Extracted text (via pymupdf)
11971 characters
INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR040876 IGA Amendment No: Eleven (11) Procurement Officer: Selena Leon 1 WIC and BFPC Services It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1. Amendments, Purchase Orders, and Change Orders, it is mutually agreed: 1.1. The Price Sheet is revised and replaced; and 1.2. Exhibit A is revised and replaced. ALL CHANGES ARE REFLECTED IN RED All other provisions of this agreement remain unchanged. MARICOPA COUNTY Contractor Name: County Authorized Signature 4041 N CENTRAL AVE, SUITE 1400 Address: Print Name PHOENIX ARIZONA 85012 City State Zip Title and 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 Arizona. This Intergovernmental Agreement Amendment shall be effective the date indicated. The Public Agency is hereby cautioned not to commence any billable work or provide any material, service or construction under this IGA until the IGA has been executed by an authorized ADHS signatory. State of Arizona Signature Date Signed this day of 2023. Print Name Procurement Officer Contract No.: CTR040876, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona. Signature Date Assistant Attorney General Print Name INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR040876 IGA Amendment No: Eleven (11) Procurement Officer: Selena Leon 2 PRICE SHEET October 1, 2022 to September 30, 2023 Agency Name: Maricopa County Department of Public Health Cost Reimbursement Line Item Budget WIC Services Federal Award Date: October 1, 2022 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children WIC Services Account Classification Amount Personnel $5,084,383.00 Employee Related Expenses $2,517,469.00 Professional & Outside Services $16,000.00 Travel Expense $13,614.00 Occupancy Expenses $34,240.00 Other Operating Expenses $95,433.00 Capital Expenditures $0.00 Indirect Cost $1,338,021.00 Total $9,099,160.00 Breastfeeding Peer Counseling Services Federal Award Date: October 1, 2022 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children Breastfeeding Peer Counseling Services Account Classification Amount Personnel $322,665.00 Employee Related Expenses $159,376.00 Professional & Outside Services $0.00 Travel Expense $193.00 Occupancy Expenses $0.00 Other Operating Expenses $3,948.00 Capital Expenditures $0.00 Indirect Costs $83,818.00 Total $570,000.00 INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR040876 IGA Amendment No: Eleven (11) Procurement Officer: Selena Leon 3 WIC Special Projects Federal Award Date: October 1, 2022 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children WIC Special Projects Account Classification Amount Personnel $109,063.00 Employee Related Expenses $52,288.00 Professional & Outside Services $0.00 Travel Expense $0.00 Occupancy Expenses $15,296.00 Other Operating Expenses $9,670.00 Capital Expenditures $0.00 Indirect Costs $32,121.00 Total $218,438.00 Local Agency (LA) Projects Funding Federal Award Date: April 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children Local Agency (LA) Projects Account Classification Amount Personnel $0.00 Employee Related Expenses $0.00 Professional & Outside Services $215,000.00 Travel Expense $0.00 Occupancy Expenses $0.00 Other Operating Expenses $0.00 Capital Expenditures $0.00 Indirect Cost $37,066.00 Total $252,066.00 Additional Terms and Conditions: With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between funded line items. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment. ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will be at the discretion of ADHS. Additional WIC Program: Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR040876 IGA Amendment No: Eleven (11) Procurement Officer: Selena Leon 4 order to increase the number of participants served and increase the total of this contract. The assigned caseload for FFY 2023 is: 44,500 Additional WIC Special Projects: Monies are provided for WIC Special Projects that will include the following: a. Cover occupancy, security, and cleaning services costs for an ADHS WIC computer lab training room housing up to 40 computers at 2737 W Southern Ave, Suite 10, Tempe, AZ 85282. The WIC computer lab training room will be for the priority use of the Arizona State WIC Program and be made available to other Arizona WIC local agencies. ADHS Information Technology staff will be responsible for installation and maintenance of computer and networking hardware and software. The training room computers will not be connected to the Maricopa internal network, but the training room will share the same internet line as the adjacent WIC clinic. b. Additional monies have been added for Maricopa County WIC Program to provide RD services to other local WIC agencies as agreed upon in the Scope of Work documents between Maricopa and each local WIC program that services are provided. c. Additional monies have been added to the Personnel Services, Employee Related Expenses, and Indirect Cost line items to the Maricopa WIC Program Special Project Budget to provide State-wide secondary nutrition education for families enrolled with local agencies utilizing the WIC Your Way virtual services approach by providing staff to support this program at the state office full time. The staff provided will assist the ADHS team with outreach and retention campaigns involving text messaging and/or virtual services, provide virtual secondary nutrition education and high-risk services through this project, support local agencies with their training needs related to this service, and support local agency services state-wide by facilitating group education classes and completing administrative work related to providing these services. The staff will also work with the ADHS WIC Evaluator to evaluate measurable outcomes from the service including data on nutrition related attitudes and behaviors, ease and satisfaction of technology use, and increasing attendance at the nutrition education sessions, and then implement a process to improve the services. d. Additional monies have been added to Other Operating Expenses for Maricopa County for the Hope Center WIC clinic site that will include costs related to the clinic set up including furniture, cubicle and equipment installation; computer, printer, and internet installation; and data and electrical infrastructure costs. e. Additional Local Agency (LA) Projects Funding LA Project(s) funding can be used towards special projects that enhance Program Integrity, WIC Services or WIC Facilities. Allowable costs for the LA Project(s) funding include items specifically outlined on the agencies project description and application ONLY. Any additional items will need written justification and approval before being charged to the LA Project(s) funding. These allowable costs adhere to the WIC program’s allowable and unallowable cost principles. INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR040876 IGA Amendment No: Eleven (11) Procurement Officer: Selena Leon 5 Exhibit A - 2 CFR 200.332 § 200.332 Requirements for pass-through entities. All pass-through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward. Prime Awardee: Arizona Department of Health Services UEI # QMWUG1AMYF65 Federal Award Identification (Grant Number): 216AZ008W1003 Subrecipient name (which must match the name associated with its unique entity identifier): Maricopa County Public Health Subrecipient's unique entity identifier (DUNS #): 602062515 Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): 216AZ008W1003 Federal Award Date (see the definition of Federal award date in § 200.1 of this part) of award to the recipient by the Federal agency: 10/01/2022 Subaward Period of Performance Start and End Date: 10/01/2022-9/30/2023 Subaward Budget Period Start and End Date: 10/01/2022-9/30/2023 Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $10,139,664.00 Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation (how much is available for contracts): $10,139,664.00 Total Amount of the Federal Award committed to the subrecipient by the pass-through entity: $10,139,664.00 Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA): Arizona local implementation of the WIC Special Supplemental Nutrition Program for Women, Infants, and Children INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR040876 IGA Amendment No: Eleven (11) Procurement Officer: Selena Leon 6 Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity: United States Department of Agriculture, FNS Southwest Regional Office, Food and Nutrition Service, 1100 Commerce Street Room 522, Dallas, TX 75242-9980, Telephone: (214)290-9810 Assistance Listings number and Title; the pass-through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement: 10.557 WIC Special Supplemental Nutrition Program for Women, Infants, and Children Identification of whether the award is R&D: Not R&D award Indirect cost rate for the Federal award (including the de minimis rate is charged) per § 200.414: 17.97%