PROGRAMS Approve Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS15-094977) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco and Chronic Disease (T&CD), Health in Arizona Policy Initiative (HAPI), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant. TC&D, HAPI, HAWP and PHHS programs are four (4) evidence based strategies to impact policy, system and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so the public health impact will be maximized. The Price Sheet is for a total not-to-exceed amount of $3,196,375. TCD, HAPI and HAWP Phase 1 Budget period will be from July 1, 2015 through June 30, 2016. The Phase 2 budget period for PHHS will be from October 1, 2015 through June 30, 2016. The term of the Agreement is July 1, 2015 through June 30, 2020. The individual budget amounts are: Tobacco: $2,064,179 CD: $147,046 HAPI: $398,900 HAWP: $339,250 PHHS Block Grant: $247,000 MCDPH’s Indirect Rate for FY2015-16 is 15.8%. The indirect costs are estimated at $253,325 for Tobacco,$20,063 for CD $54,427 for HAPI, and $46,288 HAWP Program, which are fully recoverable. $207,527 is pass thru to sub-recipients. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. MCDPH indirect rate for FY2015-2016 is 15.8%. The full indirect costs are estimated at $35,478 of which $22,455 is recoverable and $13,023 is unrecoverable. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-00)

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41. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES INCLUDING FOUR PUBLIC HEALTH PROGRAMS Approve Amendment No 1 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS15-094977) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide amendments for the Tobacco and Chronic Disease (TC&D), Health in Arizona Policy Initiative (HAPI), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant. Pursuant to Terms and Conditions, Provision & Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders the following is amended: 1.1. Due to a system change Agreement No. ADHS15-094977 is changed to Agreement No ADHS16-102232. 1.2. Delete the Scope of Work, Provision 9, Deliverables and replace with the following: 9. Deliverables: 9.1. The County shall submit the deliverables listed below to the ADHS Program Coordinator: 9.1.1. Contractor Expenditure Report 9.1.2. A written Quarterly Report 9.1.3. A final CER invoice 9.1.4. Provide the contact information of all program staffed funded under this Agreement. 9.1.5. Notify ADHS Program Coordinator of any changes in program staff. 9.1.6. Collaborate and participate with AHDS in development of a logic model. 9.1.7. For Year 1 Phase 1, submit an annual action and budget plan August 15. 9.1.8. For Year 1 Phase II, submit an annual action and budget plan November 15. 9.1.9. For Year 1 Phase III, submit an annual action and budget plan February 15. 9.1.10. For Year 2 -5, submit an annual action and budget plan August 15. 9.1.11. Submit an Annual Report 9.1.12. Submit a written request to us the ADHS logo. 9.1.13. Submit a written request for the development of media. All other provisions shall remain in their entirety. (C-86-15-112-3-01)

Attachments (1)

Vote: adopted

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18. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES Approve Amendment No. 1 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232, formerly ADHS15-094977) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding to add two programs to the IGA, Maternal Child Health (MCH) and Teen Pregnancy Prevention (TPP). This amendment will also, replace the Price Sheet for Phase One (1) and Two (2) with Price Sheet Phase Three (3), for a total not-to-exceed $264,918.50, increasing the Price Sheet total from $3,196,375 to $3,461,293.50 for January 1, 2016 through June 30, 2016. The price sheet breakdown, for the two additional programs are: 1. MCH – Action Plan: $50,000.00 2. MCH: $100,000.00 3. TPP – Action Plan: $38,306.00 4. TPP: $76,612.50 MCDPH’s Indirect Rate for FY2015-16 is 15.8%. The indirect costs are estimated for MCH at $20,466 and TPP at $15,679.73, which are 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. All other provisions shall remain in their entirety. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-02)

Attachments (1)

Vote: adopted

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59. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES Approve Amendment No. 2 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant, Teen Pregnancy Prevention (TPP), and Maternal and Child Health (MCH) . Tobacco, HAPI – Chronic Disease, HAWP, PHHS, MCH and TPP programs are six (6) evidence based strategies to impact policy, system and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so the public health impact will be maximized. The Price Sheet is for a total not-to-exceed amount of $3,557,340 for the budget period will be from July 1, 2016 through June 30, 2017. The term of the Agreement is July 1, 2015 through June 30, 2020. The individual program, budget amounts including the Action Plan line item are: Tobacco: $2,056,439 HAPI-CD: $553,686 HAWP: $299,000 PHHS: $80,000 TPP: $229,835 MCH: $338,380 MCDPH’s Indirect Rate for FY2016-17 is 15.8%. The indirect costs are estimated at $257,936 for Tobacco, $75,547 for HAPI-CD, and $40,796 HAWP, $7,273 for PHHS, $31,360 for TPP, and $46,169 for MCH, which are fully recoverable. $166,000 is pass thru to sub-recipients. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. MCDPH indirect rate for FY2015-2016 is 15.8%. The full indirect costs are estimated at $11,491 of which $7,273 is recoverable and $4,218 is unrecoverable. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-03)

Attachments (1)

Vote — approved

66.AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PREVENTIVE HEALTH AND HEALTH SERVICE BLOCK GRANTApprove Amendment No. 3 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide additional funding for the Preventive Health and Health Service (PHHS) block grant. The PH

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66. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PREVENTIVE HEALTH AND HEALTH SERVICE BLOCK GRANT Approve Amendment No. 3 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide additional funding for the Preventive Health and Health Service (PHHS) block grant. The PHHS block grant is one of the six (6) evidence based strategies/programs within this combined IGA to impact policy, system and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so that public health impact will be maximized. The increased amount is $245,250, bringing the Price Sheet total not-to-exceed amount from $3,557,340 to $3,802,590 for the budget period will be from July 1, 2016 through June 30, 2017. The term of the Agreement is July 1, 2015 through June 30, 2020. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. MCDPH indirect rate for FY2016-2017 is 15.1%. The full indirect costs are estimated at $33,666 of which $22,295 is recoverable and $11,371 is unrecoverable. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-04)

Attachments (1)

Vote — approved

45.AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES INCLUDING SIX PUBLIC HEALTH PROGRAMSApprove Amendment No. 4 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide additional funding for the Heathy Arizona Worksite Program (HAWP). 

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45. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES INCLUDING SIX PUBLIC HEALTH PROGRAMS Approve Amendment No. 4 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide additional funding for the Healthy Arizona Worksite Program (HAWP). HAWP is one of the six (6) evidence based strategies/programs within this combined IGA to impact policy, system and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so that public health impact will be maximized. The increased amount is $25,000, bringing the Price Sheet total not-to-exceed amount from $3,802,590 to $3,827,590 for the budget period will be from July 1, 2016 through June 30, 2017. The term of the Agreement is July 1, 2015 through June 30, 2020. MCDPH indirect rate for FY2016-2017 is 15.1%. The increased full indirect costs are estimated at $3,280 of which are 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 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-05)

Attachments (1)

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68. IGA WITH MARICOPA COMMUNITY COLLEGES ALSO KNOWN AS MARICOPA COUNTY COMMUNITY COLLEGES FOR HEALTHY MARICOPA DISTRICT HEALTH AND WELLNESS ASSESSMENT Approve a fee-for-service Intergovernmental Agreement (IGA), between Maricopa Community Colleges (MCC), also known as Maricopa County Community Colleges (MCCC), Healthy Maricopa: District Health and Wellness Assessment (HM) and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for a collaborative HM project between MCCC and MCDPH to create a system approach to physical and psychological well-being recognizing the connect between student health and academic achievement. HM will be implemented at ten (10) Maricopa County colleges and one (1) district headquarters. The agreement amount is not-to-exceed $15,000.00, starting March 1, 2017 and expiring June 30, 2018. MCCC will request 50% reimbursement of the agreement amount by June 30, 2017, after the completion of Section III., 3. Service Goals, A. Create an Implementation Plan and Timeline. MCCC will then submit a final invoice, no later than June 30, 2018, for reimbursement of the remaining 50% agreement amount after completion of the projects as identified in Section III, 3.B, 3.C and 3.D. This IGA is funded by and a sub-contract to (C-86-15-112-3-00) Combined IGA, Healthy People Healthy Communities, Contract No. ADHS16-102232,Tobacco program. (C-86-17-059-3-00)

Attachments (1)

Vote — approved

43.486 acres and 185 lots. (Supervisorial District 2) (C-06-17-484-M-00) Motion to approve by Supervisor Gallardo, seconded by Supervisor Gates Ayes: Chucri, Gates, Hickman, GallardoAbsent: Barney Air Quality

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43. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES INCLUDING SIX PUBLIC HEALTH PROGRAMS Approve Amendment No. 5 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant, Teen Pregnancy Prevention (TPP), and Maternal and Child Health (MCH). Tobacco, HAPI – Chronic Disease, HAWP, PHHS, MCH and TPP programs are six (6) evidence based strategies to impact policy, system and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so the public health impact will be maximized. This amendment also includes HAWP Exhibit I. The Price Sheet is for a total not-to-exceed amount of $3,559,090.00, for the budget period will be from July 1, 2017 through June 30, 2018. The term of the Agreement is July 1, 2015 through June 30, 2020. The individual program, budget amounts including the Action Plan line item are: Tobacco: $2,056,439 HAPI-CD: $553,686 HAWP: $299,000 PHHS: $81,750 TPP: $229,835 MCH: $338,380 MCDPH’s Indirect Rate for FY2016-17 is 15.1%. The indirect costs are estimated at $269,785 for Tobacco, $72,638 for HAPI-CD, $39,226 for HAWP, $30,152 for TPP, and $44,392 for MCH, which are fully recoverable. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. MCDPH indirect rate for FY2016-2017 is 15.1%. The full indirect costs are estimated at $11,222 of which $7,432 is recoverable and $3,790 is unrecoverable. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-06)

Attachments (1)

Vote — approved

57.AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIESApprove Amendment No. 6 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide additional funding for the Preventive Health and Health Service (PHHS) block grant in the amount of $245

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57. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES Approve Amendment No. 6 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide additional funding for the Preventive Health and Health Service (PHHS) block grant in the amount of $245,250. The Revised Price Sheet is for a total not-to-exceed amount of $3,804,340.00 ($245,250 of which is additional, but budgeted funding) for the budget period July 1, 2017 through June 30, 2018. The term of the Agreement is July 1, 2015 through June 30, 2020. MCDPH’s Indirect Rate for FY2017-18 is 16.6%. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. The full indirect costs are estimated at $37,011 of which $22,296 is recoverable and $14,715 is unrecoverable. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-07)

Attachments (1)

Vote — approved

63.AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIESApprove Amendment No. 7 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizon

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63. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES Approve Amendment No. 7 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant, Teen Pregnancy Prevention (TPP), and Maternal and Child Health (MCH). This grant funds work to promote county-wide health changes and maximize the public health impact. The Price Sheet is for a total not-to-exceed amount of $3,559,090.00, for the budget period July 1, 2018 through June 30, 2019. The term of the Agreement is July 1, 2015 through June 30, 2020. The individual program are: Action Plan-All Programs: 250,366.00 Tobacco: 1,953,618.00 HAPI-CD: 536,746.00 HAWP: 282,038.00 PHHS: 81,750.00 TPP: 183,868.00 MCH: 270,704.00 In addition, the Scope of Work is replace with the revised Scope of Work; and, Exhibit C is replaced with the revised Exhibit C. The HPHC Integrated IGA through ADHS. It is non-competitive and is expected to reoccur. MCDPH has been receiving this grant since 2015. There is no cash or in-kind match required nor is there any future, on-going contributions needed. Program services supported by the grant are not mandated but benefit citizens through efforts to develop ‘Healthy Communities’ with interventions at the community or society level, targeting policy, systems, and environmental approaches that shape the communities in which we live and with the development of ‘Healthy People’ through interventions at the individual level, targeting individual behavior and promoting their making healthy choices. MCDPH’s indirect rate for FY2018-19 is 18.9%. The indirect costs are estimated at $560,180 ($326,886 for Tobacco, $88,012 for HAPI-CD, $47,528 for HAWP, $7,432 for PHHS, $36,534 for TPP and $53,788 for MCH), all of which is recoverable. The PHHS Block Grant portion deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. $7,432 indirect is recoverable, while $6,614 is not recoverable and will be subsidized by the MCDPH indirect cost pool. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-08)

Vote — approved

33.AMENDMENT TO IGA WITH LITCHFIELD ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove Amendment 1 to Intergovernmental Agreement (IGA) between Litchfield Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to continue to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Additional funding is in the no

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33. AMENDMENT TO IGA WITH LITCHFIELD ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve Amendment 1 to Intergovernmental Agreement (IGA) between Litchfield Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to continue to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Additional funding is in the not-to-exceed amount of $2,500.00 for the budget period September 1, 2018 through May 31, 2020. The IGA term is September 1, 2017 through May 31, 2020. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-18-012-3-01)

Attachments (1)

Vote — approved

34.IGA WITH PARADISE VALLEY UNIFIED SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an Intergovernmental Agreement (IGA) between Paradise Valley Unified School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $4,500.00 for the budg

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34. IGA WITH PARADISE VALLEY UNIFIED SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an Intergovernmental Agreement (IGA) between Paradise Valley Unified School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $4,500.00 for the budget term beginning August 1, 2018 through May 31, 2021. The IGA term is August 1, 2018 through May 31, 2021. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-19-008-3-00)

Attachments (1)

Vote — approved

49.IGA WITH CARTWRIGHT SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an Intergovernmental Agreement (IGA) between Cartwright School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $9,000.00 for the budget term beginning August 1

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49. IGA WITH CARTWRIGHT SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an Intergovernmental Agreement (IGA) between Cartwright School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $9,000.00 for the budget term beginning August 1, 2018 through May 31, 2021. The IGA term is August 1, 2018 through May 31, 2021. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-19-010-3-00)

Attachments (1)

Vote — approved

50.IGA WITH MADISON ELEMENTARTY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an Intergovernmental Agreement (IGA) between Madison Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $4,500.00 for the budget period

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50. IGA WITH MADISON ELEMENTARTY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an Intergovernmental Agreement (IGA) between Madison Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $4,500.00 for the budget period beginning August 1, 2018 through May 31, 2021. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-19-011-3-00)

Attachments (1)

Vote — approved

51.AMENDMENT TO IGA WITH LAVEEN ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an amendment to the Intergovernmental Agreement (IGA) between Laveen Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide continued funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amou

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51. AMENDMENT TO IGA WITH LAVEEN ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an amendment to the Intergovernmental Agreement (IGA) between Laveen Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide continued funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $2,500.00 for a total not-to-exceed amount of $4,500 for the budget period beginning September 1, 2017 through August 31, 2020. The IGA term is September 1, 2017 through May 31, 2020. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-18-046-3-01)

Attachments (1)

Vote — approved

57.AMENDMENT TO IGA WITH BUCKEYE ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an amendment to the Intergovernmental Agreement (IGA) between Buckeye Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Additional funding is in the not-to-exceed a

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57. AMENDMENT TO IGA WITH BUCKEYE ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an amendment to the Intergovernmental Agreement (IGA) between Buckeye Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Additional funding is in the not-to-exceed amount of $5,000 for a not to exceed amount of $20,500.00 for the IGA term beginning September 1, 2017 through May 31, 2020. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. Tobacco Use is the number one preventable cause of death and disease in Arizona. In 1993, there were over 70,000 middle and high school youth using tobacco. Cigarette smoking during pregnancy accounts for 20 – 30% of low birth weight babies, up to 14% of pre-term deliveries, and about 10% of all infant deaths. In 1995, as a result of the Tobacco Tax Initiative, the Arizona Legislatures authorized the Arizona Department of Health Services (ADHS) to develop and fund tobacco prevention and cessation programs. The Maricopa County Department of Public Health (MCDPH) is funded by ADHS to identify effective strategies and implement school-based tobacco use prevention services for Maricopa County as part of the MCDPH comprehensive tobacco control program. (C-86-18-028-3-01)

Attachments (1)

Vote — approved

71.IGA WITH WASHINGTON ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an Intergovernmental Agreement (IGA) between Washington Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $18,000.00 for the budget 

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71. IGA WITH WASHINGTON ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an Intergovernmental Agreement (IGA) between Washington Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $18,000.00 for the budget period beginning August 1, 2018 through May 31, 2021. The IGA term is August 1, 2018 through May 31, 2021. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-19-017-3-00)

Attachments (1)

Vote — approved

72.AMENDMENT TO IGA WITH WASHINGTON ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove Amendment 1 to the Intergovernmental Agreement (IGA) between Washington Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $10,000.00 for a not-to-exc

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72. AMENDMENT TO IGA WITH WASHINGTON ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve Amendment 1 to the Intergovernmental Agreement (IGA) between Washington Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $10,000.00 for a not-to-exceed amount of $28,000 for the budget period beginning September 1, 2017 through August 31, 2020. The IGA term is September 1, 2017 through May 31, 2020. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-18-015-3-01)

Attachments (1)

Vote — approved

37.IGA WITH CREIGHTON ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove an Intergovernmental Agreement (IGA) between Creighton Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $4500.00 for the budget peri

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37. IGA WITH CREIGHTON ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve an Intergovernmental Agreement (IGA) between Creighton Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $4500.00 for the budget period beginning October 15, 2018 through September 30, 2019. The IGA term is October 15, 2018 through May 31, 2021. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-19-020-3-00)

Attachments (1)

Vote — approved

44.AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIESApprove Amendment No. 8 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizon

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44. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES Approve Amendment No. 8 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant, Teen Pregnancy Prevention (TPP), and Maternal and Child Health (MCH). This grant funds work to promote county-wide health changes and maximize the public health impact. The Price Sheet is for a total not-to-exceed amount of $3,804,340.00, of which $245,250 is additional funds for the budget period July 1, 2018 through June 30, 2019. This funding covers the final 3 quarters of the budget period for programs within the Preventive Health and Health Services Block Grant. The Healthy People, Healthy Communities grant award is in its first 5 year term, ending June 30, 2020, and is anticipated to be reoccurring. There is no cash or in-kind match required. The grant award is non-competitive and on-going contributions are not required. Though not mandated, services are a benefit to citizens of Maricopa County by providing interventions for Healthy Communities with policy, systems and environmental approaches that shape the communities in which we live. Healthy People are interventions at the individual level, targeting individual behavior and promoting healthy choices. MCDPH’s indirect rate for FY2018-19 is 18.9%. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. $22,295.00 indirect is recoverable, while $19,843.00 is not recoverable and will be subsidized by the MCDPH indirect cost pool. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-09)

Attachments (1)

Vote — approved

58.IGA WITH LIBERTY ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICEApprove a retro-active Intergovernmental Agreement (IGA) between Liberty Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $27,000 for the budg

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58. IGA WITH LIBERTY ELEMENTARY SCHOOL DISTRICT FOR SCHOOL-BASED TOBACCO USE PREVENTION AND EDUCATION SERVICE Approve a retro-active Intergovernmental Agreement (IGA) between Liberty Elementary School District and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). Funding is in the not-to-exceed amount of $27,000 for the budget term beginning January 16, 2019 through May 31, 2021. The IGA term is January 16, 2019 through May 31, 2021. This IGA is effective upon approval. This program is funded by the HPHC Integrated IGA through ADHS. Funding was approved on 8/1/2018 as C-86-15-112-3-08. (C-86-19-026-3-00)

Attachments (1)

Vote — approved

77.AMENDMENT TO IGA WITH PINAL COUNTY COMMUNITY COLLEGE DISTRICT DBA CENTRAL ARIZONA COLLEGEApprove Amendment No.3 to Intergovernmental Agreement (IGA) between Pinal County Community College District dba Central Arizona College (CAC) and Maricopa County by and through its Department of Public Health (MCDPH) for CAC to continue the on-line Community Health Worker (CHW) certificate internship program. The CHW certificate program is intended to increase the number of trained CHWs in Maricopa County

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77. AMENDMENT TO IGA WITH PINAL COUNTY COMMUNITY COLLEGE DISTRICT DBA CENTRAL ARIZONA COLLEGE Approve Amendment No.3 to Intergovernmental Agreement (IGA) between Pinal County Community College District dba Central Arizona College (CAC) and Maricopa County by and through its Department of Public Health (MCDPH) for CAC to continue the on-line Community Health Worker (CHW) certificate internship program. The CHW certificate program is intended to increase the number of trained CHWs in Maricopa County with the intent to improve health literacy within low-income communities resulting in better health outcomes. The following changes to the IGA are: 3. Agreement Amount: increased by $15,000.00 for budget period August 11, 2019 through August 10, 2020 for an IGA total not-to-exceed amount of $75,708; 6. Expiration Date: extend the Expiration Date to August 10, 2020; SECTION III, 5. RESPONSIBILITIES OF THE COUNTY C.Tuition assistance in the amount of $2,164 (total not to exceed $2,200 per student) per intern (up to 5 interns) per academic year. Disbursement payments will be paid directly to the educational institution (CAC) and applied toward CHW Certificate Program completion and related expenses including enrollment, tuition, lab fees, etc. Four (4) disbursements will be made toward each intern’s (up to 5 interns) certificate completion at the start of each semester. Tuition assistance (per intern) will be disbursed in the following amounts and by the following dates: Semester Disbursement Amount Disbursement Date Fall 2019 $516.00 October 30, 2019 Spring 2020 $602.00 March 30, 2020 Summer 2020 $430.00 June 30, 2020 Summer 2020 $516.00 June 30, 2020 D. Purchase official coursework textbooks for each intern (up to 5 interns). Textbook amount should not exceed $700.00 (total) per intern per academic year. E. Provide $500 to be used for incidentals per Attachment A. SECTION IV, 1. COMPENSATION A. The Contractor shall submit a detailed invoice as outlined: a. Fall 2019 – no later than October 15, 2019 b. Spring 2020 – no later than March 15, 2020 c. Summer 2020 (X2) – no later than July 15, 202 ATTACHMENT A – BUDGET replace with revised ATTACHMENT A. All other terms and conditions of the original Agreement and its amendments shall remain in full force and effect. This program is funded through the Healthy People, Healthy Communities IGA, ADHS16-102232 (formerly ADHS15-094977), approved June 24, 2015 as C-86-15-112-3-00. (C-86-16-109-3-03)

Attachments (1)

Vote — approved

80.AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIESApprove Amendment No. 9 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizon

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80. AMENDMENT TO COMBINED IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR HEALTHY PEOPLE HEALTHY COMMUNITIES Approve Amendment No. 9 to Intergovernmental Agreement (IGA) Combined Fixed Price Contract (No. ADHS16-102232) between Arizona Department of Health Services (ADHS), Healthy People Healthy Communities and Maricopa County by and through its Department of Public Health (MCDPH) to provide funding for the Tobacco, Health in Arizona Policy Initiative – Chronic Disease (HAPI-CD), Healthy Arizona Worksite Program (HAWP), Preventive Health and Health Service (PHHS) block grant, Teen Pregnancy Prevention (TPP), and Maternal and Child Health (MCH). This grant funds work to promote county-wide health changes and maximize the public health impact. The Price Sheet is for a total not-to-exceed amount of $3,804,340.00, for the budget period July 1, 2019 through June 30, 2020. The term of the Agreement is July 1, 2015 through June 30, 2020. The individual program are: Action Plan-All Programs: 250,366.00 Tobacco: 1,953,617.52 HAPI-CD: 536,746.48 HAWP: 282,038.00 PHHS: 327,000.00 TPP: 183,868.00 MCH: 270,704.00 In addition, the Scope of Work is replace with the revised Scope of Work; and, Exhibit C, Evidence-Based Strategies, is replaced with the revised Exhibit C. The Healthy People, Healthy Communities grant award is in its first 5 year term, ending June 30, 2020, and is anticipated to reoccur. There is no cash or in-kind match required. The grant award is non-competitive and on-going contributions are not required. Though not mandated, services are a benefit to citizens of Maricopa County by providing interventions for Healthy Communities with policy, systems and environmental approaches that shape the communities in which we live. Healthy People are interventions at the individual level, targeting individual behavior and promoting healthy choices. MCDPH’s indirect rate for FY2019-20 is 19.2%. The indirect costs are estimated at $560,108.46 ($331,238.50 for Tobacco, $89,184.32 for HAPI-CD, $48,161.07 for HAWP, $54,504.17 for MCH, $37,020.40 for TPP), all of which is recoverable. The PHHS Block Grant deviates from County Policy A2505 and does not allow for full indirect cost reimbursement, but a maximum of 10% indirect costs reimbursement. $29,727.27 indirect is recoverable, while $27,349.09 is not recoverable and will be subsidized by the MCDPH indirect cost pool. The total indirect expected from this grant is $589,835.73. 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 Agreement is provided by a Grant from ADHS and will not affect the County’s general fund. (C-86-15-112-3-10)

Attachments (1)