Vote: approved

Item Text

23. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Pursuant to A.R.S. §42-17106(B), approve appropriation adjustments resulting in a net increase to revenue and expenditures of $1,603,707 in FY 2022 for Public Health (D860) Public Health Grants Fund (532) Non-Recurring (NRNP) budget. Approve an amendment to retro-active, cost-reimbursement Intergovernmental Agreement (IGA) No. CTR055214 for the Public Health Emergency Preparedness Program between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. Nothing in this Agreement is meant to supplant or in any other way discourage existing planning and coordination between County and Tribal Health Departments. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. 1.1 The Scope of Work is hereby revised and replaced, as a result of the addition of the Workforce Development Grant tasks and deliverables; 1.2 The Price Sheet is hereby revised and replaced, as a result of the addition of the Workforce Development Grant funding; 1.3 Exhibit B has been added. The WORKFORCE DEVELOPMENT GRANT is a new award, and it is uncertain whether it will reoccur after the initial 2-year period. The Price Sheet is for the additional funding for the WORKFORCE DEVELOPMENT GRANT to the current PHEP IGA. The additional 2-year funding is in the amount of $3,207,415 from July 1, 2021 through June 30, 2023. This new additional amount does not pertain to the original amount of $2,747,578, which was approved by the Board of Supervisors as C-86-22-216-X-00. The IGA term began July 1, 2021 and terminates June 30, 2026. Maricopa County Department of Public Health’s Indirect Rate for FY22 is 17.97%. The indirect costs are estimated at $488,575, which is fully recoverable. (C-86-22-216-X-01)

Vote — approved

Bill Gates	yes
Clint Hickman	yes
Jack Sellers	yes
Thomas Galvin	yes
Steve Gallardo	yes

51.AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve amendment No. 2 to the Intergovernmental Agreement (IGA) No. CTR055214 for the Public Health Emergency Preparedness Program (PHEP) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. Nothing

Item Text

51. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve amendment No. 2 to the Intergovernmental Agreement (IGA) No. CTR055214 for the Public Health Emergency Preparedness Program (PHEP) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Heal th (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. Nothing in this Agreement is meant to supplant or in any other way discourage existing planning and coordination between County and Tri bal Health Departments. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. This amendm ent revises the Scope of Work, Price Sheet and adds Exhibit A (CFR200.332 Requirements for pass-through entities) and Exhibit B (Grant Deliverables from the Bureau of Public Health Emergency Preparedness). This amendment is for Budget Period 4 which includ es the Period of Performance of July 1, 2022 through June 30, 2023. The purpose of this amendment is to include ADHS PHEP Grant Deliverables to MCDPH and specify ADHS expanded authority to carryover of unobligated balances from one (1) budget period to a s ubsequent budget period. The Unobligated funds may be used for purposes within the scope of the project as originally approved. The amendment further clarifies the budget timeline in Section 4.1.6 and states that COVID grant funds may be applied to approve d Contractor expenses incurred up to and March 15, 2023. This also applies to the Workforce Development grant funds. The total not-to-exceed amount is $3,174,569.00 ($1,941,093 for PHEP & $1,233,476 for CITYRD) for the Budget period four (4) from July 1, 2 022 through June 30, 2023. The IGA term began July 1, 2021 and terminates June 30, 2026. MCDPH’s Indirect Rate for FY23 is 17.24%. The indirect costs are estimated at $285,435.37 for PHEP & $181,381.15 for CITYRD all of which is fully recoverable. Depart mental indirect rates are reestablished at the beginning of each fiscal year and the future indirect rates will be collected at the corresponding rates. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Dep artment of Health and Human Services (HHS) under Assistance Listings (fka CDFA) number of 93.069. (C-86-22-216-X-02)

Attachments (1)

Vote — approved

Clint Hickman	yes
Jack Sellers	yes
Thomas Galvin	yes
Bill Gates	yes
Steve Gallardo	yes

Ayes: Clint Hickman, Jack Sellers, Thomas Galvin, Bill Gates, Steve Gallardo

Item Text

87. AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve amendment No. 3 to the Intergovernmental Agreement (IGA) No. CTR055214 for the Public Health Emergency Preparedness Program (PHEP) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. Nothing in this Agreement is meant to supplant or in any other way discourage existing planning and coordination between County and Tribal Health Departments. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. This amendment is hereby revises and replaces the following: 1.1 the Scope of Work 1.2 The Price Sheet 1.3 Exhibit A (CFR200.332 Requirements for pass-through entities) 1.4 Exhibit B (Grant Deliverables from the Bureau of Public Health Emergency Preparedness) This amendment is for the 3rd year of the contract for the Period of Performance of July 1, 2023, through June 30, 2024. The total not-to-exceed amount is $3,174,569.00 ($1,941,093 for PHEP & $1,233,476 for CITYRD). The Term of this IGA term began on July 1, 2021, and will end on June 30, 2026. This amendment also includes a no cost extension for the Workforce Development grant with a new end date of June 30,2024. MCDPH’s Indirect Rate for FY24 is 15.65%. The indirect costs are estimated at $262,672.77 for PHEP & $166,916.55 for CITYRD all of 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. This is a cost-reimbursement and non-competitive IGA. This award is reoccurring and has been awarded to the department in previous years. Indirect cost is fully recoverable and ongoing cash contributions are not required. The grant award is not a mandated function but provides a benefit to the citizens by strengthening the readiness of the community, to prepare for, respond to, and recover from a public health emergency and/or disaster. The grant award is non-competitive. 10% in-kind or soft match is required. Maricopa County accomplishes this through the use of general funded employees, professional and outside service contracts, epidemiological data software. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) under Assistance Listings (CDFA) number of 93.069. (C-86-22-216-X-03)

Attachments (1)

Vote — approved

Jack Sellers	yes
Thomas Galvin	yes
Bill Gates	yes
Clint Hickman	yes
Steve Gallardo	yes

Ayes: Jack Sellers, Thomas Galvin, Bill Gates, Clint Hickman, Steve Gallardo

Item Text

45. NOTICE OF AWARD FROM ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve Notice of Award (NOA) 6 NU90TP922004-05-02 for the Public Health Emergency Preparedness Program (PHEP) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). This is a no cost extension. The project period has been extended to July 01, 2019 through June 30, 2025. The budget period is July 01, 2023 through June 30, 2025 (C-86-22-216-X-04)

Attachments (1)

Vote — approved

Jack Sellers	yes
Thomas Galvin	yes
Bill Gates	yes
Clint Hickman	yes
Steve Gallardo	yes

Ayes: Jack Sellers, Thomas Galvin, Bill Gates, Clint Hickman, Steve Gallardo

Item Text

83. AMEND IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve amendment No. 4 to the Intergovernmental Agreement (IGA) No. CTR055214 for the Public Health Emergency Preparedness Program (PHEP) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. This agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. This is a no cost extension. The project period has been extended to July 1, 2024 through June 30, 2025. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is hereby revised with the following: 1.1. The Scope of Work is revised and replaced. 1.2. The Price Sheet is revised and replaced. 1.3. Exhibit A is revised and replaced. All Other Provisions Shall Remain In Their Entirety. (C-86-22-216-X-05)

Attachments (1)

Vote — approved

Jack Sellers	yes
Thomas Galvin	yes
Bill Gates	yes
Clint Hickman	yes
Steve Gallardo	yes

Ayes: Jack Sellers, Thomas Galvin, Bill Gates, Clint Hickman, Steve Gallardo

Item Text

72. AMEND IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve Amendment 5 of the Intergovernmental Agreement (IGA) No. CTR055214 for the Public Health Emergency Preparedness Program between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. Nothing in this Agreement is meant to supplant or in any other way discourage existing planning and coordination between County and Tribal Health Departments. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is hereby revised with the following: 1.1. The Price Sheet is revised and replaced. 1.2. Exhibit A is revised and replaced. This Amendment increases the Not-to-Exceed amount of the contract to $3,224,569.00 from $3,174,569.00. The IGA term began July 1, 2020, and terminates June 30, 2025. Maricopa County Department of Public Health’s Indirect Rate for FY24 is 15.79%. The indirect costs are estimated at $439,726.61 and 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. This award is reoccurring and has been awarded to the department in previous years. Indirect cost is fully recoverable and ongoing cash contributions are not required. The grant award is not a mandated function but provides a benefit to the citizens by strengthening the readiness of the community, to prepare for, respond to, and recover from a public health emergency and/or disaster. The grant award is non-competitive and a 10% in-kind or soft match is required. Maricopa County accomplishes this through the use of general funded employees, professional and outside service contracts, epidemiological data software and warehouse space. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS). 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-86-22-216-X-06)

Attachments (1)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Debbie Lesko	yes
Steve Gallardo	yes

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Debbie Lesko, Steve Gallardo

Item Text

83. PURCHASE ORDER FOR IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve the retroactive purchase order (PO)799407 for Intergovernmental Agreement (IGA) CTR055214 for the Public Health Emergency Preparedness Program between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. Funding is in the amount of $970,546.50 for the budget period July 01, 2025, through June 30, 2026. The IGA term is July 01, 2022, through June 30, 2029. Maricopa County Department of Public Health’s Indirect Rate for FY26 is 16.69%. The indirect costs are estimated at $138,815.85 and 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. This award is reoccurring and has been awarded to the department in previous years. Indirect cost is fully recoverable and ongoing cash contributions are not required. The grant award is not a mandated function but provides a benefit to the citizens by strengthening the readiness of the community, to prepare for, respond to, and recover from a public health emergency and/or disaster. The grant award is non-competitive and a 10% in-kind or soft match is required. Maricopa County accomplishes this through the use of general funded employees, professional and outside service contracts, epidemiological data software and warehouse space. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS). 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-86-22-216-X-07)

Attachments (1)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Debbie Lesko	yes
Steve Gallardo	yes

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Debbie Lesko, Steve Gallardo

Item Text

77. PURCHASE ORDER FOR IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve the retroactive purchase order (PO)802508 for Intergovernmental Agreement (IGA) CTR055214 for the Public Health Emergency Preparedness Program Cities Readiness Initiative (CRI) between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). Funding is provided to improve the preparedness of each community in the event of a public health emergency. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. Funding is in the amount of $1,233,476.00 for the budget period July 01, 2025, through June 30, 2026. The IGA term is July 01, 2022, through June 30, 2027. Maricopa County Department of Public Health’s Indirect Rate for FY26 is 16.69%. The indirect costs are estimated at $176,422.27 and 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. This award is reoccurring and has been awarded to the department in previous years. Indirect cost is fully recoverable and ongoing cash contributions are not required. The grant award is not a mandated function but provides a benefit to the citizens by strengthening the readiness of the community, to prepare for, respond to, and recover from a public health emergency and/or disaster. The grant award is non-competitive and a 10% in-kind or soft match is required. Maricopa County accomplishes this through the use of general funded employees, professional and outside service contracts, epidemiological data software and warehouse space. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS). 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-86-22-216-X-08)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Debbie Lesko	yes
Steve Gallardo	yes

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Debbie Lesko, Steve Gallardo

Item Text

54. PURCHASE ORDER FOR IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve the retroactive purchase order (PO)815589 for Intergovernmental Agreement (IGA) CTR055214 for the Public Health Emergency Preparedness Program between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). This purchase order was received from ADHS on October 14, 2025. Funding is provided to improve the preparedness of each community in the event of a public health emergency. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. Funding is in the amount of $970,546.50 for the budget period July 01, 2025, through June 30, 2026. The IGA term began on July 01, 2024, and runs through June 30, 2029. Maricopa County Department of Public Health’s Indirect Rate for FY26 is 16.69%. The indirect costs are estimated at $138,815.85 and 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. This award is reoccurring and has been awarded to the department in previous years and ongoing cash contributions are not required. The grant award is not a mandated function but provides a benefit to the citizens by strengthening the readiness of the community, to prepare for, respond to, and recover from a public health emergency and/or disaster. The grant award is non-competitive and a 10% in-kind or soft match is required. Maricopa County accomplishes this through the use of general funded employees, professional and outside service contracts, epidemiological data software and warehouse space. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS). 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. (C-86-22-216-X-09) 55. PURCHASE ORDER FOR IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR BUILDING RESILIENCE AGAINST EXTREME HEAT EFFECTS Approve retroactive Purchase Order (PO) 820339 for Intergovernmental Agreement (IGA) CTR057839 between the Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH) for the building resilience against extreme heat effects. The PO’s not-to-exceed amount is $40,000.00 for the budget period September 01, 2025, through August 31, 2026. The term of the IGA is September 01, 2021, through August 31, 2026. This is year five (5) of the initial five (5) year grant award and it is not certain if it will continue beyond this year. The award was non-competitive and there is no cash or in-kind match required. This project is not a mandated function but provides a benefit to Maricopa County residents by providing public health strategies for extreme heat effects. Should the grant be discontinued, ongoing cash contributions would not be required. The Department of Health’s indirect rate for FY26 is 16.69%. Indirect costs are estimated at $5,721.14, which are fully recoverable. Departmental indirect rates are re-established at the beginning of each fiscal year, and the future indirect rates will be collected at 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. (C-86-22-251-X-03)

Vote — approved

Thomas Galvin	yes
Kate Brophy McGee	yes
Mark Stewart	yes
Debbie Lesko	yes
Steve Gallardo	yes

Ayes: Thomas Galvin, Kate Brophy McGee, Mark Stewart, Debbie Lesko, Steve Gallardo

Item Text

54. PURCHASE ORDER FOR IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM Approve the retroactive purchase order (PO)815589 for Intergovernmental Agreement (IGA) CTR055214 for the Public Health Emergency Preparedness Program between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). This purchase order was received from ADHS on October 14, 2025. Funding is provided to improve the preparedness of each community in the event of a public health emergency. This Agreement is designed to increase participation in the ongoing development of the State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS. Funding is in the amount of $970,546.50 for the budget period July 01, 2025, through June 30, 2026. The IGA term began on July 01, 2024, and runs through June 30, 2029. Maricopa County Department of Public Health’s Indirect Rate for FY26 is 16.69%. The indirect costs are estimated at $138,815.85 and 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. This award is reoccurring and has been awarded to the department in previous years and ongoing cash contributions are not required. The grant award is not a mandated function but provides a benefit to the citizens by strengthening the readiness of the community, to prepare for, respond to, and recover from a public health emergency and/or disaster. The grant award is non-competitive and a 10% in-kind or soft match is required. Maricopa County accomplishes this through the use of general funded employees, professional and outside service contracts, epidemiological data software and warehouse space. Awards were funded by grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS). 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. (C-86-22-216-X-09) 55. PURCHASE ORDER FOR IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR BUILDING RESILIENCE AGAINST EXTREME HEAT EFFECTS Approve retroactive Purchase Order (PO) 820339 for Intergovernmental Agreement (IGA) CTR057839 between the Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH) for the building resilience against extreme heat effects. The PO’s not-to-exceed amount is $40,000.00 for the budget period September 01, 2025, through August 31, 2026. The term of the IGA is September 01, 2021, through August 31, 2026. This is year five (5) of the initial five (5) year grant award and it is not certain if it will continue beyond this year. The award was non-competitive and there is no cash or in-kind match required. This project is not a mandated function but provides a benefit to Maricopa County residents by providing public health strategies for extreme heat effects. Should the grant be discontinued, ongoing cash contributions would not be required. The Department of Health’s indirect rate for FY26 is 16.69%. Indirect costs are estimated at $5,721.14, which are fully recoverable. Departmental indirect rates are re-established at the beginning of each fiscal year, and the future indirect rates will be collected at 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. (C-86-22-251-X-03)