4F IGA WITH COUNTY FOR HOMEBOX PROGRAM.PDF

Maricopa County — Formal (2023-03-01)

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1 
INTERGOVERNMENTAL AGREEMENT 
between MARICOPA COUNTY 
by and through the 
DEPARTMENT OF PUBLIC HEALTH 
4041 N. Central Avenue, #1400, Phoenix, Arizona 85012 
And 
CITY OF BUCKEYE 
530 E Monroe Avenue, Buckeye, AZ 85326 
1.
Agreement No: C-86-23-XXX-X-XX
2.
Agreement Type: Cost Reimbursement
3.
Agreement Amount: $50,000
4.
Purpose: HomeBox Program
5.
Start Date: 01/01/2023
6.
Expiration Date: 12/31/2024
This Agreement is entered into by and between the City of Buckeye (referred to herein as “Contractor”), and Maricopa County, 
by and through its Department of Public Health (MCDPH) (referred to herein as “County”).  Contractor and the County are 
collectively referred to herein as the “Parties” and individually as a “Party.”  Contractor, for and in consideration of the covenants 
and conditions set forth herein, shall provide and perform the services as set forth below.  All rights and obligations of the Parties 
shall be governed by the terms of this Agreement, its exhibits, attachments, and appendices, including any subcontracts or 
amendments as set forth herein and in: 
Section I 
-
General Provisions
Section III 
-
Work Statement
Section II 
-
Special Provisions
Section IV 
-
Compensation
This Agreement contains all the terms and conditions agreed to by the Parties.  No other understanding, oral or otherwise, 
regarding the subject matter of this Agreement shall be deemed to exist or to bind the Parties.  Nothing in this Agreement shall 
be construed as consent to any lawsuit or waiver of any defense in a lawsuit brought against the County or the Contractor in any 
state or federal court. 
Legal Notice under this Agreement shall be given by personal delivery or by registered or certified mail, postage prepaid, return 
receipt requested, to the addresses set forth below and shall be effective upon receipt by the Party to whom addressed unless 
otherwise indicated in the notice. 
Notice to Contractor: City of Buckeye  
Phone: 623.349.6000 
Address: 530 E Monroe Ave Buckeye, AZ 85326 
Notice to County: MCDPH Grants/Contract Unit 
Phone: 602.372.4163 
Address: 4041 North Central Avenue, Ste #1400, Phoenix, Arizona 85012 
IN WITNESS WHEREOF, the Parties enter into this Agreement: 
For and on behalf of City of Buckeye: 
For and on behalf of Maricopa County: 
Signature 
Signature 
Name 
Dan Cotterman 
Name 
Bill Gates 
Title 
City Manager 
Title 
Chairman, Board of Supervisors 
Date 
Date 
ATTEST: 
Signature 
Date 
Clerk of the Board 
January 17, 2023

2 
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 
the State of Arizona. 
Pursuant to A.R.S. § 11-952, the Attorney for the Board of Supervisors 
has determined that this Intergovernmental Agreement is within the 
powers and authority granted under the laws of the State of Arizona. 
Signature 
Signature 
Date 
K. Scott McCoy, City Attorney
Date 
 Attorney for Maricopa County 
K. Scott McCoy
January 23, 2023
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SECTION I 
 
 
                                                                           GENERAL PROVISIONS        
3 
1. 
EFFECT 
 
To the extent the Special Provisions conflict with the General Provisions, the Special 
Provisions shall control.  To the extent the Work Statement(s) and the Special or General 
Provisions are in conflict, the Work Statement(s) shall control. 
 
2. 
DEFINITIONS 
 
As used throughout this Agreement, the following terms shall have the following meanings: 
 
 
A. 
Agreement means this document and all attachments and amendments hereto. 
 
 
B. 
Contractor means the person, firm or organization listed on the Cover Page of 
this Agreement. 
 
 
C. 
County means Maricopa County, Arizona. 
     
D. 
Department means the Maricopa County Department of Public Health. 
 
E. 
Funding Source means any federal, State, or private agency funding source, 
which may impose conditions on the funding that will be passed on to the 
Contractor. 
 
3. 
GENERAL REQUIREMENTS 
 
 
A. 
The terms of this Agreement shall be construed in accordance with Arizona law.  
Any lawsuit arising out of this Agreement shall be brought in the appropriate court 
in Maricopa County. 
 
 
B. 
The Contractor shall, without limitation, obtain and maintain all licenses, permits, 
and authority necessary to do business, render services, and perform work under 
this Agreement, and shall comply with all laws regarding unemployment insurance, 
disability, and workers’ compensation. 
 
 
C. 
The Contractor is an independent contractor in the performance of work and the 
provision of services under this Agreement and is not to be considered an officer, 
employee, or agent of the County. 
 
4. 
AMENDMENTS 
 
All Amendments to this Agreement must be in writing and signed by authorized persons 
for both Parties.  All amendments shall clearly state the effective date of the action. 
 
5. 
ADEQUACY OF RECORDS 
 
If the Contractor's books, records, and other documents relevant to this Agreement are 
not reasonably sufficient to support and document that allowable services were provided 
to eligible clients the Contractor shall reimburse Maricopa County for the services not so 
adequately supported and documented. 
 
6. 
RETENTION OF RECORDS 
 
A.  
This provision applies to all financial and programmatic records, supporting

SECTION I 
 
 
                                                                           GENERAL PROVISIONS        
4 
documents, statistical records, and other records of the Contractor that relate to 
this Agreement. 
 
B. 
As required by A.R.S. 35-214, the Contractor shall retain all financial books, 
records, and other documents related to this Agreement for five (5) years after final 
payment or until after the resolution of any audit questions, which could be more 
than five (5) years, whichever is longer.  County, federal, or State auditors, and 
any other persons duly authorized by the County, shall have full access to and the 
right to examine, copy and make use of all such financial books, records, and other 
documents.   
 
7. 
ASSIGNMENT AND SUBCONTRACTING 
 
No rights, liability, obligations, or duties under this Agreement may be assigned, 
delegated, or subcontracted without the prior written approval of the County. 
 
8. 
AUDIT DISALLOWANCES 
 
A. The Contractor shall, upon written demand, therefore, reimburse Maricopa 
County for any payments made under this Agreement which are disallowed by a 
Federal, State or Maricopa County audit in the amount of the disallowance, as 
well as court costs and attorney fees which Maricopa County incurs to pursue 
legal action relating to such a disallowance. 
 
B. If at any time it is determined by County that a cost for which payment has been 
made is a disallowed cost, County shall notify the Contractor in writing of the 
disallowance and the required course of action, which shall be at the option of 
County either to adjust any future claim submitted by the Contractor by the 
amount of the disallowance or to require repayment of the disallowed amount by 
the Contractor. 
 
9. 
AGREEMENT COMPLIANCE MONITORING 
 
County may monitor the Contractor's compliance with, and performance under, the terms 
and conditions of this Agreement.  On-site visits for compliance monitoring may be made 
by the County and/or its grantor agencies at any time during the Contractor's normal 
business hours, with not less than two business days’ prior notice given to Contractor.  
During an on-site visit, the Contractor shall make its records and documents related to 
work performed or services provided under this Agreement available to the County for 
inspection and copying. 
 
10. 
AVAILABILITY OF FUNDS 
 
 
A. 
The provisions of this Agreement relating to the payment for services shall become 
effective when funds assigned for the purpose of compensating the Contractor, as 
provided herein, are available to the County for disbursement.  The County shall 
be the sole authority in determining the availability of funds under this Agreement 
and the County shall keep the Contractor fully informed as to the availability of 
funds.  The County will not authorize any services under this Agreement unless it 
has funds available to pay for such services and County will remain responsible 
for payment of all services so authorized. 
 
 
B. 
If any action is taken by any State agency, federal department, or any other agency

SECTION I 
 
 
                                                                           GENERAL PROVISIONS        
5 
or instrumentality to suspend, decrease, or terminate its fiscal obligations under or 
in connection with this Agreement, the County may amend, suspend, decrease, or 
terminate its obligations under or in connection with this Agreement, subject to 
subparagraph A. above.  If this Agreement is terminated, the County shall be liable 
for payment only for services rendered prior to the effective date of the termination, 
provided that such services are performed in accordance with the provisions of this 
Agreement.  The County shall give written notice of the effective date of any 
suspension, amendment, or termination under this section at least ten (10) days in 
advance. 
 
11. 
CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS 
 
 
A. 
The Contractor shall, during the term of this Agreement, promptly inform the 
County in writing of the award of any other contract or grant where the award of 
such contract or grant may affect either the direct or indirect costs being paid or 
reimbursed under this Agreement.   
 
 
B. 
County may request, and the Contractor shall provide within a reasonable time, 
not exceeding ten (10) working days, a copy of such other contract or grant, when, 
in the opinion of the County, the award of the contract or grant may affect the costs 
being paid or reimbursed under this Agreement. 
 
 
C. 
If the County determines that the award to the Contractor of such other contract or 
grant has affected the costs being paid or reimbursed under this Agreement, the 
County shall prepare an amendment to this Agreement effecting a cost adjustment.  
If the Contractor disputes the proposed cost adjustment, the dispute shall be 
resolved pursuant to the "Disputes" clause section contained herein. 
 
12. 
DEFAULT 
 
The County may suspend, modify, or terminate this Agreement immediately upon giving 
written notice to the other Party if the other Party fails to perform under or otherwise 
breaches any obligation under this Agreement, or upon the occurrence of any event that 
may jeopardize the ability of the other Party to perform any of its obligations under this 
Agreement.  
 
13. 
TERMINATION 
 
 
A. 
Either Party may terminate this Agreement at any time by giving the other Party at 
least thirty (30) calendar days prior written notice.  The notice shall be given by 
personal delivery or by registered or certified mail, postage prepaid, return receipt 
requested. Additionally, the terminating Party will give the other Party a courtesy 
email per the Notices section advising of the pending termination. 
 
 
B. 
This Agreement may be terminated by mutual written agreement of the Parties 
specifying the termination date therein. 
 
 
C. 
The County may terminate this Agreement upon twenty-four (24) hours’ notice 
when the County deems the health or welfare of a patient is endangered or the 
Contractor’s non-compliance jeopardizes funding source financial participation.  If 
not terminated by one of the above methods, this Agreement will terminate upon 
the expiration date of this Agreement as stated on the Cover Page of this 
Agreement.

SECTION I 
 
 
                                                                           GENERAL PROVISIONS        
6 
14. 
TERMINATIION FOR BREACH 
 
 If either Party defaults under this contract and the default continues for more than ten 
(10) days after the effective date of the other Party’s written notice stating the specific 
nature of the default, then the noticing Party may treat the default as a breach of this 
Contract. Upon a breach, the aggrieved Party may exercise any remedy available under 
the law, including the termination of this contract.  
 
15. 
SEVERABILITY 
 
Any provision of this Agreement that is determined to be invalid, void, or illegal by a court 
shall in no way affect, impair, or invalidate any other provision hereof, and the remaining 
provisions shall remain in full force and effect. 
 
16. 
STRICT COMPLIANCE 
 
The waiver of a breach hereunder may be affected only by a writing signed by the waiving 
Party and will not constitute, or be held to be, a waiver of any other or subsequent breach 
or to affect in any way the effectiveness or enforceability of the provision in question. 
 
17. 
NON-LIABILITY 
 
Neither Party and its officers, representatives, agents, and employees shall be liable for 
any act or omission by the other Party or any subcontractor, employee, officer, agent, or 
representative of the other Party or any subcontractor occurring in the performance of this 
Agreement, nor shall a Party be liable for purchases or contracts made by the other Party 
or any subcontractor in connection with this Agreement. 
 
18. 
INDEMNITY 
 
Each Party (as “Indemnitor”) agrees to indemnify, defend, and hold harmless the other 
Party (as “Indemnitee”) from and against all claims, losses, liability, costs, and expenses 
(including reasonable attorneys’ fees) (hereinafter collectively referred to as “Claims”) 
arising out of bodily injury of any person (including death) or property damage, but only to 
the extent that such Claims, which result in vicarious liability to Indemnitee, are caused by 
the act, omission, negligence, misconduct, or other fault of Indemnitor, its officers, agents, 
employees, or authorized volunteers.  
 
19. 
COVENANT AGAINST CONTINGENT FEES 
 
The Contractor warrants that no person or entity has been employed or retained to solicit 
or secure this Agreement upon an agreement or understanding for a commission, 
percentage, brokerage, or contingent fee.  For breach or violation of this warranty, the 
County may immediately terminate this Agreement without liability. 
 
20. 
SAFEGUARDING CLIENT INFORMATION 
 
The use or disclosure by any Party of any information concerning an eligible person served 
under this Agreement is directly limited to the performance of this Agreement.  
  
21. 
RIGHTS IN DATA 
 
The Parties shall have the use of data and reports resulting from this Agreement without

SECTION I 
 
 
                                                                           GENERAL PROVISIONS        
7 
cost or other restriction, except as otherwise provided herein or by law.  Each Party shall 
supply to the other Party, upon request, any available information known to the supplying 
Party that is relevant to this Agreement and to the performance hereunder. 
 
22. 
NON-DISCRIMINATION 
 
Each Party, in connection with any service or other activity under this Agreement, shall 
not in any way discriminate against any person on the grounds of race, color, religion, sex, 
national origin, age, disability, affiliation or belief.  The Contractor shall include this clause 
in all its subcontracts related to this Agreement.  If applicable, the Parties will abide by 
the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a). These 
regulations prohibit discrimination against qualified individuals based on their 
status as protected veterans or individuals with disabilities and prohibit 
discrimination against all individuals based on their race, color, religion, sex, or 
national origin.  Moreover, these regulations require that covered prime contractors 
and subcontractors take affirmative action to employ and advance in employment 
individuals without regard to race, color, religion, sex, national origin, protected 
veteran status or disability. 
 
23. 
EQUAL EMPLOYMENT OPPORTUNITY 
 
Neither Party will discriminate against any employee or applicant for employment because 
of race, age, disability, color, religion, sex, or national origin.  Each Party shall take 
affirmative action to ensure that applicants are employed and that employees are treated 
during employment without regard to their race, age, disability, color, religion, sex, or 
national origin.  Such action shall include, but is not limited to, the following:  employment, 
upgrading, demotion or transfer, recruitment, or recruitment advertising, lay-off or 
termination, rates of pay or other forms of compensation, and selection for training, 
including apprenticeship.  Each Party shall, to the extent such provisions apply, comply 
with Titles VI and VII of the Civil Rights Act of 1964, as amended (42 U.S.C. §§ 2000a, et 
seq.); the Rehabilitation Act of 1973, as amended (29 U.S.C. §§ 701, et seq.); the Age 
Discrimination in Employment Act of 1967, as amended (29 U.S.C. §§ 621, et seq.); the 
Immigration Reform and Control Act of 1986 (Pub. L. No. 99-603) (“IRCA”); and Arizona 
Executive Order 2009-09, which mandates that all persons shall have equal access to 
employment opportunities.  Each Party shall also comply with all applicable provisions of 
the Americans with Disabilities Act of 1990 (42 U.S.C. §§ 12101, et seq.). 
 
24. 
RIGHT OF PARTIAL CANCELLATION 
 
If more than one activity is funded by this Agreement, the County reserves the right to 
terminate this Agreement or any part thereof based on the Contractor's failure to perform 
any part of this Agreement without impairing, invalidating, or canceling the remaining Work 
Statement obligations. 
 
25. 
RIGHT TO EXTEND AGREEMENT 
 
Subject to the availability of funds and acceptable Contractor performance, the Contractor 
hereby acknowledges and agrees that the County shall have the right to request an 
extension of this Agreement, not to exceed a total term of five (5) years, except that the 
cost will be subject to renegotiation.  Any extension of this Agreement shall be in writing 
mutually acceptable to the County and the Contractor and signed by both Parties. 
 
26. 
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION

SECTION I 
 
 
                                                                           GENERAL PROVISIONS        
8 
 
A.  
The undersigned, an authorized representative of the Contractor, certifies, to the 
best of his or her knowledge and belief, that the Contractor, defined as the primary 
participant in accordance with 45 C.F.R. Part 76, and its principals: 
 
1)  are not presently debarred, suspended, proposed for debarment, declared 
ineligible, or voluntarily excluded from covered transactions by any federal 
department or agency. 
 
2)  have not within the 3-year period preceding this Agreement been convicted of 
or had a civil judgment entered against them for the commission of fraud or a 
criminal offense in connection with obtaining, attempting to obtain, or performing a 
public (federal, State or local) transaction or contract under a public transaction; 
violation of federal or State antitrust statues or commission of embezzlement, theft, 
forgery, bribery, falsification or destruction of records, making false statements, or 
receiving stolen property;  
 
3)  are not presently indicted or otherwise criminally or civilly charged by a 
government entity (federal, State, or local) with the commission of any of the 
offenses enumerated in paragraph (2) of this certification; and 
 
4)  have not within the 3-year period preceding this Agreement had one or more 
public transactions (federal, State, or local) terminated for cause or default. 
 
B.   
If the Contractor is not able to provide this certification, an explanation as to why 
shall be attached to this Agreement. 
 
C.   
The Contractor shall include, without modification, this Paragraph in all lower tier 
covered transactions (i.e., transactions with subcontractors) and in all solicitations 
for lower tier covered transactions related to this Agreement. 
 
27. 
E-VERIFICATION OF EMPLOYEES 
 
Each Party warrants that it is following A.R.S. § 41-4401 and further acknowledges: 
  
A. 
That it and its subcontractors, if any, warrant their compliance with all federal 
immigration laws and regulations that relate to their employees and their 
compliance with A.R.S. § 23-214. 
  
B. 
That a breach of the warranty under subsection A above shall be deemed a 
material breach of this Agreement that entitles the other Party to, among other 
things, immediately terminate this Agreement without liability. 
  
C.  
That the other Party and any contracting government entity retains the legal right 
to inspect the papers of any contractor or subcontractor employee who works on 
this Agreement to ensure that the contractor or subcontractor is complying with the 
warranty provided under subsection A above and that the contractor agrees to 
make all papers and employment records of said employee(s) available during 
normal working hours in order to facilitate such an inspection.  
 
D.   
That nothing herein shall make any contractor or subcontractor an agent or 
employee of the County or contracting government entity.

SECTION II 
 
 
                                                                           SPECIAL PROVISIONS        
9 
1. 
EFFECT 
 
To the extent that the Special Provisions conflict with the General Provisions, the Special 
Provisions shall control.  To the extent that the Work Statement(s) conflict with the Special 
or General Provisions, the Work Statement(s) shall control. 
 
2. 
DISPUTES  
 
Except as otherwise provided by law, or otherwise specifically agreed to by the Parties, 
any dispute not involving a question of law arising out of this Agreement that is not 
resolved between the Parties within a reasonable time, which shall not exceed sixty (60) 
days, shall be resolved as follows:  
 
A.   
Disputes must be filed with the person administering this Agreement for the 
County, if one has been appointed, or, if not, with the Procurement Officer, 
within ten (10) days from the date the Parties knew or should have known 
the basis of the dispute.  
 
B.   
The person administering this Agreement or the Procurement Officer, as 
applicable, shall respond in writing to the dispute within fourteen (14) days.  
 
C.   
The Contractor may abide by the decision or may appeal the decision to 
the Director of the MCDPH within seven (7) days.  
 
This Paragraph shall not apply to claims arising from bodily injury, death, or property 
damage. 
 
As required by A.R.S. § 12-1518, the Parties agree to make use of arbitration in disputes 
that are subject to mandatory arbitration pursuant to A.R.S. § 12-133.  
 
3. 
CHANGES 
 
A. 
The County may, at any time, by written order, make changes within the general 
scope of this Agreement in any one or more of the following areas: 
 
1. 
Work Statement activities reflecting changes in funding source or County 
regulations, policies, or requirements.   
 
2. 
Administrative requirements, such as changes in reporting periods, 
frequency of reports, or report formats, required by funding source or 
County regulations, policies, or requirements. 
 
3. 
Contractor reimbursement schedules and/or program budgets. 
  
B. 
The order will not increase or decrease the maximum reimbursable amount to be 
paid the Contractor.  Additionally, the order will not direct substantive changes in 
services to be rendered by the Contractor. 
 
C. 
Any dispute or disagreement caused by such order shall constitute a "Dispute" 
within the meaning of the Disputes Clause of the Special Provisions of this 
Agreement and shall be administered accordingly. 
        
4.        AUDIT REQUIREMENT

SECTION II 
 
 
                                                                           SPECIAL PROVISIONS        
10 
 
A. 
If the Contractor expends $750,000 or more in a year in federal awards, the 
Contractor shall have a single audit conducted for that year according to the Office 
Management and Budget, Title 2, Subtitle A, Chapter II, PART 200—UNIFORM 
ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT 
REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 200.  
The audit report shall be submitted to the County for review within nine (9) months 
following the close of the fiscal year.  The Contractor shall take any necessary 
corrective action to remedy any material weaknesses and/or reportable conditions 
identified in the audit report within six (6) months after the release date of the 
report.  The County may consider sanctions as described in § .225 of OMB Circular 
A-133 for contractors not in compliance with the audit requirements.  All books and 
records shall be maintained in accordance with Generally Accepted Accounting 
Principles (GAAP). 
 
B. 
The Contractor shall schedule an annual financial audit to be submitted to the 
County for review within twelve (12) months following the close of the program’s 
fiscal year.  Contractor understands that its failure to meet this requirement may 
result in the loss of current funding and disqualification from consideration for 
future County-administered funding. 
 
C. 
Comply with the requirement of the Federal Office of Management and Budget 
(“OMB”) Circular A-133.The Contractor is responsible for having an audit 
performed in accordance with, and when required, by OMB Circular A-133, and for 
sending a copy of the report issued as a result of the audit to the County within 
thirty (30) days of issuance. The County reserves the right to engage an auditor, 
at the Contractor’s expense, to perform an OMB Circular A-133 audit of the 
Contractor if the Contractor fails to engage an auditor or the County rejects or 
disapproves of the auditor engaged by the Contractor. 
 
 
5. 
INSURANCE 
 
A. 
The Contractor shall have in effect at all times during the term of this Agreement  
insurance or comparable self-insurance that is adequate to protect the County, its 
officers, employees, property, and equipment against the losses set forth below.  
The Contractor shall provide the County with a certificate of insurance or a certified 
copy of the insurance policy naming the County as an additional insured, or, if the 
Contractor is self-insured, shall provide the County with a letter indicating that it is 
self-insured. 
 
 
B. 
The following types and amounts of insurance are required as minimums: 
 
1. 
Workers’ compensation and unemployment insurance as required by law.  
 
2.   
Unemployment insurance as required by Arizona law. 
 
3. 
Public liability, bodily injury, and property damage policies that insure 
against claims for liability for the Contractor’s negligence or maintenance 
of unsafe vehicles, facilities, or equipment brought by clients receiving 
services pursuant to this Agreement and by lawful visitors of such clients.  
The limits of the policies shall not be less than $2,000,000 per occurrence 
and $4,000,000 aggregate.

SECTION II 
 
 
                                                                           SPECIAL PROVISIONS        
11 
C.  
Automobile and Truck Liability, Bodily Injury and Property Damages: 
 
1. 
General liability, each occurrence; $1,000,000 
 
2. 
Property damage; $1,000,000 
 
3. 
Combined single limit; $1,000,000 
 
D. 
Standard minimum deductible amounts are allowable.  Any losses applied against 
insurance deductible are the sole responsibility of the Contractor. 
 
E.   
Professional Liability: 
 
1. 
Insurance for the Contractor and its agents, employees, and other staff 
shall be maintained with coverage limits of one million dollars ($1,000,000) 
per person, three million dollars ($3,000,000) per occurrence. 
 
2 
The Contractor agrees that in the event it, or any of its agents, employees, 
and other staff working under this Agreement, is named as a defendant in 
litigation, or is identified in a written notice of claim, wherein professional 
misconduct is alleged, the Contractor will promptly notify the Department 
in writing.  The duty to notify under this paragraph applies whether the 
County is alleged to be involved, is named as a party to the matter, or could 
be potentially liable as a party. 
 
F. 
The Contractor shall immediately inform the Department of any cancellation of its 
insurance or any decrease in its lines of coverage at least thirty (30) days before 
such action takes place. 
G.  
Commercial General Liability – Occurrence Form 
Policy shall include bodily injury, property damage and broad form contractual 
liability coverage. 
1.  
The policy shall be endorsed to include coverage for physical/sexual 
abuse and molestation. 
2.      The policy shall be endorsed to include the following additional insured 
language: "Maricopa County Department of Public Health, its subsidiary, 
parent, associated and/or affiliated entities, successors, or assigns, its 
elected officials, trustees, employees, agents, and volunteers shall be 
named as additional insureds with respect to liability arising out of the 
activities performed by, or on behalf of the Contractor". 
Minimum Limits: General Aggregate 
$        2,000,000  
Products/Completed Operations Aggregate 
$        4,000,000 
Each Occurrence Limit 
$        2,000,000 
Personal/Advertising Injury  
$        1,000,000 
Sexual Abuse/Molestation      
$        1,000,000

SECTION II 
 
 
                                                                           SPECIAL PROVISIONS        
12 
6. 
SPECIAL REQUIREMENTS 
 
A. 
If the use of subcontractors is approved by the County, the Contractor agrees to 
use written subcontracts or consultant agreements that conform to federal and 
State laws and regulations and the requirements of this Agreement appropriate to 
the service or activity covered by the subcontract.  These provisions apply with 
equal force to the subcontract as if the subcontractor were the Contractor.  The 
Contractor is responsible for performance under this Agreement whether any 
subcontractors are used.  The Contractor shall submit a copy of each subcontract 
to the County within fifteen (15) days of its effective date. 
 
B. 
The Contractor shall include in any subcontracts a provision to the effect that the 
subcontractor agrees that the County shall have access to the subcontractor’s 
facilities and the right to examine any books, documents, and records of the 
subcontractor involving transactions related to the subcontract, and that such 
books, documents, and records shall not be disposed of except as provided herein. 
 
7. 
REPORTING REQUIREMENTS 
 
If requested by the County, the Contractor shall submit monthly, quarterly, and annual 
progress reports on or before the third (3rd) day of the month following the end of the 
reporting period.  In addition, a quarterly expenditure report will be submitted with the 
quarterly progress report. 
 
8. 
STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST 
 
Pursuant to A.R.S. § 38-511, either Party may cancel this Agreement without penalty or 
further obligation, within three years after execution of this Agreement, if any person 
significantly involved in initiating, negotiating, securing, drafting, or creating this 
Agreement on behalf of a Party is, at any time while this Agreement or any extension of 
this Agreement is in effect, an employee or agent of any other Party to this Agreement in 
any capacity or is a consultant to any other Party to this Agreement with respect to the 
subject matter of this Agreement.   
 
9. 
POLICY ON CONFIDENTIALITY  
 
The Contractor and the County understand and agree that this Agreement is subject to all 
State and federal laws protecting client confidentiality of medical, behavioral health and 
drug treatment information. 
 
10. 
LAWS, RULES, AND REGULATIONS 
 
The Contractor and the County understand and agree that this Agreement is subject to all 
State and federal laws, rules, and regulations that pertain hereto. 
 
11.    SPONSORSHIP ACKNOWLEDGMENT 
 
 
All promotional materials, brochures, and flyers prepared by the Contractor shall include 
the following statement, “Sponsored by Maricopa County Department of Public Health.” 
 
12. 
ISRAEL BOYCOTT 
 
By submitting this Contract, the Contractor certifies that they are following Article 9, A.R.S.

SECTION II 
 
 
                                                                           SPECIAL PROVISIONS        
13 
Section 35-393 et seq. 
 
13. 
UNIFORM ADMINISTRATIVE REQUIREMENTS 
 
 
 
By entering this Contract, the Contractor agrees to comply with all applicable provisions 
of Title 2, Subtitle A, Chapter II, PART 200—UNIFORM ADMINISTRATIVE 
REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL 
AWARDS contained in Title 2 C.F.R. § 200 et seq

SECTION III 
 
 
                                                                                 WORK STATEMENT        
14 
1. 
PURPOSE 
 
The purpose of this Agreement is to provide funding to purchase residential lock boxes for 
residences located within the City of Buckeye. The targeted residences will be those 
occupied by seniors (who are at the highest risk of being a victim of slips, trips, and falls) 
and non-ambulatory adults. 
 
2. 
BACKGROUND 
 
The senior population in the City of Buckeye’s community is rising with annual increases 
that replicate the trend nationwide. Today, there are nearly 55 million seniors in the U.S. 
with exponential growth through 2050. Buckeye’s senior population continues to rise and 
currently makes up 13% of the 110,000 residents. Nationwide, as well as in Buckeye, 
medical emergency calls for fire departments continue to increase. COVID-19 has also 
resulted in more medical calls. A large percentage of seniors live alone which 
exacerbates the problem. These trends, as well as reduced tax revenue due to COVID-
19, have resulted in a strain on the city’s budget. While medical emergencies are 
increasing, budgets are not meeting the demand for additional staff. It is incumbent upon 
the Buckeye Fire Department to identify and implement new and innovative processes to 
improve response times, streamline procedures, and implement community risk 
reduction processes.  
 
The HomeBox Program is a solution that will benefit both the residents and the first 
responders. The city will provide lock boxes that resemble a key box used by realtors or 
contractors to gain access into a residence; however, the lock boxes in the HomeBox 
Program are specifically designed for security and ready access by first responders. The 
box is made of a resistant material that is difficult to break or drill into and access keys 
are only obtained directly from the manufacturer, preventing unauthorized access. 
 
The HomeBox Program provide first responders with quick and secure access when 
responding to elderly, chronically ill and homebound community members during 
emergency situations. The small key vault holds a single key and can easily and quickly 
be mounted on the wall near the door or garage or mounted with a door hanger over the 
top of the door. 
 
The benefits of implementing a residential HomeBox Program include: 
 
 
Preparing for future pandemics and the need to do wellness checks on home 
bound seniors  
 
Decreased response times to vulnerable seniors – our most helpless and fastest 
growing population. Once on scene, first responders will reach the victim sooner 
than if a forced entry is required. 
 
Reduced property damage to residences. 
 
Reduced risk to our first responders who do not have to utilize forced entry. 
 
A solution that offers maximum security with master key accountability and 
traceability. 
 
Allows “first vehicle on scene” to go into action in multi-jurisdictional areas.  
 
Many seniors can be reluctant to being transported for medical care outside their 
home when there is damage to the front door.  
 
Positive press coverage on the fire department’s proactive response efforts with 
our seniors and non-ambulatory residents. 
 
Once the boxes are no longer needed, they can be repeatedly used to assist

SECTION III 
 
 
                                                                                 WORK STATEMENT        
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other residents. 
 
3. 
RESPONSIBILITIES OF THE CONTRACTOR 
  
A. Create implementation plan that details target population, outreach strategy, and 
timeline. 
 
B. Contractor shall use funds exclusively to obtain lock boxes for use as a part of City of 
Buckeye’s HomeBox Program. 
 
C. Contractor shall install lock boxes in accordance with the following eligibility 
requirements: 
a. The primary residence for adults over the age of 65. 
b. The primary residence for non-ambulatory adults. 
 
D. Contractor shall maintain records of lock box installations and HomeBox Program 
participants. 
a. Provide quarterly report detailing proper monitoring and evaluation of 
program implementation. Copies of invoices for lock box purchases 
should be included. 
 
  
     
4.         RESPONSIBILITIES OF COUNTY 
     
A. MCDPH shall reimburse the Contractor for lock boxes on a per unit cost basis. Refer 
to the compensation section for a more detailed summary of compensation 
information.

SECTION IV 
 
 
 
 
 
 
 
 
         COMPENSATION 
 
 
16 
1. 
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. 
 
D. 
The Agreement amount is not-to-exceed $50,000 for the first year of this 
Agreement. The Agreement amount for each year of the subsequent years of the 
term will be negotiated based on the availability of funds. 
 
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. 
Subject to the availability of funds, the County will, within thirty (30) working days 
from the date of receipt of documents enumerated herein, process and remit to the 
Contractor a warrant for payment up to the maximum total allowable for services 
provided.  Should the County make a disallowance in the claim, the claim shall be 
processed for the reduced amount.  If the Contractor protests the amount or the 
reason for a disallowance, the protest shall be construed as a dispute concerning 
a question of fact within the meaning of the “Disputes” clause of the Special 
Provisions of this Agreement.

SECTION IV 
 
 
 
 
 
 
 
 
         COMPENSATION 
 
 
17 
 
 
E. 
The Contractor understands and agrees that the County will not honor any claim 
for payment submitted six (6) months after the date of service.  The Contractor 
understands and agrees that the County will not process any claim for payment for 
services rendered prior to the expiration date that is submitted sixty (45) days after 
the expiration date without approval of the County. 
 
 
F. 
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 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

SECTION IV 
 
 
 
 
 
 
 
 
         COMPENSATION 
 
 
18 
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: 
 
City of Buckeye 
Attn: Philip Yabes 
530 E Monroe Ave  
Buckeye, AZ 85326 
Email: pyabes@buckeyeaz.gov