IGA DIGNITY COMMUNITY CARE IMMUNIZATION PROGRAM- SIGNATURES - .PDF

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AGREEMENT 
Between 
MARICOPA COUNTY 
By and through its 
DEPARTMENT OF PUBLIC HEALTH 
And 
DIGNITY COMMUNITY CARE dba CHANDLER REGIONAL MEDICAL CENTER 
 
This AGREEMENT is hereby made and entered into by and between Maricopa County (County) 
through its Department of Public Health (MCDPH) and Dignity Community Care dba Chandler 
Regional Medical Center (CRMC). 
Recitals 
 
I 
CRMC is a trusted community partner that has a history of stepping up to support 
Maricopa County both in times of emergency and everyday health needs.  
 
II 
For over 20 years, CRMC has been providing immunizations at no charge to children in 
the East Valley in community outreach clinic settings such as schools, community centers 
and Women’s Infants and Children (WIC) locations. Within their 22 hour per month 
clinic schedule, they provided for 62,045 poor and underserved children of the East 
Valley with 188,767 vaccines.  In addition, beginning in 2015 when CRMC became a 
Vaccine for Adult (VFA) provider, they provided 4,288 vaccines for 3,284 adult patient 
visits. This service has taken much of the burden off of Maricopa County Department of 
Public Health (MCDPH) which only manages one clinic in the East Valley. CRMC is 
recognized in the community as a valuable and trusted resource for immunizations. 
Families without health care resources are assured that their children can attend school 
and childcare by receiving the required vaccines.   
 
III 
In addition, CRMC assisted in the priority immunization of specific target groups during 
the H1N1 Pandemic of 2009. This assistance was instrumental to the rapid immunization 
of higher risk community members and continues to be a key element of the MCDPH 
emergency mass immunization strategy.       
 
IV 
Due to new vaccine storage and handling rules by the Centers for Disease Control and 
Prevention (CDC) the Arizona Department of Health Services (ADHS), Arizona 
Immunization Program (AIPO) has had to implement new guidelines to the Vaccine for 
Children (VFC) program.   
 
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These new rules state: 
“Provider offices must have their vaccine delivered to the same location that they will be 
administered at.  The use of mobile units is limited to those providers that are currently 
approved by the AIPO to operate mobile units to administer vaccines.  Provider offices 
are prohibited from using mobile units to administer vaccine if the vaccine is not shipped 
to the location the mobile unit will be administering vaccine at.”

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VI 
MCDPH is a VFC provider that is approved to transport vaccines in mobile units to 
provide immunizations at locations where vaccines are not delivered.   
 
VII 
MCDPH wishes to enter into an Agreement with CRMC to provide vaccines to children 
at community-based locations throughout Maricopa County.   
  
NOW THEREFORE, the Parties agree as follows: 
A. 
PURPOSE 
The purpose of this agreement is to develop a framework of cooperation between Vaccines 
for Children/Vaccines for Adult Programs, MCDPH, and CRMC to provide immunizations 
to eligible children and adults and to have staff trained who could support MCDPH in 
responding to an outbreak requiring mass vaccination to the community.  
 
B. 
STATEMENT OF MUTUAL BENEFIT AND INTERESTS   
The mutual benefit for both parties is to assure eligible children and adults receive age-
appropriate immunizations to prevent the spread of vaccine preventable diseases.  
 
C. 
The Services to be performed by MCDPH: 
● Complete the VFC and the VFA Arizona Provider Agreement for initial program 
enrollment and program reenrollment (yearly) for Outreach Immunization Clinics. 
● Maintain a dedicated Arizona State Immunization Information System (ASIIS) PIN # 
for the services provided by CRMC under this agreement. 
● Give CRMC full access to the ASIIS dedicated PIN for the purposes of data entry, 
full inventory management and reconciliation.  
● Identify a primary contact for vaccine delivery and storage and handling. 
● Provide routine and emergency vaccine management oversight. 
● When needed, schedule vaccine delivery to CRMC locations for use at community-
based immunization events. 
● Provide training/education and oversight of vaccine transport and storage at 
community-based immunization clinics. 
D. 
The Services to be performed by CRMC:  
● Identify a primary staff person for VFC vaccine ordering and reconciliation. 
● Follow all policies, procedures, and requirements outlined in the Arizona Vaccines for 
Children Program Operations Guide. (Attachment A) 
● Must meet the eligibility criteria required for the VFC program enrollment. 
● Maintain all ordering, inventory, and reconciliation required for the dedicated PIN#. 
● Provide clinic forms and the storage of clinic documents in compliance with AIPO 
requirements. 
● Screen and document VFC patients for the appropriate VFC categories:   
i. Native American or Alaskan Native 
ii. Enrolled in the Arizona Health Care Cost Containment System (AHCCCS) 
iii. Has no health insurance 
iv. Has health insurance that does not pay for vaccines

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v. Has health insurance that pays for vaccines 
● Enter all vaccines administered into ASIIS. 
● Comply with vaccine storage, handling and transporting of vaccines as outlined in the 
VFC Operations Guide. 
● Report all Vaccine incidents to AIPO and MCDPH as soon as identified.  
● Replace vaccine dose for dose (restitution), following the ADHS Vaccine Restitution 
Plan when vaccine is wasted/lost while in the possession of CRMC.  Vaccine will be 
replaced within 30 days after it has been identified as “not-viable”. 
● Adhere to ADHS guidelines for ordering vaccine. 
● Make all Advisory Committee on Immunization Practices (ACIP) vaccines available 
to clients. 
● Screen all patients for each vaccine using the guidelines set by the ACIP. 
● Administer all vaccines based on the ACIP guidelines. 
● Comply with the appropriate immunization schedule, dosage and contraindications 
established by the ACIP unless (a) in the medical judgment and in accordance with 
accepted medical practice, the provider deems such compliance to be medically 
inappropriate, or (b) the requirements contradict the laws in Arizona pertaining to 
religious or other exemptions. 
● Report all clinically significant adverse events to the Vaccine Adverse Event 
Reporting System. 
● Attend an immunization update provided by MCDPH/ADHS Immunization Program 
yearly. 
● Participate in a VFC compliance visit annually and allow for unannounced visits by 
MCDPH/ADHS Immunization Program staff to review vaccine storage and handling 
procedures. 
● Must be present with all immunization consent forms on the scheduled date and time 
of the ADHS Vaccine Compliance visit at MCDPH. 
● Work with MCDPH to meet the needs of the community during back-to-school and 
influenza season. 
● In the event of a Vaccine Preventable Disease Outbreak/Pandemic or threat thereof, 
administer vaccines to eligible children and adults acting as an agent of public health. 
 
E. 
IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE PARTIES    
THAT: 
 
1. 
NON-FUND OBLIGATING DOCUMENT 
This instrument is neither a fiscal nor a funds obligation document.  If applicable, any 
endeavor or transfer of anything of value involving reimbursement or contribution of 
funds between the parties to this instrument will be handled in accordance with 
applicable laws, regulations, and procedures including those for Government 
procurement and printing.  Such endeavors will be outlined in separate agreements 
that shall be made in writing by representatives of the parties and shall be 
independently authorized by appropriate statutory authority.  This instrument does not 
provide such authority.  Specifically, this instrument does not establish authority for 
noncompetitive award to the cooperator of any contract or other agreement.  Any

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contract or agreement for MCDPH services must fully comply with all applicable 
requirements for competition. 
 
2. 
EFFECTIVE DATE 
This agreement will begin as of May 1, 2023, and end on April 30, 2024.  
Thereafter, this agreement will be automatically renewed for additional one (1) year 
terms without the necessity of notice of action by either party, however, may be 
terminated as provided by options within this agreement.  Either party may terminate 
this agreement upon 30 days prior written notice. 
 
3. 
MODIFICATION OR AMENDMENT 
Modifications within the scope of the instrument shall be made by mutual consent of 
the parties, by the issuance of a written modification or amendment, signed and dated 
by all parties, prior to any changes being enacted. 
  
4. 
TERMINATION 
Either Party, in writing, may terminate the instrument in whole, or in part, with 30 
days’ notice, at any time before the date of expiration.   
 
5. 
CLIENT CONFIDENTIALITY 
Both parties understand and concur that this agreement is subject to all State and 
Federal laws, including the Health Insurance Portability and Accountability Act 
(HIPAA), protecting client confidentiality of health care information.  Client/patient 
type confidentiality will be maintained equally for all individuals presenting for 
services whether being provided by MCDPH or CRMC.  The use or disclosure by 
either party of any information concerning an individual served under this agreement 
is directly limited to the fulfillment of this agreement.  
 
6. 
LAWS, RULES AND REGULATIONS 
Both parties understand and concur that this agreement is subject to all State and 
Federal laws, rules and regulations that pertain hereto. 
   
7. 
 PARTICIPATION IN SIMILAR ACTIVITIES 
This agreement in no way restricts MCDPH or CRMC from participating in similar 
activities with other public or private agencies, organizations, and individuals. 
 
8. 
NON-LIABILITY 
Neither Party nor their respective officers and employees, shall be liable for any act 
or omission by the other party or other party’s subcontractor, employee, officer, 
agent, or representative occurring in the fulfillment of this Agreement. 
 
9. 
INDEMNITY 
Each Party (as "indemnitor") agrees to indemnify, defend, and hold harmless the 
other Party (as "indemnitee") from and against any and all claims, losses, liability, 
costs, or expenses (including reasonable attorney's fees) (hereinafter collectively 
referred to as "claims") to the extent arising out of the negligent performance of this

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agreement, but only to the extent that such claims which result in vicarious/derivative 
liability to the indemnitee are caused by the act, omission, negligence, misconduct, or 
other fault of the indemnitor, its officers, officials, agents, employees, or volunteers. 
   
10. INSURANCE 
 
10.1 CRMC and its agents shall obtain and keep in force the following insurance to be 
issued by insurance carriers with a minimum category rating in A.M. Bests of 
B++ or better, or a program of self-insurance through CRMC as set forth below: 
 
a) 
Workers’ Compensation – Statutory Limit; 
b) 
General Liability - $1,000,000; 
c) 
Excess Liability - $3,000,000; 
d) 
Automobile Liability - $1,000,000 (if applicable); 
e) 
Professional Errors and Omissions Insurance - $1,000,000 each claim/ 
$3,000,000 Aggregate.  Each professional or paraprofessional shall also 
carry Professional Malpractice Insurance.  This is in addition to the 
coverage required above. 
 
10.2 [Intentionally omitted]. 
 
10.3 MCDPH shall be a Certificate Holder for Subsection 10.1a. 
 
10.4 Before providing the Services, as identified in Section D above, CRMC shall 
furnish MCDPH with certificates of insurance evidencing coverage required by 
this Article.  
 
10.5 All obligations for occurrence coverage shall survive termination of this 
agreement.  Other insurance policies required hereby shall expressly provide that 
such policies shall not be canceled, terminated or materially altered without thirty 
(30) days prior written notice to MCDPH. 
 
10.6 CRMC shall and shall cause its agents to comply at all times with all applicable 
municipal, county, state, federal or other governmental laws, statutes, codes, 
regulations and other requirements, including, without limitation, environmental 
health safety and police requirements and regulations respecting the premises 
used.  This compliance shall be at CRMC’s sole cost and expense. CRMC shall 
be solely responsible for any and all chemical or toxic waste or other “hazardous 
material” disbursement or release and will be solely responsible for the actual 
“clean-up” should any material be released.  In addition, CRMC will be 
responsible for any cost and expense associated with said clean-up.  As used 
herein, the term “hazardous materials” shall mean any materials identified as 
“hazardous materials” in any municipal, county, state, federal or other 
governmental laws, statutes, codes and regulations.  This includes, but is not 
limited to, blood and bodily fluids.

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10.7 MCDPH shall always have in effect during the term of this Agreement insurance 
or comparable self-insurance which is adequate to protect it, its officers, and 
employees, which at a minimum shall include (i) professional liability insurance 
with a combined single limit of $1,000,000 for each claim and $3,000,000 
aggregate: and (ii) commercial general liability insurance of $1,000,000 each 
occurrence, and $2,000,000 general aggregate 
 
10.8 All insurance obligations of this Article shall survive termination of this 
agreement. 
 
11. COMMUNICATION 
Each party agrees to notify the other, in writing, of changes in policy which may 
affect this agreement.  Notification to be made to the attention of the principal 
contacts identified in Sections C and D above.   
 
12.   This agreement is subject to the provision in A.R.S. § 38-511.   
 
13. PRINCIPAL CONTACTS 
The principal contacts for this agreement are: 
 
 
Maricopa County, by and through its 
Department of Public Health 
Dignity Community Care dba Chandler 
Regional Medical Center 
 
 
 
Name:  Machrina Leach 
 
 
Name:  
 
Phone: 602- 506-6662 
Phone:  
 
FAX: 602- 506-5506 
Email: 
 
E-Mail:  machrina.leach@maricopa.gov 
 
 
Office of Acquisition and Grants 
Management 
Department of Public Health 
 
 
Grant/Contract Administrator 
 
 
Phone: 602-372-0674 
 
 
FAX:  602-506-6885 
 
 
E-Mail:  katherinemason@mail.maricopa.gov

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[SIGNATURES BELOW] 
 
 
IN WITNESS WHEREOF, the parties agree to the terms indicated herein: 
 
 
FOR AND ON BEHALF OF 
     
FOR AND ON BEHALF OF 
MARICOPA COUNTY, by and through      
DIGNITY COMMUNITY CARE dba 
Department of Public Health  
 
 
 
CHANDLER REGIONAL 
MEDICAL 
CENTER 
 
 
 
 
By                                                       
 
By  
 
 
 
 
                                    
     Clint Hickman 
 
 
 
 
      
 
     Chairman of the Board 
 
 
 
Title ____________________________ 
     
                  
 
                                                                                       
 
 
 
 
Date                                                                               Date 
 
ATTEST:  
 
                                                              
  
Office of the Clerk of the Board 
 
 
 
 
 
                                                              
  
Date 
 
 
 
 
 
 
 
APPROVED AS TO FORM: 
 
 
 
 
________________________________                                                                                                                    
Deputy Attorney for Maricopa County 
             
 
DATE: