MEZCOPH AMD 3 TO IGA DRAFT_MH030323_FINAL (003) PXPI EJ (002).PDF

C-86-21-147-X-03
AMENDMENT NO.: 
3 
Page 1 of 7 
AMENDMENT TO 
INTERGOVERNMENTAL AGREEMENT 
Between 
MARICOPA COUNTY  
By and Through 
DEPARTMENT OF PUBLIC HEALTH 
and 
ARIZONA BOARD OF REGENTS ON BEHALF OF UNIVERSITY OF ARIZONA 
for 
IMMUNIZATION SERVICES  
I.
The above-named Intergovernmental Agreement (IGA) is hereby amended as specified below:
A.
Cover Page, Agreement Amount is changed from $250,000 to $806,364.
i.
The additional $556,364 is to be used for a new Scope of Work (Exhibit B) beginning on
Page 2 of this Amendment.
B.
Cover Page, Expiration Date is changed to September 30, 2023.
C.
New Exhibit B - Mobile Vaccine Clinic - SW Maricopa County Outreach and Engagement has
been added
II.
Compensation has been updated and replaced beginning on Page 6 of this Amendment.
III.
Invoices has been added beginning on Page 6 of this Amendment.
IV.
All other terms and conditions of the original IGA and previous 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 Board of 
Regents on behalf of University of Arizona 
By:  
By: 
Chairman, Board of Supervisors 
Elisha Johnson, JD Director, Clinical Trials and 
Contracting 
Date 
Date 
ATTEST 
Clerk of the Board 
Date 
APPROVED AS TO FORM 
Read and Acknowledged 
Attorney for Maricopa County         
Principal Investigator 
3/16/2023
Professor Emeritus, Department of Public Health Practice, Policy & 
Translational Research
University of Arizona, Mel & Enid Zuckerman College of Public Health

C-86-21-147-X-03
AMENDMENT NO.: 
3 
Page 2 of 7 
EXHIBIT B 
Mobile Vaccine Clinic - SW Maricopa County Outreach and Engagement 
January 11, 2023 - September 30, 2023 
INTRODUCTION AND BACKGROUND 
The COVID-19 pandemic revealed widening health disparities and disproportionate adverse health 
outcomes in terms of transmission, hospitalizations, morbidity, and mortality among Arizona’s rural, 
African American, American Indian, Latino, disabled and elderly populations. Unfortunately, these are 
the very populations that have much lower rates of being vaccinated in the early weeks of Arizona’s 
COVID-19 vaccination rollout.  
To address these alarming health disparities, we propose to use mobile units from the Zuckerman 
College of Public Health (MEZCOPH) in collaboration with Maricopa County Department of Public Health 
(MCDPH), health and social service providers, health professions students and trainees, to expedite 
vaccinations in these vulnerable and hard to reach individuals and populations, thereby improving 
COVID-19 vaccination uptake and reduce disparities in cases, hospitalization, morbidity, and mortality 
rates.  
Intractable health disparities relate to social determinants including socioeconomic status, educational 
attainment, low wages for essential workers, rural location, being elderly or disabled, having limited 
English speaking skills, immigration status, unreliable transportation, difficulty obtaining childcare and 
other factors. Stigma, ageism, racism, and anti-immigrant policies further impede access to health 
services including COVID-19 testing and vaccination.  
OPERATIONS 
The MEZCOPH Outreach and Engagement team in collaboration with MCDPH proposes to expand 
services to the Southwest area of Maricopa County having consistent presence in the hard-to-reach 
population including identified homeless population, farmworkers, other essential workers to provide 
COVID19 and other vaccinations such as seasonal flu as well as basic health screenings, and linkage to 
medical homes. We propose to increase booster rates across Maricopa County, identifying, and reaching 
the population that has not received initial COVID 19 vaccine and related boosters. The MCDPH now has 
access to Novavax (COVID 19) vaccine that will address initial vaccine hesitant residents given this 
specific vaccine is manufactured using traditional and familiar methods as other more commonly 
accepted disease prevention vaccines. The team also has access to Monkeypox vaccine to address at risk 
population susceptible to the infection.  
Project Goal – the goal is to improve uptake for the first dose of COVID 19 vaccine and boosters 
developed to protect against the latest variants and reduce health disparities in vulnerable, hard to 
reach populations using mobile units that administer vaccines, provide education on COVID-19 
transmission and prevention strategies to protect family members living in the same household. The 
mobile units and outreach team through Street Medicine Phoenix also provides primary and 
preventive care and referral to other health and social services as appropriate. Collaborating with the 
MCDPH and rural health and social service providers can bring these educational, technological 
resources and vaccines to the community as opposed to having hard to reach residents come to us.

C-86-21-147-X-03 
 
AMENDMENT NO.:  
3 
 
 
Page 3 of 7 
 
Teaching & Workforce Development: – we teach and train Arizona’s future health workforce by 
providing interprofessional education from pipeline to practice via pre-professional, undergraduate, 
graduate, and continuing health professions education, precepting, and mentoring. Students and 
medical residents learn outside classrooms in community-based settings with academic and field faculty. 
Students, staff, and faculty better serve rural and urban underserved health needs both through existing 
clinics, hospitals, community health centers and other health infrastructure and with mobile units and 
telehealth to reach Arizona’s most vulnerable communities and populations.  
   
Mobile Unit Services/Street Medicine – include vaccination for COVID-19 and flu, blood glucose checks, 
blood pressure and Body Mass Index (BMI) measurement, limited testing such as cholesterol, 
HIV screenings, wound care,  vision screening and free eyeglasses, help with eligibility and enrollment 
for AHCCCS (Medicaid) and Kids Care (CHIP) and referrals for mammograms and other cancer 
screening, fluoride varnish for children, orientation and education on health insurance registration, 
referrals to healthcare providers, and active follow up to ensure participants learn how to access care 
locally in an FQHC, rural or critical access hospitals (CAHs) and telehealth services. 
Outreach, Education & Service – funding will support COVID-19 vaccination, health education and 
wellness programs, information and materials working collaboratively with MCDPH, FQHCs, local health 
and social service providers, and others. I-pads are equipped with internet service, are confidential and 
HIPPA compliant. The mobile unit and street medicine staff and interprofessional team of health 
sciences faculty, staff and students refer to local primary care providers or facilities as necessary. 
Provide hygiene kits to those experiencing homelessness. 
The following is the proposed budget and budget justification for the expansion of services. 
BUDGET & JUSTIFICATION 
 
PERSONNEL: 
 
 
 
 
 
 
 
 
$209,144 
 
Cecilia Rosales (Principal Investigator): is a Professor and Chair of the Division of Public Health Practice 
and Translational Research and the Primary Prevention Mobile Unit Principal Investigator at the University 
of Arizona, Mel, and Enid Zuckerman College of Public Health. Dr. Rosales will manage and oversee the 
project (Maricopa).  
 
TBD (Medical Director): The medical director is critical and encouraged by ADHS and county health 
departments to oversee our vaccination program (COVID-19, seasonal Influenza and Monkeypox vaccine). 
The MD is also the preceptor that monitors and mentors our health sciences students during our outreach 
and field activities. The medical director will also oversee the EMR donated by the Athenahealth. 
Athenahealth requires a medical director to oversee the use of the EMR. The medical director will provide 
5% effort. Our total personnel request for the medical director is $11,409. 
 
TBD (SW MC Lead): will serve as SW lead for this project. Their current experience should involve 
familiarity, interaction and collaboration with southwest community-based organizations and colleagues 
to provide health screenings, testing, and vaccination for and the prevention of disease and risky health 
behaviors. They will direct services at 50% FTE.  Our personnel request is $36,273 for salary and fringe 
benefits. 
 
Health Educators (3): The Health Educators will be responsible for a number of different tasks.  Job duties 
will include performing basic health screening, promoting health, physical activity, and nutrition 
important factors for addressing growing incidence of chronic diseases. Experience in planning and

C-86-21-147-X-03 
 
AMENDMENT NO.:  
3 
 
 
Page 4 of 7 
 
organizing community-based events such as workshops and health fairs. Being a member of the targeted 
community and fluency in Spanish is preferred. The Health Educator will also be responsible for linking 
clients to services and community resources; care coordination referrals and reporting; and driving and 
maintenance of the mobile unit. The Health Educator will provide 100% FTE; our personnel request for 
each Health Educator is $52,760.  
 
Work Study Student: The work-study student will function as a health educator and be responsible for a 
number of different tasks.  Job duties will include performing basic health screening, promoting health, 
physical activity, and nutrition important factors for addressing growing incidence of chronic diseases. 
Perform the basic screenings and data entry. Work Study Student will provide 10% FTE; our total 
personnel request for the student is $3,182. 
 
 
Personnel 
  
Position Title 
FTE 
Salary 
Salary 
ERE 
Total 
 
Cecilia Rosales 
Principal Investigator 
0.00% 
254,447 
         0 
0 
0 
 
TBD 
SW Phoenix Team Lead 
50.00% 
       
55,000  
      
27,500  
8,773 
36,273 
 
TBD 
Health Educator/Health 
Professional 
100.00% 
40,000  
      
40,000  
12,760 
52,760 
 
TBD 
Health Educator/Health 
Professional 
100.00% 
       
40,000  
      
40,000  
12,760 
52,760 
 
TBA 
Health Educator/Health 
Professional 
100.00% 
       
40,000  
      
40,000  
12,760 
52,760 
 
TBD 
Work Study Student 
10.00% 
       
31,200  
       
3,120  
62 
3,182 
 
TBD 
Medical Director 
5.00% 
      
173,000  
       
8,650  
2,759 
11,409 
 
  
  
  
  
  
 
 
Total Personnel Costs 
159,270 
49,874 
209,144 
 
 
OPERATIONS:  
 
 
 
 
 
 
 
$130,441 
 
MOBILE UNIT/STREET MEDCINE SUPPLIES: 
 
 
 
 
 
 
 
Mobile Unit and Street Medicine Supplies preventive screening devices: Purchase the health screening 
devices to offer residents glucose, cardio check device, stadiometer and PlenOptika (vision screening). 
Supplies and project specific office supplies will support this project. Supplies include but are not limited 
to lancets, rubber gloves, glucometers and strips, cardio check strips and associated supplies, bandages, 
A1C Now kits, alcohol wipes, capillary tubes, trash bags, Clorox wipes, plungers, labels, storage bags and 
trash bags. See budget sheet listing start up supplies and devices for this project. Vaccination Supplies 
excludes vaccines, which will be provided by MCDPH. Supplies include the basic needs for setting up a 
pop-up clinic such as folding tables, chairs, and coloring books. Street Medicine Phoenix and participant 
educational supplies will be used to provide the homeless, rural, and other hard to reach populations.  
 
 
CAPITAL: 
 
 
 
 
 
 
 
 
 
$162,000  
 
Ford Transit XL Van @ $75,000.00 for the purchase of vehicle; $87,000.00 to design and build out the 
van into a Mobile Health Clinic. This includes taxes. The proposed features requested includes the 
following: 
1. 
Two areas for screenings, i.e., front section and private back section

C-86-21-147-X-03 
 
AMENDMENT NO.:  
3 
 
 
Page 5 of 7 
 
2. 
Medical table 
3. 
Refrigerator 
4. 
Sink (wash basin with faucet) 
5. 
Two desks (one in each section) 
6. 
Weight scale with BMI capability 
7. 
Air conditioning & Heating systems  
a. AC system, 8,000-watt generators 
8. 
Two wall monitors with telephone port capability for telephone attachment (one in each 
section) 
9. 
Motorized canopy 
10. 
Exterior lighting underneath canopy 
11. 
Backup generator 
12. 
In private area: medical equipment embedded in the walls, including: 
a. 
Otoscope 
b. 
Ophthalmoscope 
c. 
Blood pressure machine 
d. 
Sharps container 
e. 
Thermometer 
13. 
Additional lighting inside van 
14. 
Tie-downs on the walls (to secure tables & chairs during transit) 
15. 
Front and back exits, i.e., front entrance and back exit, including handrails  
16. 
Maricopa County Department of Public Health and MEZCOPH Logos on both sides 
 
 Contractor shall obtain possession of the van as its property at the end of the period of performance.  If 
the contractor changes the use of the van, to an ineligible use or sells the asset prior to the end of 
the period of performance, then the recipient must follow the disposition procedures in the 
Uniform Guidance and van’s ownership will revert back to MCDPH.  
 
OTHER EXPENSES: 
 
 
 
 
 
 
 
$4,200 
 
Fuel – Propose an average of 35 miles/day @ 4 days/wk. = 140 miles/wk. For a 12-month period @ 
$0.625 (federal mileage rate) total $4200 for the purchase of fuel for the mobile unit. This will enable 
the mobile unit to attend a larger number of community outreach events to cover the vast rural areas in 
southwest Maricopa County.  
 
Total Direct Costs: $505,785 
 
Indirect Costs:  Indirect cost rate is calculated at 10% which is the IDC permitted by Maricopa County 
Department of Public Health. Indirect costs will total $50,579 
 
Total Costs: $556,364

C-86-21-147-X-03 
 
AMENDMENT NO.:  
3 
 
 
Page 6 of 7 
 
 
 
 
COMPENSATION 
 
 
A. 
The Contractor shall submit a detailed monthly invoice by the 25th of the following month. 
 
B. 
The MCDPH 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.  
 
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. 
 
2. 
INVOICES 
 
 
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 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 Issuing agency as listed on 
the Agreement. 
 
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. 
The Contractor understands and agrees that the County will not honor any claim for 
payment submitted more than six (6) months after the termination of this Agreement.   
 
 
E. 
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

C-86-21-147-X-03
AMENDMENT NO.: 
3 
Page 7 of 7 
beyond the reasonable control of the Contractor. 
E.
The Contractor shall submit monthly invoices to:
Maricopa County Department of Public Health
Attn: Nina Lindsey, Health Disparities Grant Administrator
4041 N. Central Avenue, Suite 700
Phoenix, AZ 85012
E-mail:  nina.lindsey@maricopa.gov
3.
NOTICE
Any notice given under this Agreement shall be sent to the attention of the following: 
MARICOPA COUNTY:       
Maricopa County Department of Public Health 
Office of Community Empowerment  
Attn: Nina Lindsey 
4041 N. Central Avenue, Suite 700 
Phoenix, AZ  85012 
Email: nina.lindsey@maricopa.gov 
Maricopa County Department of Public Health 
Grants and Contracts Unit 
Attn: Theresa Poindexter 
4041 N Central Ave, Suite 1400 
Phoenix, AZ 85012 
Email: Theresa.Poindexter@maricopa.gov 
CONTRACTOR 
University of Arizona  
UAHS Research Administration 
P.O. Box 210216 
1670 E. Drachman, 9th Floor 
Tucson, AZ 85721-0216 
With a copy to Principal Investigator 
Cecelia Rosales, MD
Professor Emeritus, Department of Public 
Health Practice, Policy & Translational 
Research
University of Arizona, Mel & Enid Zuckerman 
College of Public Health
Phoenix Campus
550 E. Van Buren, Building 1, 3rd Floor
Phoenix, Az. 85006
Email: crosales@arizona.edu
Cell: (520)891-2058