AGR2023-046 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM MARICOPA.PDF

1 
              INTERGOVERNMENTAL AGREEMENT    
MARICOPA COUNTY  
by and through the 
DEPARTMENT OF PUBLIC HEALTH SERVICE 
4041 N. Central Avenue, #1400, Phoenix, Arizona 85012 
1. 
Agreement No: AGR2023-046
3. 
Agreement Amount: $210,448.04 
5. 
Start Date:    January 1, 2023
2. 
Agreement Type:  
Fixed Price
 
4. 
Purpose: 2023 BRFSS Survey
 
6. 
Expiration Date:  December 31, 
2023
This Agreement is entered into by and between the Arizona Department of Health Services (ADHS) (referred to herein as 
“Contractor”), and Maricopa County, by and through its Department of Public Health (MCDPH) (referred to herein after as 
“County”).  Contractor and the County are collectively referred to herein as the “Parties” and individually as a “Party.”  Contractor, 
for and in consideration of the covenants and conditions set forth herein, shall provide and perform the services as set forth below. 
All rights and obligations of the Parties shall be governed by the terms of this Agreement, its exhibits, attachments, and 
appendices, including any subcontracts or amendments as set forth herein and in: 
Section I 
-
General Provisions
Section III 
-
Work Statement
Section II 
-
Special Provisions
Section IV 
-
Compensation
This Agreement contains all the terms and conditions agreed to by the Parties.  No other understanding, oral or otherwise, 
regarding the subject matter of this Agreement shall be deemed to exist or to bind the Parties.  Nothing in this Agreement shall 
be construed as consent to any lawsuit or waiver of any defense in a lawsuit brought against the County or the Contractor in any 
State or federal Court. 
Legal Notice under this Agreement shall be given by personal delivery or by registered or certified mail, postage prepaid, return receipt requested, 
to the addresses set forth below and shall be effective upon receipt by the Party to whom addressed unless otherwise indicated in the notice. 
 Phone:602-542-284_____________  
Notice to Contractor:  Arizona Department of Health Services 
Address:   
150 N. 18th Avenue, Phoenix, AZ 85007 
Notice to Department: 
MCDPH Grants/Contract Unit 
Phone: (602) 372-0674 
Address:       
  4041 North Central Avenue, Suite #1400, Phoenix, Arizona  85012 
IN WITNESS WHEREOF, the parties enter into this Agreement: 
STATE OF ARIZONA 
DEPARTMENT OF HEALTH SERVICES 
MARICOPA COUNTY by and THROUGH ITS DEPARTMENT 
OF PUBLIC HEALTH 
Signature 
Signature 
Name 
Name 
Title 
Title 
Chairman, Board of Supervisors 
Date 
Date 
ATTEST: 
Signature 
Date 
Clerk of the Board 
Pursuant to A.R.S. § 11-952, the undersigned public agency 
attorney has determined that this Intergovernmental Agreement 
is in proper form and is within the powers and authority granted 
under the laws of the State of Arizona. 
Pursuant to A.R.S. § 11-952, the Attorney for the Board of 
Supervisors has determined that this Intergovernmental 
Agreement is within the powers and authority granted under the 
laws of the State of Arizona. 
Signature 
Signature 
Date 
Date 
Deputy Attorney for Maricopa County

SECTION I 
 GENERAL PROVISIONS  
2 
1.
EFFECT
To the extent the Special Provisions are in conflict with the General Provisions, the Special
Provisions shall control.  To the extent the Work Statement(s) and the Special or General
Provisions are in conflict, the Work Statement(s) shall control.
2.
DEFINITIONS
As used throughout this Agreement, the following terms shall have the following meanings:
A. Agreement means this document and all attachments and amendments hereto.
B. Contractor means the person, firm or organization listed on the Cover Page of this
Agreement.
C. County means Maricopa County, Arizona.
D. Department means the Maricopa County Department of Public Health.
E. Funding Source means any federal, State, or private agency funding source, which may
impose conditions on the funding that will be passed on to the Contractor.
F. Contractor Staff, Employee or Faculty means a person or persons employed by,
contracted with, or retained by the Contractor for the purpose of providing the services
and responsibilities contained in this Contract.
G. HIPAA  means the Health Insurance Portability and Accountability Act of 1996 (PL 104-
191) and the United States Department of Health and Human Services (DHHS) final
regulations on “Privacy Standards for Individually Identifiable Health Information”, as
amended and clarified from time to time.
3.
GENERAL REQUIREMENTS
A. The terms of this Agreement shall be construed in accordance with Arizona law.  Any
lawsuit arising out of this Agreement shall be brought in the appropriate court in Maricopa
County.
B. The Contractor shall, without limitation, obtain and maintain all licenses, permits, and
authority necessary to do business, render services, and perform work under this
Agreement, and shall comply with all laws regarding unemployment insurance, disability,
and workers’ compensation.
C. The Contractor is an independent contractor in the performance of work and the provision
of services under this Agreement and is not to be considered an officer, employee, or
agent of the County.
4.
AMENDMENTS
All Amendments to this Agreement must be in writing and signed by authorized persons for
both Parties.  All amendments shall clearly state the effective date of the action.

SECTION I 
 GENERAL PROVISIONS  
3 
5.
ADEQUACY OF RECORDS
If the Contractor's books, records and other documents related to this Agreement are not
sufficient to support and document that allowable services were provided to eligible clients,
the Contractor shall reimburse the County for the services not adequately supported and
documented.
6.
RETENTION OF RECORDS
A. This provision applies to all financial and programmatic records, supporting documents,
statistical records, and other records of the County and Contractor that relate to this
Agreement.
B. The County and Contractor shall retain all financial books, records, and other documents
related to this Agreement for five (5) years after final payment or until after the resolution
of any audit questions, which could be more than five (5) years, whichever is longer.
County, federal, or State auditors, and any other persons duly authorized by the County,
shall have full access to and the right to examine, copy and make use of any and all such
financial books, records and other documents.
7.
ASSIGNMENT AND SUBCONTRACTING
No rights, liability, obligations or duties under this Agreement may be assigned, delegated, or
subcontracted without the prior written approval of the County and Contractor.
8.
AUDIT DISALLOWANCES
A. The Contractor shall, upon written demand therefore, reimburse the County for any
payments made under this Agreement that are disallowed, by a federal, State or County
audit in the amount of the disallowance, as well as court costs and attorney fees the
County incurs to pursue legal action relating to a disallowance.
B. If the County determines that a cost for which payment has been made is a disallowed
cost, the County shall notify the Contractor in writing of the disallowance and the required
course of action, which shall be at the option of the County either to adjust any future claim
submitted by the Contractor by the amount of the disallowance or to require immediate
repayment of the disallowed amount by the Contractor.
C. The County shall, upon review and agreement of the Parties, remit to the Contractor any
payments determined to have been insufficiently paid, in the amount of the payment
shortfall, as well as court costs and attorney fees the Contractor incurs to pursue legal
action relating to such short payment.
9.
AGREEMENT COMPLIANCE MONITORING
County may monitor the Contractor's compliance with, and performance under, the terms and
conditions of this Agreement.  On-site visits for compliance monitoring may be made by the
County and/or its grantor agencies at any time during the Contractor's normal business hours,
announced or unannounced.  During an on-site visit, the Contractor shall make its records
and documents related to work performed or services provided under this Agreement
available to the County for inspection and copying.

SECTION I 
 GENERAL PROVISIONS  
4 
10. AVAILABILITY OF FUNDS
A. The provisions of this Agreement relating to the payment for services shall become
effective when funds assigned for the purpose of compensating the Contractor, as
provided herein, are actually available to the County for disbursement.  The Department
shall be the sole authority in determining the availability of funds under this Agreement
and the County shall keep the Contractor fully informed as to the availability of funds. The
County shall refer no clients to Contractor for periods of time for which funding is not
available unless at the discretion of both parties, an alternate source of funds are made
available to continue the medical service.
B. If any action is taken by any State agency, federal department, or any other agency or
instrumentality to suspend, decrease, or terminate its fiscal obligations under or in
connection with this Agreement, the County may amend, suspend, decrease, or terminate
its obligations under or in connection with this Agreement.  If this Agreement is terminated,
the County shall be liable for payment only for services rendered prior to the effective date
of the termination, provided that such services are performed in accordance with the
provisions of this Agreement.  The County shall give written notice of the effective date of
any suspension, amendment, or termination under this section at least ten (10) days in
advance.
11. CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS
A. The Contractor shall, during the term of this Agreement, immediately inform the County in
writing of the award of any other contract or grant where the award of such contract or
grant may affect either the direct or indirect costs being paid or reimbursed under this
Agreement.  Failure by the Contractor to notify the County of such award shall be
considered a material breach of this Agreement and the County may immediately
terminate this Agreement without liability.
B. County may request, and the Contractor shall provide within a reasonable time, not
exceeding ten (10) working days, a copy of such other contract or grant, when, in the
opinion of the Department, the award of the contract or grant may affect the costs being
paid or reimbursed under this Agreement.
C. If the County determines that the award to the Contractor of such other contract or grant
has affected the costs being paid or reimbursed under this Agreement, the County shall
prepare an amendment to this Agreement effecting a cost adjustment.  If the Contractor
disputes the proposed cost adjustment, the dispute shall be resolved pursuant to the
"Disputes" clause section contained herein.
12. DEFAULT
For material breach of contractual obligations, or upon the happening of any event which
would jeopardize the ability of the Contractor to perform its contractual obligations, the County
may suspend, modify, or terminate this Agreement immediately upon giving written notice to
the Contractor in the event of non-performance of any stated objectives. Unless expressly
stated otherwise this in this Agreement, such determination will not be made until such time
as the disputes process has been exhausted.

SECTION I 
 GENERAL PROVISIONS  
5 
13. TERMINATION
A. Either Party may terminate this Agreement at any time by giving the other Party at least
thirty (30) calendar days prior written notice.  The notice shall be given by personal delivery
or by registered or certified mail, postage prepaid, return receipt requested.
B. This Agreement may be terminated by mutual written agreement of the Parties specifying
the termination date therein.
C. The County may terminate this Agreement upon twenty-four (24) hours’ notice when the
County deems the health or welfare of a patient is endangered or the Contractor’s non-
compliance jeopardizes funding source financial participation.  If not terminated by one of
the above methods, this Agreement will terminate upon the expiration date of this
Agreement as stated on the Cover Page of this Agreement.
D. Either Party has the right to terminate this Agreement for cause upon fourteen (14) working
days written notice for any of the following reasons:
(1) Breach of this Contract which is not corrected within fourteen (14) working days after
written notice thereof or registered mail, return receipt requested.
(2) Inability to discharge the duties and responsibility under this Contract for a continual
period of 30 days or more.
E. This contract is subject to cancellation in accordance with the provision of A.R.S. § 38-
511.
14. SEVERABILITY
Any provision of this Agreement that is determined to be invalid, void, or illegal by a court shall
in no way affect, impair, or invalidate any other provision hereof, and the remaining provisions
shall remain in full force and effect.
15. STRICT COMPLIANCE
Acceptance by the County of performance that is not in strict compliance with the terms of this
Agreement shall not be deemed to waive the requirement of strict compliance for all future
performance.  All changes in performance obligations under this Agreement must be in writing
and signed by the Parties.
16. NON-LIABILITY
A. The County and its officers, representatives, agents, and employees shall not be liable for
any act or omission by the Contractor or any subcontractor, employee, officer, agent, or
representative of the Contractor or any subcontractor occurring in the performance of this
Agreement, nor shall they be liable for purchases or contracts made by the Contractor or
any subcontractor in connection with this Agreement.
B. The Contractor and its officers, representatives, agents, and employees shall not be liable
for any act or omission by the County or any County subcontractor, employee, officer,
agent, or representative of the County or any County subcontractor occurring in the
performance of this Agreement, nor shall they be liable for purchases or contracts made

SECTION I 
 GENERAL PROVISIONS  
6 
by the County or any County subcontractor in connection with this Agreement. 
17. INDEMNITY
Each Party (as “Indemnitor”) agrees to indemnify, defend, and hold harmless the other Party
(as “Indemnitee”) from and against all claims, losses, liability, costs, and expenses (including
reasonable attorneys’ fees) (hereinafter collectively referred to as “Claims”) arising out of
bodily injury of any person (including death) or property damage, but only to the extent that
such Claims, which result in vicarious liability to Indemnitee, are caused by the act, omission,
negligence, misconduct, or other fault of Indemnitor, its officers, agents, employees, or
volunteers.
18. COVENANT AGAINST CONTINGENT FEES
The Contractor warrants that no person or entity has been employed or retained to solicit or
secure this Agreement upon an agreement or understanding for a commission, percentage,
brokerage, or contingent fee.  For breach or violation of this warranty, the County may
immediately terminate this Agreement without liability.
19. SAFEGUARDING CLIENT INFORMATION
The use or disclosure by any Party of any information concerning an eligible individual served
under this Agreement is directly limited to the performance of this Agreement. County and
Contractor shall safeguard confidential and privileged client and patient information i.e.,
medical, financial and patient specific information, and shall only disclose such information in
accordance with all applicable federal, state and local laws, rules, and/or regulations, including
HIPAA. The use or disclosure by any party of any information concerning a client or patient
served under this Agreement or any other applicable payer contract is directly limited to
services under this Agreement subject to applicable federal, state and local laws, rules and/or
regulations.  Contractor’s obligation to maintain the confidentiality of all medical, financial and
patient specific information shall exist after termination or expiration of this Contract.  County
shall assist Contractor with regard to Contractors’ obligation to comply with HIPAA.
20. RIGHTS IN DATA
The Parties shall have the use of data and reports resulting from this Agreement without cost
or other restriction, except as otherwise provided herein or by law.  Each Party shall supply to
the other Party, upon request, any available information known to the supplying Party that is
relevant to this Agreement and to the performance hereunder.
21. OWNERSHIP OF INFORMATION
Subject to applicable state and federal laws, rules and regulations, including, without
limitation, those concerning confidentiality of patient records, the Contractor shall have full
and complete ownership rights to and the sole and exclusive right to inspect, reproduce,
duplicate, adapt, distribute, display, disclose and otherwise use all reports, information, data
and material prepared by the Contractor in performance of the Agreement. County may
examine and may receive copies of such information necessary for County's performance of
this Agreement.

SECTION I 
 GENERAL PROVISIONS  
7 
22. NON-DISCRIMINATION
The Contractor, in connection with any service or other activity under this Agreement, shall
not in any way discriminate against any person on the grounds of race, color, religion, sex,
national origin, age, disability, affiliation or belief.  The Contractor shall include this clause in
all its subcontracts related to this Agreement.
23. EQUAL EMPLOYMENT OPPORTUNITY
The Contractor shall not discriminate against any employee or applicant for employment
because of race, age, disability, color, religion, sex, or national origin.  The Contractor shall
take affirmative action to insure that applicants are employed and that employees are treated
during employment without regard to their race, age, disability, color, religion, sex, or national
origin.  Such action shall include, but is not limited to, the following:  employment, upgrading,
demotion or transfer, recruitment or recruitment advertising, lay-off or termination, rates of pay
or other forms of compensation, and selection for training, including apprenticeship.  The
Contractor shall, to the extent such provisions apply, comply with Titles VI and VII of the Civil
Rights Act of 1964, as amended (42 U.S.C. §§ 2000a, et seq.); the Rehabilitation Act of 1973,
as amended (29 U.S.C. §§ 701, et seq.); the Age Discrimination in Employment Act of 1967,
as amended (29 U.S.C. §§ 621, et seq.); the Immigration Reform and Control Act of 1986
(Pub. L. No. 99-603) (“IRCA”); and Arizona Executive Order 2009-09, which mandates that all
persons shall have equal access to employment opportunities.  The Contractor shall also
comply with all applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C.
§§ 12101, et seq.).
24. RIGHT OF PARTIAL CANCELLATION
If more than one activity is funded by this Agreement, the County reserves the right to
terminate this Agreement or any part thereof based on the Contractor's failure to perform any
part of this Agreement without impairing, invalidating or canceling the remaining Work
Statement obligations.
25. RIGHT TO EXTEND AGREEMENT
Subject to the availability of funds and acceptable Contractor performance, the Contractor
hereby acknowledges and agrees that the County shall have the right to extend this
Agreement for additional one-year periods, not to exceed a total extended term of five (5)
years, except that the cost will be subject to renegotiation.  Any extension of this Agreement
shall be in writing mutually acceptable to the Department and the Contractor and signed by
both Parties.
26. CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
A. The undersigned, an authorized representative of the Contractor, certifies, to the best of
his or her knowledge and belief, that the Contractor, defined as the primary participant in
accordance with 45 C.F.R. Part 76, and its principals:
1) are not presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from covered transactions by any federal department or
agency;

SECTION I 
 GENERAL PROVISIONS  
8 
2) have not within the 3-year period preceding this Agreement been convicted of or had
a civil judgment entered against them for the commission of fraud or a criminal offense
in connection with obtaining, attempting to obtain, or performing a public (federal, State
or local) transaction or contract under a public transaction; violation of federal or State
antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification
or destruction of records, making false statements, or receiving stolen property;
3) are not presently indicted or otherwise criminally or civilly charged by a government
entity (federal, State or local) with the commission of any of the offenses enumerated
in paragraph (2) of this certification; and
4) have not within the 3-year period preceding this Agreement had one or more public
transactions (federal, State or local) terminated for cause or default.
B.  If the Contractor is not able to provide this certification, an explanation as to why shall be
attached to this Agreement.
C.  The Contractor shall include, without modification, this Paragraph in all lower tier covered
transactions (i.e., transactions with subcontractors) and in all solicitations for lower tier
covered transactions related to this Agreement.
27. E-VERIFICATION OF EMPLOYEES
The Contractor warrants that it is in compliance with A.R.S. § 41-4401 and further
acknowledges:
A. That the Contractor and its subcontractors, if any, warrant their compliance with all federal
immigration laws and regulations that relate to their employees and their compliance with
A.R.S. § 23-214;
B. That a breach of the warranty under subsection A above shall be deemed a material
breach of this Agreement that entitles the County to, among other things, immediately
terminate this Agreement without liability;
C. That the County and any contracting government entity retains the legal right to inspect
the papers of any contractor or subcontractor employee who works on this Agreement to
ensure that the contractor or subcontractor is complying with the warranty provided under
subsection A above and that the contractor agrees to make all papers and employment
records of said employee(s) available during normal working hours in order to facilitate
such an inspection;
D.  That nothing herein shall make any contractor or subcontractor an agent or employee of
the County or contracting government entity.
28. DISPOSITION OF PROPERTY
All property acquired with funds provided for in this agreement shall become the property of
the funding source.

SECTION II 
 SPECIAL PROVISIONS 
9 
1.
EFFECT
To the extent that the Special Provisions are in conflict with the General Provisions, the
Special Provisions shall control.  To the extent that the Work Statement(s) are in conflict with
the Special or General Provisions, the Work Statement(s) shall control.
2.
DISPUTES
Except as otherwise provided by law, or otherwise specifically agreed to by the Parties, any
dispute not involving a question of law arising out of this Agreement that is not resolved
between the Parties within a reasonable time, which shall not exceed 120 days, shall be
resolved as follows:
A. Disputes must be filed with the person administering this Agreement for the
County, if one has been appointed, or, if not, with the Procurement Officer, within
ten (10) days from the date the Contractor knew or should have known the basis
of the dispute.
B. The person administering this Agreement or the Procurement Officer, as
applicable, shall respond in writing to the dispute within fourteen (14) days.
C. The Contractor may abide by the decision or may appeal the decision to the
Director of the Department within seven (7) days.
D. Any claim or controversy arising out of or in connection with this Agreement not
resolved in accordance with paragraphs 2.A. through 2.C. above shall be resolved
through binding arbitration conducted by a single arbitrator in accordance with the
American Arbitration Association (AAA) Commercial Arbitration Rules, then in
effect, in Phoenix, Arizona; provided, however, matters that primarily involve
Provider's professional competence or conduct shall not be eligible for arbitration.
If possible the arbitrator shall be an attorney with at least fifteen {15) years of
experience, including at least five (5) years' experience in managed health care.
The parties shall conduct a mandatory settlement conference at the initiation of
arbitration, to be administered by AAA. The arbitrator shall have no authority to
provide a remedy or award damages that would not be available to such prevailing
party in a court of law, nor shall the arbitrator have the authority to award punitive
damages. Each party shall bear its own costs and expenses, including its own
attorneys' fees, and shall bear an equal share of the arbitrator's and administrative
fees of arbitration. The parties agree to accept any decision by the arbitrator as a
final determination of the matter in dispute, and judgment on the award rendered
by the arbitrator may be entered in any court having jurisdiction. Arbitration must
be initiated within one year of the earlier of the date the claim or controversy arose,
was discovered or should have been discovered with reasonable diligence;
otherwise it shall be deemed waived. The use of binding arbitration shall not
preclude a request for equitable and injunctive relief made to a court of appropriate
jurisdiction.
This Paragraph shall not apply to claims arising from bodily injury, death, or property
damage.

SECTION II 
 SPECIAL PROVISIONS 
10 
3.
CHANGES
A. The Department may, at any time, by written order, make changes within the general
scope of this Agreement in any one or more of the following areas:
1) Work Statement activities reflecting changes in funding source or County regulations,
policies, or requirements.
2) Administrative requirements, such as changes in reporting periods, frequency of
reports, or report formats, required by funding source or County regulations, policies,
or requirements.
3) Contractor reimbursement schedules and/or program budgets.
B. The order will not increase or decrease the maximum reimbursable amount to be paid the
Contractor.  Additionally, the order will not direct substantive changes in services to be
rendered by the Contractor.
C. Any dispute or disagreement caused by such order shall constitute a "Dispute" within the
meaning of the Disputes Clause of the Special Provisions of this Agreement and shall be
administered accordingly.
4.
AUDIT REQUIREMENT
A. If the Contractor expends $750,000 or more in a year in federal awards, the Contractor
shall have a single audit conducted for that year according to the Office Management and
Budget, Title 2, Subtitle A, Chapter II, PART 200—UNIFORM ADMINISTRATIVE
REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL
AWARDS contained in Title 2 C.F.R. § 200.  The audit report shall be submitted to the
County for review within nine (9) months following the close of the fiscal year.  The
Contractor shall take any necessary corrective action to remedy any material weaknesses
and/or reportable conditions identified in the audit report within six (6) months after the
release date of the report.  The County may consider sanctions as described in § .225 of
OMB Circular A-133 for contractors not in compliance with the audit requirements.  All
books and records shall be maintained in accordance with Generally Accepted Accounting
Principles (GAAP).
B. The Contractor shall schedule an annual financial audit to be submitted to the County for
review within twelve (12) months following the close of the program’s fiscal year.
Contractor understands that its failure to meet this requirement may result in the loss of
current funding and disqualification from consideration for future County-administered
funding.
C. Comply with the requirement of the Federal Office of Management and Budget (“OMB”)
Circular A-133.  The Contractor is responsible for having an audit performed in accordance
with, and when required, by OMB Circular A-133, and for sending a copy of the report
issued as a result of the audit to the County within thirty (30) days of issuance.  The County
reserves the right to engage an auditor, at the Contractor’s expense, to perform an OMB
Circular A-133 audit of the Contractor in the event that the Contractor fails to engage an
auditor or the County rejects or disapproves of the auditor engaged by the Contractor.

SECTION II 
 SPECIAL PROVISIONS 
11 
5.
INSURANCE
A. The Contractor shall have in effect at all times during the term of this Agreement insurance
or comparable self-insurance that is adequate to protect the County, its officers,
employees, property, and equipment against the losses set forth below.  The Contractor
shall provide the County with a certificate of insurance or a certified copy of the insurance
policy naming the County as an additional insured, or, if the Contractor is self-insured,
shall provide the County with a letter indicating that it is self-insured.
B. The following types and amounts of insurance are required as minimums:
1) Workers’ compensation and unemployment insurance as required by law.
2) Unemployment insurance as required by Arizona law.
3) Public liability, bodily injury, and property damage policies that insure against claims
for liability for the Contractor’s negligence or maintenance of unsafe vehicles, facilities,
or equipment brought by clients receiving services pursuant to this Agreement and by
lawful visitors of such clients.  The limits of the policies shall not be less than
$2,000,000 per occurrence and $4,000,000 aggregate.
C. Automobile and Truck Liability, Bodily Injury and Property Damages:
1) General liability, each occurrence; $1,000,000
2) Property damage; $1,000,000
3) Combined single limit; $1,000,000
D. Standard minimum deductible amounts are allowable.  Any losses applied against
insurance deductible are the sole responsibility of the Contractor.
E.  Professional Liability:
1) Insurance for the Contractor and its agents, employees, and other staff shall be
maintained with coverage limits of one million dollars ($1,000,000) per person, three
million dollars ($3,000,000) per occurrence.
2) The Contractor agrees that in the event it, or any of its agents, employees, and other
staff working under this Agreement, is named as a defendant in litigation, or is
identified in a written notice of claim, wherein professional misconduct is alleged and
such allegations arise under the services or terms of this Agreement, the Contractor
will promptly notify the Department in writing.  The duty to notify under this paragraph
applies whether or not the County is alleged to be involved, is named as a party to the
matter, or could be potentially liable as a party.
F. The Contractor shall immediately inform the Department of any cancellation of its
insurance or any decrease in its lines of coverage at least thirty (30) days before such
action takes place.

SECTION II 
 SPECIAL PROVISIONS 
12 
G. In the event the Contractor(s) is/are a public entity, then the Insurance Requirements shall
not apply. Such public entity shall provide a Certificate of Self-Insurance. If the
Contractor(s) is/are a State of Arizona agency, board, commission, or university, none of
the above shall apply.
6.
SPECIAL REQUIREMENTS
A. If the use of subcontractors is approved by the County, the Contractor agrees to use
written subcontracts or consultant agreements that conform to federal and State laws and
regulations and the requirements of this Agreement appropriate to the service or activity
covered by the subcontract.  These provisions apply with equal force to the subcontract
as if the subcontractor were the Contractor.  The Contractor is responsible for performance
under this Agreement whether or not any subcontractors are used.  The Contractor shall
submit a copy of each subcontract to the County upon written request.
7.
REPORTING REQUIREMENTS
If requested by the County, the Contractor shall submit annual progress reports on or before
the third (3rd) day of the month following the end of the reporting period.
8.
STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST
Pursuant to A.R.S. § 38-511, the County may cancel this Agreement without penalty or further
obligation, within three years after execution of this Agreement, if any person significantly
involved in initiating, negotiating, securing, drafting, or creating this Agreement on behalf of
the County is, at any time while this Agreement or any extension of this Agreement is in effect,
an employee or agent of any other Party to this Agreement in any capacity or is a consultant
to any other Party to this Agreement with respect to the subject matter of this Agreement.  In
addition, the County may recoup any fee or commission paid or due to any person significantly
involved in initiating, negotiating, securing, drafting, or creating this Agreement on behalf of
the County from any other Party to this Agreement arising as the result of this Agreement.
9.
POLICY ON CONFIDENTIALITY
The Contractor and the County understand and agree that this Agreement is subject to all
State and federal laws protecting client confidentiality of medical, behavioral health and drug
treatment information.
10. LAWS, RULES AND REGULATIONS
The Contractor and the County understand and agree that this Agreement is subject to all
State and federal laws, rules, and regulations that pertain hereto.
11.
SPONSORSHIP ACKNOWLEDGMENT
All promotional materials, brochures, and flyers prepared by the Contractor relating to this
Agreement shall include the following statement, “Sponsored by Maricopa County Department
of Public Health.”

SECTION III 
 WORK STATEMENT 
13 
1.
BACKGROUND:
The Arizona Behavioral Risk Factor Surveillance System (BRFSS) telephone survey has been 
in existence since 1984 and is partially funded by the Center of Disease Control and Prevention 
(CDC). This surveillance collects and summarizes the data on health-related topics as reported 
by Arizona adults aged 18 and over living at home. 
2.
PURPOSE:
Using a scientifically selected telephone sample, the BRFSS Survey is given to residents 
of Maricopa County, completed annually by ADHS. This data is then used to supplement 
our community health assessment activities by providing social context to our health 
indicator data. Collection of this data will be used to reduce health disparities for all 
race/ethnicity groups, income levels, and geographic areas. 
In addition to the Centers for Disease Control (CDC) survey questions, this agreement 
includes State added questions regarding: Sex at Birth, Sexual Orientation and Gender 
Identity, and Covid Vaccination questions into the BRFSS 2023. 
A. The Arizona BRFSS 2023 is a survey consisting of 8,000 partial and completed
interviews There is a sample expansion of 1,500 interviews for Maricopa County.
B. The COVID-19 Vaccination questions can help raise awareness of health
disparities through understanding and intervening on individual-level risk factors
for major causes of morbidity and mortality. Understanding coronavirus disease
(COVID-19) surveillance can be enhanced by collecting population-level data on
individual prevention measures.
C. Sexual Orientation & Gender Identity (SOGI). Many health care providers do not
routinely discuss sexual orientation or gender identity with patients, and many
health care facilities have not developed systems to collect structured SO/GI data
from all patients. Without this information, lesbian, gay, bisexual, and transgender
(LGBT) patients and their specific health care needs cannot be identified, the
health disparities they experience cannot be addressed, and important health
care services may not be delivered. Such services include appropriate preventive
screenings, assessments of risk for sexually transmitted diseases and HIV,
discussions about parenting, and effective interventions for behavioral health
concerns that can be related to the experiences of anti-LGBT stigma.1
D. The Sex at Birth question will help when reviewing the response to the SOGI
questions and helps to get a more robust understanding of our LGBT community.
3.
RESPONSIBILITIES OF CONTRACTOR (ADHS)
A. Assign Arizona BRFSS Program Manager/Coordinator to serve as a project liaison.
B. Regularly communicate with Maricopa County, as needed, through the duration of the
project to ensure project goals are achieved.
C. Work in collaboration with MCDPH to conduct public relations activities about the project
and findings from the survey.

SECTION III 
 WORK STATEMENT 
14 
D. Include the following list of questions in the Arizona BRFSS 2023 questionnaire: CDC’s 
Covid Vaccination (4 questions); CDC’s Sexual Orientation and Gender Identity (SOGI) 
Module (2 questions); and CDC’s Sex at Birth Module (1 question).
E. Survey residents of Arizona in accordance with standard BRFSS survey processes and 
use the 7 questions of the CDC Module as State-Added questions in accordance with the 
policies and practices set forth by CDC and ADHS.
F. Notify Maricopa County when the data from the BRFSS 2023 survey is ready to export 
from the AZ BRFSS website.
G. Receive and accept a contribution of $210,448.04 from Maricopa County as restricted 
earmarked funds designated specifically toward the costs of the 7 questions as State-
Added in the 2023 BRFSS survey and for the 1,500 additional surveys that will be collected 
within Maricopa County.
H. Any notice or other communication to be given shall be in writing and may be personally 
served, sent by a recognized overnight courier or sent by U.S. mail, and shall be deemed 
to have been delivered or, if delivery is refused, when tendered for delivery properly 
addressed as directed below or to such other address later designated by a party in writing 
to the other party.
4.
RESPONSIBILITIES OF COUNTY
A. Payment for the acquisition of the BRFSS 7 questions
B. Effectively utilize the survey questions to design programs and allocate resources.
5.
SCOPE OF WORK:
A. ADHS agrees to include the attached questions. See Attachment A.
B. The IGA shall commence on January 1, 2023 and will expire on December 31, 2023.

SECTION IV 
 COMPENSATION 
15 
1.
COMPENSATION
A. The Contractor shall submit a detailed monthly invoice by the 25th of the following month.
B. The Department shall, within thirty (30) working days from the date of receipt of 
Contractor’s invoice, process and remit to the Contractor a warrant for payment.  Should 
the Department make disallowance in the claim, the claim shall be processed to the 
reduced amount. The Contractor shall be notified at the address below in writing of the 
amount and reasons for any disallowances, and shall be afforded the opportunity to 
document the appropriateness of the disallowed costs and to resubmit an invoice for 
payment.
C. Each Party assumes sole and exclusive responsibility for payment of any federal and state 
income taxes, federal social security taxes, workers’ compensation, and unemployment 
insurance benefits for its physicians, staff, agents, and employees, as well as any and all 
other mandatory governmental deductions or obligations.
D. The Agreement amount is not-to-exceed $210,448.04 for the budget period of January 1, 
2023, through December 31, 2023.
2.
METHOD OF PAYMENT
A. The Contractor shall submit one (1) legible copy of their detailed invoice before payment(s) 
can be made.  At a minimum, the invoice must provide the following information:
•
Company name, address and contact
•
County bill-to name and contact information
•
Contract Serial Number
•
County purchase order number
•
Invoice number and date
•
Payment terms
•
Date of service or delivery
•
Quantity
•
Contract Item number(s)
•
Description of Purchase (services)
•
Pricing per unit of service
•
Extended price
•
Total Amount Due
B. Problems regarding billing or invoicing shall be directed to the using agency as listed on 
the Purchase Order
C. The Contractor must maintain and have available upon request supporting documents for 
each monthly reimbursement request, including invoices of costs incurred and expenditure 
reports.
D. Subject to the availability of funds, the County will, within thirty (30) working days from the 
date of receipt of documents enumerated herein, process and remit to the Contractor a 
warrant for payment up to the maximum total allowable for services provided.  Should the 
County make a disallowance in the claim, the claim shall be processed for the reduced 
amount.  If the Contractor protests the amount or the reason for a disallowance, the protest 
shall be construed as a dispute concerning a question of fact within the meaning of the

SECTION IV 
 COMPENSATION 
16 
“Disputes” clause of the Special Provisions of this Agreement. 
E. The Contractor understands and agrees that the County will not honor any claim for
payment submitted six (6) months after the date of service.  The Contractor understands
and agrees that the County will not process any claim for payment for services rendered
prior to the expiration date that is submitted sixty (45) days after the expiration date without
approval of the County.
F. Payments made by the County to the Contractor are conditioned upon the timely receipt
of applicable, accurate, and complete invoices submitted by the Contractor.  The
Contractor forfeits the right to reimbursement for costs incurred in any month for which it
fails to meet the deadline for submitting the monthly reports, except if such failure is
beyond the reasonable control of the Contractor.
G. The Contractor shall submit one invoice to:
Maricopa County Department of Public Health 
Program Operations Administrator 
4041 N Central Ave, Suite #1400 
Phoenix, AZ 85012 
602-506-4926
4.
PRICE SHEET
BRFSS 2023 SURVEY 
ITEM 
# Of Questions 
RATE / Question 
TOTAL 
COVID Vaccination 
4 
$11,500 
$46,000.00 
Sexual Orientation and 
Gender Identity 
2 
$11,500 
$23,000.00 
Sex at Birth 
1 
$11,500 
$11,500.00 
Grand Total 
7 
$80,500.00 
Maricopa County Public Health is paying 
ITEM 
# Of Questions 
RATE / Question 
TOTAL 
Oversampling 
- 
- 
$129,948.04 
5.
NOTICE
Any notice given under this Agreement shall be sent to the attention of the following:
Department 
Contractor 
Maricopa County Public Health 
Grants and Contracts Unit 
4041 N Central Ave, Suite #1400 
Phoenix, AZ 85012 
602-506-4926
Behavioral Risk Factor Surveillance 
Program Arizona Department of Health 
Services, ADHS 
150 N. 18th Avenue 
Phoenix, AZ 85007 
602-542-1125

ATTACHMENT A 
17 
Module 21: Sex at Birth 
Module 22: Sexual Orientation and Gender Identity (SOGI)

ATTACHMENT A 
18

ATTACHMENT A 
19

ATTACHMENT A 
20

ATTACHMENT A 
21 
Module 28: Covid Vaccination

ATTACHMENT A 
22