ADOH WAP AMENDMENT NO. 2.PDF

Maricopa County — Formal (2023-03-15)

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Contract No.: 214-22 
Termination Date: June 30, 2023 
Amendment No.: 002 
AMENDMENT TO A  
FUNDING AGREEMENT 
Between 
ARIZONA DEPARTMENT OF HOUSING 
And 
Maricopa County 
      
This Agreement is made and entered into by and between the Arizona Department of Housing 
(ADOH), and Maricopa County (Recipient). 
 
RECITALS 
 
1) ADOH and Recipient have entered into a Contract, stipulating to an award through the State 
Housing Fund Program or Community Development Block Grant Programs by ADOH to 
Recipient for the purpose as outlined in the above referenced Funding Agreement; and 
 
2)  A revision to said Agreement is necessary, and; 
 
3)  ADOH and Recipient agree that the revision is in the best interest of all parties, including 
beneficiary low-income households; ADOH and Recipient hereby agree to amend the subject 
agreement as follows: 
AGREEMENT 
 
LIHEAP Award decreases by $150,000 and completed unit requirement decreases to ninety-three (93). 
New award line item dollar amounts are noted on the Attach. C Budget and Attach. D Request for 
Payment forms.  
 
The agreement incorporates the Recital paragraphs set forth above.  
 
The Following Attachments are amended and attached hereto:  
 
 
A  
Scope of Work 
B 
 
Performance Report/Schedule of Completion 
C.  
Budget 
D.   
Request for Payment 
 
Any and all portions of subject Agreement that are not herein specifically amended shall remain 
unchanged. 
 
In Witness Whereof, ADOH and Recipient have executed this Amendment that shall become 
effective when signed by ADOH. 
 
THE STATE OF ARIZONA, 
Maricopa County 
DEPARTMENT OF HOUSING 
RECIPIENT 
 
 
BY: 
 
BY: 
 
 
Joan Serviss 
 
 
TITLE: 
Director 
TITLE: 
Chair, Board of Supervisors 
 
 
 
 
DATE: 
 
DATE: 
 
 
 Manager’s Approval: _____________ 
  
Maricopa County # C-22-23-001-X-02
Clint Hickman

Funding Agreement with 
State of Arizona, Department of Housing 
 
ATTACHMENT A  
SCOPE OF WORK 
2nd REVISED 2/2/2023 
The Arizona Department of Housing Weatherization Assistance Program (ADOH WAP) award will be comprised of 
Department of Energy (DOE) and Low Income Home Energy Assistance Program (LIHEAP) funds. Funding will 
allow Maricopa County, Human Services Department, Community Development Division (Maricopa County) 
(recipient) to provide installation/repair of energy efficiency measures to dwellings occupied by low-income 
households in Maricopa County, Arizona EXCLUDING units located within the incorporated city limits of the City of 
Phoenix.  
 
This contract award is contingent upon: 
A. Assistance is reserved for the following incomes: 
1) DOE funds: 200% or below of Federal Poverty Guidelines as published annually or WPN 22-5 HUD 
means tested 80% or below of Area Median Income; and 
2) LIHEAP funds: 200% or below of Federal Poverty Guidelines as published annually. 
B. The program will prioritize services to the following populations: 
1) Elderly, at or above the age of sixty (60) years; 
2) Persons with Disabilities; and 
3) Families with children at or below the age of five (5) years.   
C. DOE WAP funds require adherence to the following provisions as revised:  
1) 10 CFR Part 440 as revised;  
2) The Arizona Weatherization Assistance Program State Plan (State Plan); 
3) Health and Safety Plan (HSD Plan);  
4) The Arizona Weatherization Policies and Procedures Handbook;  
5) Arizona Weatherization Assistance Program Field Guide;  
6) Standard Work Specifications; and  
7) DOE WPN 22-4 Quality Work Plan.” 
a. All energy audits performed will meet or exceed the requirements set forth in WPN 19-4;  
b. The ADOH Receipt of Field Guide Verification form must be completed and signed by all 
appropriate representatives on an annual basis.  
8) Maricopa County must ensure all items 1) through 7) are included in contracts with their 
contractors/vendors.  
D. LIHEAP WAP funding requires adherence to the Arizona Weatherization Assistance Program State Plan 
(State Plan), Health and Safety Plan (HSD Plan); Arizona Weatherization Policies and Procedures Handbook, 
Arizona Weatherization Assistance Program Field Guide; Standard Work Specifications; and WAP 
Memorandum 22-4 Quality Work Plan. Units that do not receive DOE funds will not be required to pass a QCI 
inspection. 
E. Weatherization Readiness Funds WPN 22-6 (WRF) measures and administration expenditures will be tracked 
separately from other DOE funding and will not be subject to the DOE Average Cost Per Unit (ACPU) or 
Health and Safety caps. A waiver must be submitted to ADOH and approved prior to project commencement. 
Allowable measures include but are not limited to the following: 
1) Roof repair; 
2) Wall repair (interior or exterior); 
3) Ceiling repair; 
4) Floor repair; 
5) Foundation or subspace repair; 
6) Exterior drainage repairs (e.g. landscaping or gutters); 
7) Plumbing repairs; 
8) Electrical repair; and 
9) Clean-up or remediation beyond typical scope of WAP preventing WAP work. 
C-22-23-001-X-02

F. Maximum investment per unit is as follows: 
1) DOE: ACPU investment over Program Year 2022 (July 1, 2022 to June 30, 2023) is $8,009;  
2) DOE WRF: maximum per unit investment over Program Year 2022 (July 1, 2022 to June 30, 2023) is 
$4,000; and 
3) LIHEAP: Average per unit investment over Program Year 2022 (July 1, 2022 to June 30, 2023) is 
$20,000. (Unit production was calculated using FFY21 Average Expenditure for Network with a 5% 
increase or $10,025) 
G. Satisfactory SHPO requirements if applicable must be completed prior to any construction activity or any 
expenditure of funds.  
H. Maricopa County will be expected to fully expend awarded funds and complete the following number of units 
for each funding source: 
1) DOE: thirty-three (33) completed units passing Quality Control Inspection and ADOH WAP 
monitoring; and 
2) LIHEAP: ninety-three (93) completed units passing final inspection and ADOH WAP monitoring. 
 
 
C-22-23-001-X-02
Funding Agreement with
State of Arizona, Department of Housing

WEATHERIZATION
2nd REVISED 2/2/2023
ATTACHMENT B
ADOH PERFORMANCE REPORT/SCHEDULE OF COMPLETION
Page 1 of 1
Recipient
Date
Contract No 214-22
Contract Period: from 7/1/2022 to 6/30/2023 
Revision #   
Activity 
    Oct      Jan
April        July
Recipient Address
City Phoenix
Contact Person
Zip Code 85004
Phone
Email
Fax 602-506-4749
Program Specialist Goria Castro
Email gloria.castro@azhousing.gov
County Maricopa
 Indicate adherence to contract or schedule changes. Due by the 30th of August, October, December, February (last day of),  April,  June
Contract Schedule
Contract Date
Complete Yes/No
Modification Date
Contract Execution
7/1/2022
Completion of 7 DOE and 10 LIHEAP Units
9/30/2022
Completion of 14 DOE and 42 LIHEAP Units (all numbers cumulative)
12/30/2022
Completion of 23 DOE and 68 LIHEAP Units (all numbers cumulative)
3/31/2023
Completion of 33 DOE and 93 LIHEAP Units (all numbers cumulative)
6/30/2023
Project Complete-Contract Close Out
7/31/2023
Please provide a brief description of activities performed this three month period.  Include occurrences that caused variation from schedule 
changes to plans, unforeseen circumstances, etc. Please be specific. Finally, answer questions at narrative section A. through H.  
E. # of LIHEAP units 100% complete?
B. # of DOE units complete but need QCI?
F. # of LIHEAP units under construction? 
C. # of DOE units under construction?
G. # of LIHEAP Units out to bid?
D. # of DOE units out to bid?
H. 
Recipient Authorized Signature 
                Date
Title
A. # of DOE units 100% complete & QCI Passed? 
Maricopa County
Weatherization Assistance Program
234 N. Central Ave., 3rd Floor
Laurie Ontiveros
Laurie.Ontiveros@maricopa.g
602-506-2322
C-22-23-001-X-02

WEATHERIZATION
2nd REVISED 2/2/2023
Attachment C
Budget 
Recipient
Date
Contract No./File No. 214-22
Contract Period: from 7/1/2022 to 6/30/2023 
Revision No.
Activity 
Recipient Address
City Phoenix
Contact Person
Zip Code 85004
Phone
Email
Fax 602-506-4749
Program Specialist
Email
County Maricopa
a
c
d
e
f
g
h
Budget Line Item or
DOE
DOE WRF
LIHEAP
Source
Source
GRAND TOTAL
Activity No. 
FFY2022
FFY2022
FFY2022
Program Year
Program Year
ALL SOURCES
Administration Costs
34,171.00
$              
Training & Technical Assistance
31,132.00
$              
Program Operations
262,936.00
$            
Health and Safety
39,440.00
$              
Financial Audit
-
$                         
Liability Insurance
-
$                         
DOE WRF Administration
3,309.00
$               
DOE WRF Program Operations
18,750.00
$             
LIHEAP Administration
$40,768.00
LIHEAP Training/TA
5,891.00
$           
LIHEAP Program Operations
928,699.00
$       
Total
$367,679.00
$22,059.00
$975,358.00
$1,365,096.00
REV. 5-2016
Laurie Ontiveros
602-506-2322
nicole.forbes@maricopa.gov
gloria.castro@azhousing.gov
Gloria Castro
Maricopa County
Weatherization Assistance Program
234 N. Central Ave., 3rd Floor
C-22-23-001-X-02

WEATHERIZATION
2nd REVISED 2/2/2023
Attachment D
ARIZONA DEPARTMENT OF HOUSING REQUEST FOR PAYMENT SUMMARY SHEET PAGE 1 OF 2 
Recipient
Date
Contract No 214-22
Contract Period: from 7/1/2022 to 6/30/2023 
Pay Req. No/Mo
Activity 
Direct Wire Dep
Yes          No
Recipient Address
City Phoenix
Contact Person
ZIP 85004
Phone
Email
Fax 602-372-2292
Program Specialist
Email
County Maricopa
Itemized Payment Statement (Sheet 2 of 2) must accompany this form.  Include copies of invoices, cashed checks, and other backup
documentation. SIGNATURES are required for processing.
a
b
c
d
d
e
f
g
h
Budget Line Item or
ASAP
DOE
DOE WRF
LIHEAP
Total Amount
Balance in 
Amount of this
New 
Activity No. 
 No.
FFY2022
FFY2022
FFY2022
Req. to Date
Account
Request
Balance
1. DOE Administration
34,171.00
$         
33,814.35
$         
356.65
$              
356.65
$                   
2. DOE Training & TA
31,132.00
$         
18,788.27
$         
12,343.73
$         
12,343.73
$              
3. DOE Program Ops
262,936.00
$       
229,363.15
$       
33,572.85
$         
33,572.85
$              
4. DOE Health & Safety
39,440.00
$         
35,708.00
$         
3,732.00
$           
3,732.00
$                
5. DOE Financial Audit
-
$                   
-
$                   
-
$                         
6. DOE Liability Ins
-
$                   
-
$                   
-
$                         
7. DOE Total Draw
317,673.77
$       
50,005.23
$         
-
$                   
50,005.23
$              
8. DOE WRF Admin. 
3,309.00
$           
-
$                   
3,309.00
$           
3,309.00
$                
9.DOE WRF Prog. Ops
18,750.00
$         
-
$                   
18,750.00
$         
18,750.00
$              
10.DOE WRF Total Draw
-
$                   
22,059.00
$         
-
$                   
22,059.00
$              
11. LIHEAP Admin. 
40,768.00
$         
28,882.24
$         
11,885.76
$         
11,885.76
$              
12. LIHEAP Training/TA
5,891.00
$           
-
$                   
5,891.00
$           
5,891.00
$                
13. LIHEAP Program Ops
928,699.00
$       
420,568.93
$       
508,130.07
$       
508,130.07
$            
14. LIHEAP Total Draw
449,451.17
$       
525,906.83
$       
-
$                   
525,906.83
$            
Total 
367,679.00
$       
22,059.00
$         
975,358.00
$       
767,124.94
$       
597,971.06
$       
-
$                   
597,971.06
$            
Recipient Authorized Signature 
Date
Title
Recipient Authorized Signatory certifies that all activities undertaken by the contractor with funds provided under this contract have been carried 
out in accordance with the contract.  Attach wiring information if not previously submitted. Attach alternate mailing address if necessary. 
Performance Reports
Current  
Not Current
For ADOH Use
Only
ADOH Program Specialist Approval
Date
ADOH Program Administrator Appr Date
REV. 1-2014
Gloria Castro
nicole.forbes@maricopa.gov
gloria.castro@azhousing.gov
Maricopa County
234 N. Central Ave., 3rd Floor
Nicole Forbes
602-506-2326
Weatherization Assistance Program
C-22-23-001-X-02