NOA-CMPIMP211227 -NO COST EXTENSION- SIGNATURE.PDF
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Summary Federal Award Financial Information 19. Budget Period Start Date - End Date 20. Total Amount of Federal Funds Obligated by this Action 20a. Direct Cost Amount 20b. Indirect Cost Amount 21. Authorized Carryover 22. Offset 23. Total Amount of Federal Funds Obligated this budget period 24. Total Approved Cost Sharing or Matching, where applicable 25. Total Federal and Non-Federal Approved this Budget Period - End Date 26. Period of Perfomance Start Date 27. Total Amount of the Federal Award including Approved Cost Sharing or Matching this Period of Performance 28. Authorized Treatment of Program Income 29. Grants Management Officer – Signature Recipient Information Fe deral Agency Information 10.Program Official Contact Information Federal Award Information 30. Remarks 1. Recipient Name 9. Awarding Agency Contact Information Notice of Award Award# FAIN# Federal Award Date: Page 1 2. Congressional District of Recipient 3. Payment System Identifier (ID) 4. Employer Identification Number (EIN) 5. Data Universal Numbering System (DUNS) 6. Recipient’s Unique Entity Identifier (UEI) 7. Project Director or Principal Investigator 8. Authorized Official 11. Award Number 12. Unique Federal Award Identification Number (FAIN) 13. Statutory Authority 14. Federal Award Project Title 15. Assistance Listing Number 16. Assistance Listing Program Title 17. Award Action Type 18. Is the Award R&D? 07/01/2021 12/31/2023 ADDITIONAL COSTS 07 1866000472A2 Collaborative Approach to Improve Health Literacy for Vulnerable Populations:cross collaborative approach between healthcare, CBOs, refugee resettlement orgs, and public health dept. 93.137 Community Program to Improve Minority Health Extension with/without Funds No $4,000,000.00 866000472 Ms. Alana Sutherland Project Officer alana.sutherland@hhs.gov 301-945-3668 Office of the Secretary DEPARTMENT OF HEALTH AND HUMAN SERVICES 4 CPIMP211277-01-01 4 CPIMP211277-01-01 CPIMP211277 CPIMP211277 04/21/2023 OASH Grants and Acquisitions Management Division This action provides approval of the requested six month NCE through 12/31/23 as indicated within the submitted amendment. Dr. Scott Moore OASH Grants Management Officer Ms. Marcy Flanagan marcy.flanaga@maricopa.gov 602-372-0674 MARICOPA, COUNTY OF 1645 E Roosevelt St Phoenix, AZ 85006-3638 602-506-1829 Ms. Lilliana Cardenas Manager lilliana.cardenas@maricopa.gov 6023197737 $0.00 $0.00 12/31/2023 $4,000,000.00 $0.00 $4,000,000.00 $0.00 $0.00 42 U.S.C. § 300u-6, (Section 1707 of the Public Health Service Act) 602062515 LM85MG1513K5 Miss Robin Fuller Senior Grants Management Specialist robin.fuller@hhs.gov 240-453-8830 $0.00 07/01/2021 Page 2 33. Approved Budget (Excludes Direct Assistance) I. Financial Assistance from the Federal Awarding Agency Only II. Total project costs including grant funds and all other financial participation a. Salaries and Wages b. Fringe Benefits c. Total Personnel Costs d. Equipment e. Supplies f. Travel g. Construction h. Other i. Contractual j. TOTAL DIRECT COSTS INDIRECT COSTS TOTAL APPROVED BUDGET m. Federal Share n. Non-Federal Share 34. Accounting Classification Codes k. l. 31. Assistance Type 32. Type of Award Notice of Award Award# FAIN# Federal Award Date: Recipient Information Recipient Name Congressional District of Recipient Payment Account Number and Type Employer Identification Number (EIN) Data Universal Numbering System (DUNS) Recipient’s Unique Entity Identifier (UEI) $256,595.00 $119,633.00 $376,228.00 $8,960.00 $4,936.00 $23,600.00 $0.00 $26,640.00 $3,196,000.00 $3,636,364.00 $3,636,364.00 $363,636.00 $363,636.00 $4,000,000.00 $4,000,000.00 $4,000,000.00 $4,000,000.00 $0.00 $0.00 04/21/2023 4 CPIMP211277-01-01 CPIMP211277 DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary MARICOPA, COUNTY OF 1645 E Roosevelt St Phoenix, AZ 85006-3638 602-506-1829 Project Grant 07 602062515 866000472 1866000472A2 Other LM85MG1513K5 FY-ACCOUNT NO. DOCUMENT NO. ADMINISTRATIVE CODE OBJECT CLASS CFDA NO. AMT ACTION FINANCIAL ASSISTANCE APPROPRIATION 1-199CVBE CPIMP1277C5 MPD-52 41.51 93.137 $0.00 75-2122-0140 35. Terms And Conditions Performance Progress Report Cycle Reporting Period Start Date Reporting Period End Date Reporting Type Reporting Period Due Date 07/01/2022 09/30/2022 Quarterly 10/30/2022 10/01/2022 12/31/2022 Quarterly 01/30/2023 01/01/2023 03/31/2023 Quarterly 04/30/2023 04/01/2023 06/30/2023 Quarterly 07/30/2023 07/01/2023 09/30/2023 Quarterly 10/30/2023 10/01/2023 12/31/2023 Final 04/29/2024 SPECIAL TERMS AND REQUIREMENTS Prior Terms, Conditions, and Requirements. Unless specifically removed, all prior terms, conditions, and requirements under this award remain in effect. 1. 3 Page Notice of Award Award# FAIN# Federal Award Date: 04/21/2023 4 CPIMP211277-01-01 CPIMP211277 DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary IN WITNESS WHEREOF, the parties agree to enter into this Agreement: FOR AND ON BEHALF OF MARICOPA COUNTY: ________________________ Clint Hickman, Chairman, Board of Supervisors _____________ Date ATTEST: ________________________ Juanita Garza, Clerk of the Board _____________ Date APPROVED AS TO FORM: ________________________ Deputy Attorney for Maricopa County _____________ Date