MARICOPA COUNTY SUD GRANT - AMENDMENT - JY SIGNED.PDF

AGREEMENT NO: C-86-20-021-3-07 (200142) AMENDMENT NO: 7

AMENDMENT TO CONTRACT
BETWEEN MARICOPA COUNTY
BY AND THROUGH ITS
DEPARTMENT OF PUBLIC HEALTH
AND ARIZONA ALLIANCE FOR COMMUNITY HEALTH CENTERS

The above-named contract is hereby amended as specified below:

Exhibit A, Pricing, of the original contract shall be updated to a new not-to-exceed total of
$1,275,031. An additional $116,031 is being added to the previously approved amount of $258,000
for budget period September 1, 2022 through August 31, 2023, bringing the new NTE amount for
this budget period to $374,031.

The additional $116,031 is for additional work to be added to the revised scope of work as
previously approved as Amendment 6 for budget period September 1, 2022 — August 31, 2023.
This additional work is shown beginning on Page 2 of this Amendment.

The previously Revised Budget Worksheet approved in Amendment 6 shall be deleted and a newly
revised Budget Worksheet for budget period September 1, 2022 — August 31, 2023 begins on Page
3 of this Amendment.

All other terms and conditions of the original contract 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 FOR AND ON BEHALF OF
MARICOPA COUNTY: AACHC:

Q A o2| oto
‘or

Signature Date nature Date
Jessi Wbinew “Presidente (G0
Name Title Name Title
ATTEST:
Signature Date
Name Title
APPROVED AS TO FORM:
Signature Date
Name Title

Page 1 of 6

AGREEMENT NO: C-86-20-021-3-07 (200142) AMENDMENT NO: 7

REVISED SCOPE OF WORK:

The following projects shall be added to the existing Scope of Work approved as Amendment 6
for budget period September 1, 2022 — August 31, 2023:

SUD-related Mini-Series:

AACHC will create two mini-series, each totaling 4 hours. Topics to be covered may include
understanding substance use and other addictive behaviors from a trauma/emotion regulation
perspective, examining how SUD may be treating underlying occurring issue, understanding family roles,
and working with a client who chronically relapses.

Harm Reduction Mini-Video Series:

AACHC will create a mini-video series including stories related to harm reduction in local community
health centers to help increase buy in from medical and leadership staff to implement harm reduction
practices and programs.

EMDR Training & Certification:

EMDR Psychotherapy is currently the most empirically supported trauma therapy in the field and has
proven to provide successful treatment outcomes for a variety of issues. AACHC will facilitate EMDR
training and certification for up to 20 SUD therapists.

Page 2 of 6

AGREEMENT NO: C-86-20-021-3-07 (200142) AMENDMENT NO: 7

Budget Justification Narrative: September 1, 2022 - August 31, 2023
A: Personnel

Project
Name & Title & Project Role FTE Annual Salary Year 4

Janelle Jones (Substance Use Program Manager) Manages

[program activities per grant and contract requirements. Provides
training and technical assistance to participating Community 0.80 $66,440 $17,717
Health Centers (CHCs). Tracks and reports on program progress.

Melinda Cobb (Special Projects Manager). Take over project

manager responsibilities from Janelle Jones, beginning January 5, 2023.
0.80 $63,036 $33,619

Leah Meyers (Director Rural Women's Health & SUD)

Supervises Program Manager to ensure timely, effective, and
efficient project development and management and alignment of 0.17 $75,000 $12,750
[project and organizational operations. Coordinate additional training.

Lorraine Ramirez (Special Projects Manager) Coordinate

additional webinar series.
0.025 $62,000 $1,033

Lisa Nieri (COO). Responsible for overall program oversight .
0.03 $129,072 $3,872

Da-Nell Pederson (Director of Communication & Training).
Oversight and management of all training, technical assistance, 0.03 $88,944 $2,668
and marketing for the organization.

Patricia Macias (Office Manager). Provides administrative
support to all staff and departments. 0.02 $54,633 $1,093

Vacant (Director of Human Resources). Daily human resource 0.02
support for program staff.

Brenda Hanserd (Chief Financial Officer). Financial oversight,
quality control, and reports/funding. 0.02 $154,500 $3,090

$97,500 $1,950

Cecilia Nguyen (Senior Accountant). System transaction input for
|payroll/payment of invoices. 0.03 $61,203 $1,836

Vacant (Controller). Review of transactions, invoice preparation,
financial grant & GAAP compliance. 0.02 $96,655 $1,933

Dr. Nelly Clotter-Woods(Sr Grants and Contracts Director).
Ensure completion of program reports & compliance with grant 0.02 $100,000 $2,000
requirements .

Vacant (Grants and Contracts Manager). Provides program

development assistance and ensures completion of programmatic

reports and compliance with grant requirement) 0.03 $77,266 $2,318

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AGREEMENT NO: C-86-20-021-3-07 (200142)

AMENDMENT NO: 7

Michelle Horne (Chief Development Officer). Oversight of

grants department, requirements, compliance, and organization 0.02 $129,063 $2,581
business development. , ,
Emily Oake (Senior Director of Population Health). Additional
oversight. 0.02} $103,000 $1,373
Kendall Gillespie (Communication and Event Coordinator).
Supports Director of Communications and Training with 0.02 $54,770 $1,095
additional training coordination/logistics. , ,
Vacant (Executive Assistant to CEO). Provides administrative
support to CEO as related to CEO engagement in the project. 0.02 $68,278 $1,366
Jessica Yanow (President & CEO). Administrative Oversight of
organization. 0.02 $203,700 $4,074
Total Personnel 2.12 $96,370
B: Fringe Benefits
Fringe Benefits Year 4
FICA Tax 7.65% of Total Salaries $7,372
Health Insurance 14.95% of Total Salaries $14,407
Life & Disability Insurance 1.3% of Total Salaries $1,253
Retirement Plan Benefits 2% of Total Salaries $1,927
Total Employee Benefits $24,960
A & B Total Personnel and Fringe $121,329
C: Travel
Purpose of Travel Item & Computation Year 4
Travel within Maricopa |GSA Mileage ($0.625/mile) * 100 miles per month (Sept. 2022 - Dec. 2022) $774
County to provide GSA Mileage ($0.655/mile) * 100 miles per month (Jan. 2023 - Aug. 2023)
training and support to
CHC sites.
Program Manager to _|Lodging: | staff * 2 night stay@ $257 per night * 2 trips (1 night per trip) $514
attend conferences Gas: GSA mileage ($0.655/mile) * 350 miles $229
and/or trainings . ; -
annual Per diem: $79/day * 1 staff (depending on multiple $612
x trainings/conferences - days attending, estimating 7.75 days)

Registration Fee: attendance @ conference or training $600

Total Travel $2°730

Travel costs for site visits & training sessions. Travel expenses are calculated based on GSA rates & miles. Note:
Lodging is calculated at the GSA rate * 1.5. AACHC is not a government entity and does not qualify for

government rates.

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AGREEMENT NO: C-86-20-021-3-07 (200142)

AMENDMENT NO: 7

D: Equipment:
Item Description Year 4
Vending Machines —_|Harm reduction vending machines for Maricopa County HC clinics or clinic $40,000)
partners 4 @ $10,000/machine
Total Equipment Expense $40,000
E: Supplies
Item Description Year 4
Harm Reduction Materials and supplies for providers/staff (Pins, posters, stickers, etc. $3,200
Materials indicating it is safe to ask about Narcan, or SUD services) $2-$5 per item for
600 people + $800 for printed materials
Harm Reduction Fentanyl Strips for clinic use or patient distribution 4,000 strips @ $2/strip $8,000
Supplies
Office Supplies Paper, pens, ink, etc.... based off of historical usage/purchases $1,135
Total Supplies Expense $12,335:
F. Consultant/Contractual Costs
Vendor Item & Calculation Year 4
Consultant Consulting services for SUD/OUD treatment infrastructure support: 96 hours $11,000
* $125/hour
Mini- video series including stories related to harm reduction in local
Harm Reduction . . . . .
: community health centers to help increase buy in from medical and leadership $105,000
Mini-Video Series : . .
staff to implement harm reduction practices and programs.
Two mini-series, each totaling 4 hours. Topics to be covered may include
understanding substance use and other addictive behaviors from a
SUD Mini Series trauma/emotion regulation perspective, examining how SUD may be treating $3,200
underlying occurring issue, understanding family roles, and working with a
client who chronically relapses.
Workforce Support and education for SUD/OUD providers to address workforce $50,640)
Development shortages, burnout, telehealth and peer support programs. Includes
Motivational Interviewing Training and EMDR Training.
Fester & Chapman $125
P Annual external audit and tax filing: $3900/year*F TEs assigned/56
Ideal Networks IT Support for Project: $132,000/year* FTEs assigned /56 $4,219
Total Contractual Expenses $ 174,184

Contractual costs totaling $65,740 include: 1) Consultant to provide technical assistance for the planning,
development and implementation of SUD/OUD treatment programs, such as Medication Assisted Treatment
estimated at 96 hours * $125/hr. 2) Harm reduction mini-video series. 3) Two SUD-related mini-series 4)

Workforce development support and education for SUD/OUD providers. 5) Fester & Chapman to conduct the
annual financial and Single Audit. Costs are allocated based on AACHC federally funded projects, with $125
allocated to this project. 6) Ideal networks to provide IT support for program staff on an on-going basis as
AACHC's contracted IT provider. Fees are $132,000/year. Costs are allocated by FTEs dedicated to project/56
total organizational FTEs.

**Please note that AACHC leases employees and provides administrative services, such as IT support, to one
other non-profit entities (TAP). The cost and denominator used in the allocations reflect the entities using the
services.

G, Construction: N/A

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AGREEMENT NO

: C-86-20-021-3-07 (200142)

AMENDMENT NO: 7

H:Other Costs
Item Description/Calculation Year 4

Training costs, including materials, audio/visual support, for a SUD

Program Training symposium which may be held in-person or virtually; virtual group trainings; $7,000
and, virtual or in-person targeted one-on-one assistance

Insurance Liability, D&O, cyber etc. @ $34,800/yr. *FTE/56 FTEs $1112

Worker's Comp $0.38 per $100 in salaries $461

Staff Training ‘Trainings required by law (HIPAA, etc.) $15,000/yr. * FTE/S6 FTEs $366

Legal/Business Fees Legal and business consultant fees (advisement, policies, procedures) $1,098
$45,000 * FTE/S6

Subscriptions Includes all subscriptions & fees: $23,500/yr. * FTE/35 FTEs $1202
Telephone/ internet est. $35,000 yr. * FTE/56 FTEs, GoTo $1950/year $1218

Telephone/Internet Celi Phone Reimbursement; $5O/mih*12 mihs"2,12 FTEs $1074
FP: Postage Meter $6000 annually *FTE/56 FTEs $192

Postage/Copying Arizona Office Technologies: Copiers/printers maintenance $575
'$1500/mo. * FTE/56 FTEs

Rent Office rent $179,000/yr. * FTE/35 FTEs $9,155

Total Other Costs $23,453

Other costs totaling $23,453 include: 1) Training costs for in-person and/or virtual events. 2) Business insurance
based on annual cost of $34,800/year allocated to project based on program FTEs as a % of total AACHC
FTEs**, 3) Worker's Comp at $0.38 per every $100 in salaries. 4) Staff trainings required by law (such as HIPAA,
harassment, etc.) at $15,000/yr. * program FTES/AACHC + CVN FTEs. 5) Legal and business consultant fees
(advisement, policies, procedures) $45,000 * FTE/S6) Subscription for gotomeeting and other licenses/fees to
support staff, organization, and educational webinars and statewide program meetings at $21,235/yr. * program
FTEs/AACHC + CVN FTEs. 7) Telephone and Internet based on annual cost of $35,000/vr. * program FTEs /56
total organizational FTEs. Per AACHC policy, staff using cell phone for business qualify for reimbursement of
$50/month; budget includes $50 * 12 months * program FTEs. 8) Postage Meter & Printer/Copier agreements
necessary to carry out daily business based on annual costs, allocated on program FTE as a % of organizational
FTEs. Actual expense allocated by usage. 9) Office space for program staff calculated as a % of total rent based

on program FTEs/AACHC + CVN FTEs. TAPI’s occupancy costs are not included in the allocation.

**Please note that AACHC provides leased employees and other administrative services, such as office space and
telephone, to 2 other non-profit entities (CVN and TAPI). The cost and the denominator used in the allocations
reflect the entities using the services.

Year 4
TOTAL DIRECT COSTS BY YEAR $374,031

TOTAL COSTS BY BUDGET CATEGORY Year 4

Personnel $ 96,370
Fringe $24,960
Travel $2,730
Equipment $40,000
Supplies $12,335
Consultant/Contractual $174,184
Construction $0
Other $23,453
TOTAL PROJECT $ 374,031

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