PE CPLC AMENDMENT 1 RFP 220294.PDF

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CONTRACT NO:  PH RFP 220294 
 
                                       AMENDMENT NO:         1        
 
 
 
AMENDMENT TO 
CONTRACT  
Between 
MARICOPA COUNTY  
by and through 
DEPARTMENT OF PUBLIC HEALTH 
and 
Chicanos Por La Causa, Inc.   
 
 
I. 
The above-named contract is hereby amended as specified below: 
 
A. Section 1.0 CONTRACT TERM shall be updated to reflect a new expiration date of June 30, 
2024. A new Timeline will go into effect beginning July 1, 2023 – June 30, 2024 and is 
shown on page 3 of this amendment.  
 
B. Exhibit A, PRICING – TOTAL REQUESTED shall be updated to $476,541.59. The 
increase of $201,541.59 are for services beginning in the new budget period starting July 
1, 2023 and is shown on page 4 of this amendment.   
 
C. Section 6.0 TERMS AND CONDITIONS shall be updated to include the following 
additional clauses: 
 
i. 6.37  
WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-393.01:  
 
If Contractor engages in for-profit activity and has 10 or more employees, 
and if this agreement has a value of $100,000 or more, Contractor certifies 
it is not currently engaged in, and agrees for the duration of this agreement 
to not engage in, a boycott of goods or services from Israel. This 
certification does not apply to a boycott prohibited by 50 U.S.C. § 4842 or 
a regulation issued pursuant to 50 U.S.C. § 4842. 
 
ii. 6.38 
WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-394: 
 
Contractor warrants and certifies that it does not currently, and agrees for 
the duration of the Agreement, that it will not use: 
 
1. the forced labor of ethnic Uyghurs in the People's Republic of China, 
2. any goods or services produced by the forced labor of ethnic Uyghurs 
in the People's Republic of China, 
3. any contractors, subcontractors or suppliers that use the forced labor 
or any goods or services produced by the forced labor of ethnic 
Uyghurs in the People's Republic of China. If Contractor becomes 
aware during the term of this Agreement that the Contractor is not in 
compliance with this paragraph, Contractor shall notify the County 
within five business days after becoming aware of the noncompliance. 
If the Contractor fails to provide a written certification to the County 
that the Contractor has remedied the noncompliance within 180 days 
after notifying the County of its noncompliance, then the agreement 
terminates, except that if the agreement termination date occurs 
before the end of the 180-day period, the agreement terminates on the 
agreement termination date.  
DocuSign Envelope ID: F2702792-429C-4FFA-96BB-85B49CBEBBBD

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II. 
All other terms and conditions of the original contract shall remain in full force and effect. 
 
 
 
 
IN WITNESS WHEREOF, the parties agree to the changes indicated herein: 
 
      
FOR AND ON BEHALF OF                            
MARICOPA COUNTY 
 
FOR AND ON BEHALF OF 
CHICANOS POR LA CAUSA, INC.  
                              
 
By:  
 
 
By: 
 
Chairman, Board of Supervisors 
 
Chicanos Por La Causa, Inc.   
 
 
Date 
 
 
Date 
ATTEST 
 
 
Clerk of the Board 
 
 
 
 
Date 
 
 
 
APPROVED AS TO FORM 
 
 
 
 
 
Attorney for Maricopa County 
 
 
 
 
Date 
 
 
 
 
 
 
DocuSign Envelope ID: F2702792-429C-4FFA-96BB-85B49CBEBBBD
5/18/2023 | 3:59 PM PDT

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Updated Timeline 
July 1, 2023 – June 30, 2024 
 
 
 
  
Milestone 
Activities 
Responsible Staff 
Outputs 
Target Date 
Program Launch-
new fiscal year 
Project 
Improvements and 
Implementation 
Duvia Lozano, 
Program Director; 
Cynthia Estrada, 
RWBP Program 
Supervisor 
Oversee 
improvement 
activities needed to 
sustain STD testing 
within 45 days of 
contract start date 
July 1, 2023 
Launch FY2024 
STD Testing at Zero 
HIV Stigma Day 
 
Plan and host 
annual Zero HIV 
Stigma Day 
Cynthia Estrada, 
RWPB Program 
Supervisor; 
Promotora 
HIV/STD Testers 
Complete STD  
testing alongside 
HIV Testing at 
annual community 
event 
July 29, 2023 
 
 
Update job 
descriptions 
Modify and approve 
existing job 
descriptions for 
HIV/STD Testers 
Duvia Lozano, 
Program Director; 
CPLC HR 
Approval of new 
job descriptions for 
exiting HIV Testers 
within 15 days 
Mid-August 2023 
Update existing 
testing policies and 
procedures 
Update and finalize 
STD policies and 
procedures to be 
reviewed annually 
Duvia Lozano, 
Program Director; 
Kelly Harshberger, 
VP, IHHS.  
Update policies in 
place within 30 days 
of contract start date  
End of August 2023 
Staff training 
Provide required 
training for all staff 
on policies, 
procedures, 
MCDPH 
requirements.  
Cynthia Estrada, 
RWBP Supervisor 
All HIV/STD 
Testers complete 
training within 30 
days of contract 
start date 
End of August 2023 
Phlebotomy training 
Provide required 
training to any new 
staff who are not yet 
certified in 
phlebotomy 
Cynthia Estrada, 
RWBP Supervisor 
Certify two new 
Testers in 
phlebotomy within 
60 days of contract 
start date 
End of September 
2023 
Purchase key 
equipment and 
supplies necessary 
to complete STD 
tests, store 
specimens, and 
track results 
Purchase medical 
supplies, PPE, 
chairs for 
performing blood 
draws, coolers, 
refrigerators, 
laptops  
Duvia Lozano, 
Program Director; 
Cynthia Estrada, 
RWPB Program 
Supervisor 
Complete purchases 
needed to have 
effective STD 
testing program 
launch in first 45-60 
days of contract 
start date.  
Mid-September to 
end of September 
2023 
Provide STD testing 
at monthly 
community events 
in FY2024  
STD testing at 
community events, 
e.g., National Faith 
HIV Awareness 
Day, National 
HIV/AIDS and 
Aging Awareness 
Day, NLAAD Dia 
de Los Muertos; 
Give Thanks Event; 
World AIDS Day.  
RWPB Program 
Supervisor; 
Promotora 
HIV/STD Testers 
Offer and perform 
STD tests at 
community events 
scheduled for 
8/23/23, 
9/14/23,10/12/23; 
11/8/23; 12/7/23.  
Monthly During 
FY2024  
Test 50 individuals 
(45 years and under) 
per month for  
HIV testing will be 
gateway to STD 
testing. Promotora 
Promotora 
HIV/STD Testers 
100%  STD tests 
performed 
100% of clients 
From start of the 
new fiscal year and 
ongoing 
DocuSign Envelope ID: F2702792-429C-4FFA-96BB-85B49CBEBBBD

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STDs  
Testers will 
complete an STD 
test for 50 of the 
(estimated) 90 
individuals per 
month who receive 
an HIV test.  
receive STD test 
result 
 
Provide STD test 
results to 
individuals who 
have received a 
negative HIV test 
result.  
Provide STD test 
results within 5 
working days of 
receiving 
notification from 
MCDPH.  
Provide education 
and refer to 
prevention services 
Promotora 
HIV/STD Testers 
90% of clients 
referred to 
PrEP/PEP 
Navigation 
From program 
launch date and 
ongoing 
Provide STD results 
to individuals who 
have received a 
positive HIV test 
result.  
Provide STD test 
results within 5 
working days of 
receiving 
notification from 
MCDPH. Connect 
to medical care.  
Promotora 
HIV/STD Testers 
100% of clients are 
linked to a medical 
provider.  
 
From program 
launch date and 
ongoing 
Reporting positive 
STD results to 
MCDPH.  
Submit a 
Communicable 
Disease Report 
(CDR) to MCDPH 
within five (5) 
working days of 
receiving the test 
result documenting 
the positive test 
result and treatment 
referral. 
Promotora 
HIV/STD Testers 
100% of clients will 
be reported to 
MCDPH and 
receive a treatment 
referral 
As required 
throughout the 
contract term 
ending June 30, 
2024.  
 
 
 
 
 
DocuSign Envelope ID: F2702792-429C-4FFA-96BB-85B49CBEBBBD

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Updated Budget 
July 1, 2023 – June 30, 2024 
 
Category
Line Item 
Description
Staff Last Name & 
Title 
%
Requested 
budget amount 
Personnel 
Staff 1 
Luis Canchola
23%  $        10,660.50 
Personnel 
Staff 2
Alexander Conti
14%  $           6,300.00 
Personnel 
Staff 3
Serina Moreno
20%  $        10,000.02 
Personnel 
Staff 4
Karina Lopez
16%  $           7,200.00 
Personnel 
Staff 5
Cynthia Estrada
20%  $        14,420.02 
Personnel 
Staff 6
Duvia Lozano
22%  $        23,760.00 
1.15  $        72,340.54 
Category
Line Item 
Description
Types of fringe 
(FICA, Medical, 
% 
budgete
Requested 
budget amount 
Personnel 
Fringe 
FICA
6.20%  $           4,485.11 
Personnel 
Fringe 
Insurance
3.00%  $           2,170.22 
Personnel 
Fringe 
Disability
0.76%  $              549.79 
Personnel 
Fringe 
Medicare
1.45%  $           1,048.94 
Personnel 
Fringe 
Other Fringe
7.20%  $           5,208.52 
Personnel 
Fringe 
 $                        -   
 $        13,462.57 
Category
Line Item 
Amount 
Medical 
 $        30,000.00 
Furniture
 $        10,000.00 
Waste 
 $           3,720.00 
PPE
 $        10,800.00 
Technology
 $           2,070.00 
 $        56,590.00 
Category
Line Item 
Description
Requested 
budget amount 
Community 
 $        24,000.00 
Travel
 $           4,800.00 
Training
 $           2,400.00 
 $        31,200.00 
Total Amount Requested Before Indirect Applied:  $      173,593.11 
Indirect Costs
 $        27,948.47 
Total Budget Requested:  $      201,541.59 
Identify the total amount of 
Indirect Costs 
Other Operating Costs 
Total Operating / Infrastructure Costs: 
Description 
Mileage reimbursement
Phlebotomy 
Printed material (Education), 
Fringe Benefits 
Equipment and Supplies 
Total Equipment and Supply Costs:
Total Budgeted FTE:
Total Fringe Benefits:
Detail 
Mask, Hand sanitizer, 
Cellphone
Needles, gauze, hazard bags, 
Tables, Desks, Storage 
Advanced Biosolutions
DocuSign Envelope ID: F2702792-429C-4FFA-96BB-85B49CBEBBBD