2022 MRC RISE MOD 2665 - MARICOPA COUNTY .PDF

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CONTRACT # MOD I to MRC RISE 22 – 2665 
This Modification of Agreement (“Modification”) is entered into, effective as of the date of the 
later signature indicated below, by and between the National Association of County and City Health 
Officials (hereinafter referred to as “NACCHO”), with its principal place of business at 1201 (I) Eye Street 
NW 4th Fl., Washington, DC 20005, and the following Organization, hereinafter referred to as 
“Organization:” 
Maricopa County Department of Public Health 
86-6000472
Organization 
Federal Tax ID Number 
4041 N Central Ave Suite 1400 
Address 
Phoenix AZ, 85012 
(602) 372-2658
City, State and Zip 
Phone 
WHEREAS, the parties entered into Contract # MRC RISE 22-2665 on August 1st, 2022 
(“Agreement”) and,  
WHEREAS, NACCHO has received an extension Grant No. 5 HITEP200045-03-00 CFDA # 
93.008) (the “Grant”) to allow additional time and tasks for Organization to complete requirements for 
project deliverables and meet program objectives; 
WHEREAS, both parties wish to make modifications to the Agreement, as described below; 
THEREFORE, for the mutual consideration described in the Agreement, the parties agree to the 
modifications below through the signatures of the person(s) who have the authority to bind the parties to 
the changes in the Modification. 
1.
TERM OF AGREEMENT:  The term of the Agreement shall begin from the Effective Date and shall
continue until June 30, 2023, unless earlier terminated in accordance with the terms herein (the “Term”).
2.
PAYMENT FOR SERVICES: Section 2 of the Agreement is modified to amend payment by NACCHO
to Organization for services performed as follows:
Original Firm Fixed Price Amount 
: $75,000.00 
Modification I Firm Fixed Price Amount 
: $26,250.00 
Total Firm Fixed Price Amount 
: $101,250.00 
3.
ORGANIZATION’S OBLIGATIONS:
f.
Submission of Deliverable 3, final program report by June 30, 2023. (Required to receive final
payment of $22,000.00). Please refer to Appendix D of the Agreement.
g.
Submission of Deliverable 4, unit spotlight by June 30, 2023. (Required to receive final payment
of $26,250.00). See Appendix E.
4.
All other terms and conditions of the Agreement remain unchanged.
IN WITNESS WHEREOF, the persons signing below warrant that they are duly authorized to sign 
for and on behalf of, the respective parties.

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AGREED AND ACCEPTED AS ABOVE: 
NACCHO: 
Authorized Signature: 
By: __________________________________ 
ORGANIZATION: 
Authorized Signature: 
By: __________________________________ 
Name: 
Jerome Chester  
Name: 
Title: 
Chief Financial Officer 
Title:  
EIN: 
52-1426663
EIN: 
UEI: 
SRH7DCCTU3G7
UEI: 
Date: 
___________________________
Date: 
Board of Supervisors 
86-6000472 
LM85MG1513K5
ATTEST: 
________________________ 
 
Juanita Garza, Clerk of the Board 
_____________ 
Date 
APPROVED AS TO FORM: 
________________________ 
 
Anne Longo, Attorney for Maricopa County 
_____________ 
Date

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APPENDIX E - Spotlight on MRC COVID-19 Activities 
Please complete and submit this deliverable by June 30, 2023. 
 
 
Tier 1 and 2 Round 1 RISE Awards - Submit one of the options below: 
  
a. Case study to highlight MRC unit activities during the COVID-19 response and how 
you resolved challenges to meet response requirements. 
b. Infographic to highlight MRC unit activities during the COVID-19 response. 
c. Impact story to demonstrate a unique MRC volunteer experience during the COVID-
19 response. 
d. Impact story to demonstrate a unique MRC unit response activity during COVID-19. 
 
Tier 3 Round 1 RISE Awards – Submit one from each of following items: 
1. Choose one of the following to highlight unit activities: 
a. Case study to highlight MRC unit activities during the COVID-19 response and how 
you resolved challenges to meet response requirements. 
b. Impact infographic to highlight MRC unit achievements during the COVID-19 
response. 
 
2. AND choose one of the impact stories: 
a. Impact story to demonstrate a unique MRC volunteer experience during the COVID-
19 response. 
b. Impact story to demonstrate a unique MRC unit response activity during COVID-19. 
 
**Please include any images or videos that complement case studies or impact stories.