IGA ADHS BRFSS -PE- C-86-22-146-X-01 (1).PDF

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 AMENDMENT No: 01  
AMENDMENT TO 
INTERGOVERNMENTAL AGREEMENT  
Between 
MARICOPA COUNTY  
By and Through 
DEPARTMENT OF PUBLIC HEALTH 
AMENDMENT FOR IGA WITH 
ARIZONA DEPARTMENT OF HEALTH SERVICES FOR BRFSS SURVEY 
I.
The above-named agreement is hereby amended as specified below:
A.
Coversheet, Expiration Date is extended to December 31, 2023.
B.
Section III, Work Statement, Purpose, is revised and replaced.
C.
Section Work Statement, Responsibilities of Contractors, is revised and replaced.
D.
Section III, Work Statement, Responsibilities of County, is revised and replaced.
E.
Section IV, Compensation, not -to-exceed amount increased from $115,500.00 to $325,448.04.
F.
Section IV, Compensation, Price Sheet, is revised and replaced.
G.` 
Section IV, Scope of Work, Attachment A, Modules is revised and replaced.
II.
All other terms and conditions of the original Agreement and its amendments 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 ARIZONA 
DEPARTMENT OF HEALTH SERVICES 
By:  
By: 
Chairman, Board of Supervisors 
Procurement Services Supervisor 
Date 
Date 
ATTEST 
ATTEST 
Clerk of the Board 
Date 
Date 
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 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. 
APPROVED AS TO FORM 
APPROVED AS TO FORM 
 Attorney for Maricopa County 
 Date 
    Date 
C-86-22-146-X-01                        
BOS Approval 2/8/23
Nikolaus G. Decker, DCA (Feb 9, 2023 10:46 MST)
Nikolaus G. Decker, DCA
Feb 9, 2023
Feb 9, 2023
Juanita Garza (Feb 9, 2023 15:48 MST)
Juanita Garza
Feb 9, 2023

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SECTION III 
 
1. 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 
 
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. 
 
 
 
2. RESPONSIBILITIES OF CONTRACTOR (ADHS) 
 
A. Assign Arizona BRFSS Program Manager/Coordinator, Bureau of Public Health Statistics, 
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. 
 
D. Include the following list of questions in the Arizona BRFSS 2023 questionnaire: CDC’s

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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 a 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. 
 
3. RESPONSIBILITIES OF COUNTY 
 
A. Payment for the acquisition of the BRFSS 7 question(s).  
B. Effectively utilize the survey questions to design programs and allocate resources.

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4. 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 
 
 
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 $325,948.04 for the budget 
period of January 1, 2023 through December 31, 2023.