COLLABORATIVE_IMPROVE HEALTH LITERACY FOR VULNERABLE POPS.PDF

MARICOPA COUNTY BY AND THROUGH ITS DEPARTMENT OF PUBLIC HEALTH
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
C-86-22- Federal Award Date: 06/18/2021
Recipient Information Federal Award Information
1. Recipient Name 11. Award Number
1 CPIMP211277-01-00
MARICOPA, COUNTY OF 12. Unique Federal Award Identification Number (FAIN)
1645 E Roosevelt St CPIMP211277
Phoenix, AZ 85006-3638 13. Statutory Authority
602-506-1829 42 U.S.C. § 300u-6, (Section 1707 of the Public Health Service Act)
14. Federal Award Project Title
2. Congressional District of Recipient Collaborative Approach to Improve Health Literacy for Vulnerable Populations:cross collaborative approach
07 between healthcare, CBOs, refugee resettlement orgs, and public health dept.
3. Payment System Identifier (ID)
1866000472A2 15. Assistance Listing Number
4. Employer Identification Number (EIN) 93.137
866000472 16. Assistance Listing Program Title
5. Data Universal Numbering System (DUNS) Community Program to Improve Minority Health
602062515
6. Recipient’s Unique Entity Identifier 17. Award Action Type
New
7. Project Director or Principal Investigator 18. Is the Award R&D?
No
Ms. Lilliana Cardenas
Manager Summary Federal Award Financial Information
lilliana.cardenas@maricopa.gov 19. Budget Period Start Date 07/01/2021 - End Date 06/30/2023
6023197737
20. Total Amount of Federal Funds Obligated by this Action $4,000,000.00
8. Authorized Official
20a. Direct Cost Amount $3,636,364.00
Ms. Marcy Flanagan 20b. Indirect Cost Amount $363,636.00
marcy.flanaga@maricopa.gov
602-372-0674 21. Authorized Carryover $0.00
22. Offset $0.00
23. Total Amount of Federal Funds Obligated this budget period $0.00
Fe deral Agency Information
24. Total Approved Cost Sharing or Matching, where applicable $0.00
OASH Grants and Acquisitions Management Division
25. Total Federal and Non-Federal Approved this Budget Period $4,000,000.00
9. Awarding Agency Contact Information
26. Project Period Start Date 07/01/2021 - End Date 06/30/2023
Miss Robin Fuller
Senior Grants Management Specialist 27. Total Amount of the Federal Award including Approved
robin.fuller@hhs.gov Cost Sharing or Matching this Project Period Not Available
240-453-8830
28. Authorized Treatment of Program Income
10.Program Official Contact Information ADDITIONAL COSTS
Ms. Stacey L. Williams 29. Grants Management Officer – Signature
Grants Coordinator Dr. Scott Moore
Stacey.Williams@hhs.gov OASH Grants Management Officer
240-453-8444
30. Remarks
This action awards funding from the Coronavirus Response and Relief Supplemental Appropriations Act, 2021 (P.L. 116-260).
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C-86-21-
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Office of the Secretary Award# 1 CPIMP211277-01-00
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
Recipient Information 33. Approved Budget
(Excludes Direct Assistance)
Recipient Name I. Financial Assistance from the Federal Awarding Agency Only
II. Total project costs including grant funds and all other financial participation
MARICOPA, COUNTY OF
1645 E Roosevelt St a. Salaries and Wages $256,595.00
Phoenix, AZ 85006-3638 b. Fringe Benefits $119,633.00
602-506-1829 c. Total Personnel Costs $376,228.00
Congressional District of Recipient d. Equipment $8,960.00
07 e. Supplies $4,936.00
Payment Account Number and Type f. Travel $23,600.00
Employer 1866000472A2 Identification Number (EIN) Data g. Construction $0.00
866000472 h. Other $26,640.00
Universal Numbering System (DUNS) i. Contractual $3,196,000.00
602062515
Recipient’s Unique Entity Identifier j. TOTAL DIRECT COSTS $3,636,364.00 $3,636,364.00
Not Available
k. INDIRECT COSTS $363,636.00 $363,636.00
31. Assistance Type l. TOTAL APPROVED BUDGET $4,000,000.00 $4,000,000.00
Project Grant
m. Federal Share $4,000,000.00 $4,000,000.00
32. Type of Award
Other n. Non-Federal Share $0.00 $0.00
34. Accounting Classification Codes
FY-ACCOUNT NO. DOCUMENT NO. ADMINISTRATIVE CODE OBJECT CLASS AMT ACTION FINANCIAL ASSISTANCE APPROPRIATION
1-199CVBE CPIMP1277C5 MPD-52 41.51 $4,000,000.00 75-2122-0140
FOR COUNTY:
_______________________________________
Jack Sellers, Chairman Date
Board of Supervisors
APPROVED AS TO FORM:
_______________________________________
Attorney for County Date
ATTEST:
_______________________________________
Office of the Clerk of the Board Date
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
35. Terms And Conditions
SPECIAL TERMS AND REQUIREMENTS
1. Limitations on Burn-rate. Funding for this project has been awarded as a single budget period for
the entire project period. OASH expects awardees appropriate management of funds including
appropriate burn-rates to execute the awarded project in full. To protect the federal interest, OASH is
placing a limitation on the burn-rate of the Total Federal Share awarded. Unless prior written
approval has been obtained from the OASH Grants Management Officer, the awardee is authorized to
drawdown:
-- up to 30% of the Total Federal Share in the first 6 months of the project period;
-- up to 55% of the Total Federal Share in the first 12 months of the project period; and
-- up to 80% of the Total Federal Share in the first 18 months of the project period.
Prior written approval is required from the OASH Grants Management Officer to exceed these limits.
Requests will only be considered after reviewing a sumitted Budget Revision Amendment including a
justification uploaded in Grant Solutions.
2. Special Reporting. For the first 6 months of the project, you must submit monthly reports in Grant
Notes in Grant Solutions. The calendar month is the reporting period. The reports are due no later
than 7 calendar days after the end of the month. Each report shall contain a summary of the previous
month’s accomplishments, difficulties, and a 30-, 60-, and 90-day outlook table. Your project officer
will provide additional guidance regarding optional formats. After the sixth report, the reporting
cadence will automatically revert to the quarterly reporting frequency noted in the Reporting Section
of this Notice of Award unless your award has a different reporting cadence under Special
Conditions. The monthly reporting cadence may be extended as necessary for appropriate monitoring
of the project by the Grants Management Officer.
3. First 30 days. The follwing item must be completed and submitted as a Grant Note(s) in Grant
Solutions within the first 30 days of the project period.
a. Budget Revision. No later than 30 days after the project period start date, you must submit a
revised budget via Grant Notes in Grant Solutions on SF-424A for non-construction projects with a
revised, detailed budget justification. The budget must be broken down by year and cover the entire
project period.
Awardee and contractor costs must be properly allocated in the budget categories (e.g., contractor
salaries assigned to contracts and not awardee employee salaries) and correctly apply the indirect cost
rate to the modified total direct costs (MTDC). Budgets must conform to the cost principles in 45
C.F.R. part 75. If you have a negotiated indirect cost rate, you must provide a copy of the
documentation to support it.
b. Acquisition Process Timeline. No later than 30 days after the project period start date, you must
submit a timeline for your acquisition/contracting process to be used to solicit and execute contracts
to support this grant.
c. Staffing Plan. No later than 30 days after the project period start date, you must submit the
staffing plan for the project indicating positions already filled as well as those that are currently
vacant. You must include the anticipated onboarding dates for positions to be filled to execute the
award.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
d. Disparity Impact Statement (DIS). No later than 30 days after the project period start date, you
must submit a Disparity Impact Statement (DIS) prepared according to the guidance posted by the
Office of Minority Health at https://minorityhealth.hhs.gov/disparities-impact .
e. Audit Findings. No later than 30 days after the project period start date, you must submit your
corrective action plan for any material weakness or material non-compliance finding that relates to
internal controls or subrecipient monitoring in your most recent Single Audit.
4. First 60 Days. The follwing item must be completed and submitted as a Grant Note(s) in Grant
Solutions within the first 60 days of the project period.
a. Planning Documents. No later than 60 days after the project period start date, you must submit a
detailed work plan, a health literacy plan incorporating the National standards for Culturally and
Linguistically Appropriate Services in Health and Health Care, and an outcome evaluation plan. The
plans should appropriately relate to and build upon each other.
b. Subrecipient Monitoring Plan. No later than 60 days after the project period start date, you must
submit a comprehensive subrecipient monitoring plan specific to the subrecipient activities under this
project.
5. First 90 days. The follwing item must be completed and submitted as a Grant Note in Grant
Solutions within the first 90 days of the project period.
a. Final Confidentiality Plan. No later than 90 days after the project period start date, you must
submit a final confidentiality plan.
6. Documentation of Agreements. You are expected to submit all signed Memoranda of Understanding
(MOUs) with all partners within the first 60 calendar days of the project period. Additional partners
can and should be added throughout the duration of the award, at which point signed MOUs should be
submitted within 10 calendar days of newly established formal partnerships. MOUs should detail
roles and responsibilities of each partner.
You must submit a notification for each executed contract that includes a brief description of the
contract scope of work, cost breakdown, the date executed, and the performance period of the
contract. The notification is due 10 calendar days following execution of the contract. You should
not send a copy of the contract.
MOUs, contract notifications, and any other supporting documentation for partners and subrecipients
must be submitted via Grant Notes Module in GrantSolutions.
7. Institutional Review Board (IRB). Institutional Review Board (IRB) approvals, when applicable,
must be submitted via Grant Solutions Grant Notes within 5 business days of receipt from the IRB.
No activities that require IRB approval may take place prior to your receipt of the IRB approval.
STANDARD TERMS
1. Compliance with Terms and Conditions. You must comply with all terms and conditions outlined
in the grant award, including grant policy terms and conditions contained in applicable Department of
Health and Human Services (HHS) Grant Policy Statements (GPS), (note any references in the GPS
to 45 C.F.R. Part 74 or 92 are now replaced by 45 C.F.R. Part 75, and the SF-269 is now the SF-425),
and requirements imposed by program statutes and regulations, Executive Orders, and HHS grant
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
administration regulations, as applicable; as well as any requirements or limitations in any applicable
appropriations acts. By drawing or otherwise obtaining funds for the award from the grant payment
system or office, you accept the terms and conditions of the award and agree to perform in accordance
with the requirements of the award. The HHS Grants Policy Statement is available at:
http://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for HHS awards are at 45
C.F.R. Part 75.
2. Grants Management Officer Prior Approval Requirements. Certain changes to your project or
personnel require prior approval from the Grants Management Officer (GMO). (See Part II, HHS
Grants Policy Statement (GPS), any references in the GPS to 45 C.F.R. Part 74 or 92 are now
replaced by 45 C.F.R. Part 75). All amendment requests requiring prior approval must be signed by
the grantee authorizing official and or PI/PD and submitted through the GrantSolutions Amendment
Module. Only responses signed by the GMO are considered valid. If you take action on the basis of
responses from other officials or individuals, you do so at your own risk. Such responses will not be
considered binding by or upon any OASH Office or HHS component. Any other correspondence not
relating to a prior approval item should be uploaded to Grant Notes within the GrantSolutions system.
Include the Federal grant number and signature of the authorized business official and the project
director on all such correspondence.
3. Salary Limitation (Further Consolidated Appropriations Act, 2020, Div. A, Title II, sec.
202). “None of the funds appropriated in this title shall be used to pay the salary of an individual,
through a grant or other extramural mechanism, at a rate in excess of Executive Level II.”
The Salary Limitation is based upon the Executive Level II of the Federal Executive Pay Scale.
Effective January 2021, the Executive Level II salary is $199,300. For the purposes of the salary
limitation, the direct salary is exclusive of fringe benefits and indirect costs. An individual’s direct
salary is not constrained by the legislative provision for a limitation of salary. The rate limitation
simply limits the amount that may be awarded and charged to the grant.cooperative agreement. A
recipient may pay an individual’s salary amount in excess of the salary cap with non-federal funds.
4. Reporting Subawards and Executive Compensation.
A. Reporting of first-tier subawards.
1) Applicability.
Unless you are exempt as provided in paragraph D. of this award term, you must report each action
that obligates $25,000 or more in Federal funds that does not include Recovery Act funds (as defined
in section 1512(a)(2) of the American Recovery and Reinvestment Act of 2009, Pub. L. 111–5) for a
subaward to an entity (see definitions in paragraph e. of this award term).
2) Where and when to report.
You must report each obligating action described in paragraph A.1. of this award term to the Federal
Funding Accountability and Transparency Act Subaward Reporting System (FFRS). For subaward
information, report no later than the end of the month following the month in which the obligation
was made. (For example, if the obligation was made on November 7, 2010, the obligation must be
reported by no later than December 31, 2010.)
3) What to report.
You must report the information about each obligating action as specified in the submission
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
instructions posted at http://www.fsrs.gov.
B. Reporting Total Compensation of Recipient Executives.
1) Applicability and what to report.
You must report total compensation for each of your five most highly compensated executives for the
preceding completed fiscal year, if—
a) The total Federal funding authorized to date under this award is $25,000 or
more;
b) In the preceding fiscal year, you received—
(1) 80 percent or more of your annual gross revenues from Federal
procurement contracts (and subcontracts) and Federal financial
assistance subject to the Transparency Act, as defined at 2 C.F.R.
§170.320 (and subawards); and
(2) $25,000,000 or more in annual gross revenues from Federal
procurement contracts (and subcontracts) and Federal financial
assistance subject to the Transparency Act, as defined at 2 C.F.R.
§170.320 (and subawards); and
c) The public does not have access to information about the compensation of
the executives through periodic reports filed under section 13(a) or 15(d) of the
Securities Exchange Act of 1934 (15 U.S.C. § 78m(a), 78o(d)) or section 6104
of the Internal Revenue Code of 1986. (To determine if the public has access to
the compensation information, see the U.S. Security and Exchange Commission
total compensation filings at the Executive Compensation page of the SEC
website.)
2) Where and when to report.
You must report executive total compensation described in paragraph B.1. of this award term:
a) As part of your registration profile in the System for Award Management
(SAM).
b) By the end of the month following the month in which this award is made,
and annually thereafter.
C. Reporting of Total Compensation of Subrecipient Executives.
1) Applicability and what to report.
Unless you are exempt as provided in paragraph D of this award term, for each first-tier subrecipient
under this award, you shall report the names and total compensation of each of the subrecipient’s five
most highly compensated executives for the subrecipient’s preceding completed fiscal year, if—
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
a) In the subrecipient’s preceding fiscal year, the subrecipient received—
(1) 80 percent or more of its annual gross revenues from Federal
procurement contracts (and subcontracts) and Federal financial
assistance subject to the Transparency Act, as defined at 2 C.F.R. §
170.320 (and subawards); and
(2) $25,000,000 or more in annual gross revenues from Federal
procurement contracts (and subcontracts), and Federal financial
assistance subject to the Transparency Act (and subawards); and
b) The public does not have access to information about the compensation of
the executives through periodic reports filed under section 13(a) or 15(d) of the
Securities Exchange Act of 1934 (15 U.S.C. § 78m(a), 78o(d)) or section 6104
of the Internal Revenue Code of 1986. (To determine if the public has access to
the compensation information, see the U.S. Security and Exchange Commission
total compensation filings at the Executive Compensation page of the SEC
website.)
2) Where and when to report.
You must report subrecipient executive total compensation described in paragraph C.1. of this award
term:
a) To the recipient.
b) By the end of the month following the month during which you make the
subaward. For example, if a subaward is obligated on any date during the
month of October of a given year (i.e., between October 1 and 31), you must
report any required compensation information of the subrecipient by November
30 of that year.
D. Exemptions.
If, in the previous tax year, you had gross income, from all sources, under $300,000, you are exempt
from the requirements to report:
1) Subawards, and
2) The total compensation of the five most highly compensated executives of any
subrecipient.
E. Definitions.
For purposes of this award term:
1) “Entity”
This term means all of the following, as defined in 2 C.F.R. Part 25:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
a) A Governmental organization, which is a State, local government, or Indian
tribe;
b) A foreign public entity;
c) A domestic or foreign nonprofit organization;
d) A domestic or foreign for-profit organization;
e) A Federal agency, but only as a subrecipient under an award or subaward to
a non-Federal entity.
2) “Executive”
This term means officers, managing partners, or any other employees in management positions.
3) “Subaward”:
a) This term means a legal instrument to provide support for the performance
of any portion of the substantive project or program for which you received this
award and that you as the recipient award to an eligible subrecipient.
b) The term does not include your procurement of property and services needed
to carry out the project or program (for further explanation, see Sec. ll .210 of
the attachment to OMB Circular A–133, ‘‘Audits of States, Local
Governments, and Non-Profit Organizations’’).
c) A subaward may be provided through any legal agreement, including an
agreement that you or a subrecipient considers a contract.
4) “Subrecipient”
This term means an entity that:
a) Receives a subaward from you (the recipient) under this award; and
b) Is accountable to you for the use of the Federal funds provided by the
subaward.
5) “Total compensation”
This term means the cash and noncash dollar value earned by the executive during the recipient’s or
subrecipient’s preceding fiscal year and includes the following (for more information see 17 C.F.R. §
229.402(c)(2)):
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
a) Salary and bonus.
b) Awards of stock, stock options, and stock appreciation rights. Use the dollar
amount recognized for financial statement reporting purposes with respect to
the fiscal year in accordance with the Statement of Financial Accounting
Standards No. 123 (Revised 2004) (FAS 123R), Shared Based Payments.
c) Earnings for services under non-equity incentive plans. This does not
include group life, health, hospitalization or medical reimbursement plans that
do not discriminate in favor of executives, and are available generally to all
salaried employees.
d) Change in pension value. This is the change in present value of defined
benefit and actuarial pension plans.
e) Above-market earnings on deferred compensation which is not tax-
qualified.
f) Other compensation, if the aggregate value of all such other compensation
(e.g. severance, termination payments, value of life insurance paid on behalf of
the employee, perquisites or property) for the executive exceeds $10,000.
5. Trafficking in Persons. This award is subject to the requirements of Section 106 (g) of the
Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. § 7104)
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
A. Provisions applicable to a recipient that is a private entity.
1) You as the recipient, your employees, subrecipients under this award, and
subrecipients’ employees may not
a) Engage in severe forms of trafficking in persons during the period of time
that the award is in effect;
b) Procure a commercial sex act during the period of time that the award is in
effect; or
c) Use forced labor in the performance of the award or subawards under the
award.
2) We as the Federal awarding agency may unilaterally terminate this award, without
penalty, if you or a subrecipient that is a private entity –
a) Is determined to have violated a prohibition in paragraph A.1 of this award
term; or
b) Has an employee who is determined by the agency official authorized to
terminate the award to have violated a prohibition in paragraph A.1 of this
award term through conduct that is either-
(1) Associated with performance under this award; or
(2) Imputed to you or the subrecipient using the standards and due
process for imputing the conduct of an individual to an organization that
are provided in 2 C.F.R. Part 180, “OMB Guidelines to Agencies on
Governmentwide Debarment and Suspension (Nonprocurement),” as
implemented by our agency at 2 C.F.R. Part 376.
B. Provision applicable to a recipient other than a private entity.
We as the Federal awarding agency may unilaterally terminate this award, without penalty, if a
subrecipient that is a private entity-
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
1) Is determined to have violated an applicable prohibition in paragraph a.1 of this
award term; or
2) Has an employee who is determined by the agency official authorized to terminate
the award to have violated an applicable prohibition in paragraph a.1 of this award term
through conduct that is either
a) Associated with performance under this award; or
b) Imputed to the subrecipient using the standards and due process for
imputing the conduct of an individual to an organization that are provided in 2
C.F.R. Part 180, “OMB Guidelines to Agencies on Governmentwide
Debarment and Suspension (Nonprocurement),” as implemented by our agency
at 2 C.F.R. Part 376.
C. Provisions applicable to any recipient.
1) You must inform us immediately of any information you receive from any source
alleging a violation of a prohibition in paragraph A.1 of this award term
2) Our right to terminate unilaterally that is described in paragraph A.2 or B of this
section:
a) Implements section 106(g) of the Trafficking Victims Protection Act of
2000 (TVPA), as amended (22 U.S.C. § 7104(g)), and
b) Is in addition to all other remedies for noncompliance that are available to us
under this award.
3) You must include the requirements of paragraph A.1 of this award term in any
subaward you make to a private entity.
D. Definitions. For purposes of this award term:
1) “Employee” means either:
a) An individual employed by you or a subrecipient who is engaged in the
performance of the project or program under this award; or
b) Another person engaged in the performance of the project or program under
this award and not compensated by you including, but not limited to, a
volunteer or individual whose services are contributed by a third party as an in-
kind contribution toward cost sharing or matching requirements.
2) “Forced labor” means:
Labor obtained by any of the following methods: the recruitment, harboring,
transportation, provision, or obtaining of a person for labor or services, through the use
of force, fraud, or coercion for the purpose of subjection to involuntary servitude,
peonage, debt bondage, or slavery.
3) “Private entity”:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
a) Means any entity other than a State, local government, Indian tribe, or
foreign public entity, as those terms are defined in 2 C.F.R. § 175.25.
b) Includes:
(1) A nonprofit organization, including any nonprofit institution of
higher education, hospital, or tribal organization other than one included
in the definition of Indian tribe at 2 C.F.R. § 175.25(b).
(2) A for-profit organization.
4) “Severe forms of trafficking in persons,” “commercial sex act,” and “coercion”
These terms have the meanings given at section 103 of the TVPA, as amended (22
U.S.C. § 7102)
6. Whistleblower Protections. You are hereby given notice that the 48 C.F.R. § 3.908 (related to the
enhancement of contractor employee whistleblower protections), implementing 41 U.S.C. § 4712, as
amended (entitled “Enhancement of contractor protection from reprisal for disclosure of certain
information”) applies to this award.
7. Reporting of Matters Related to Recipient Integrity and Performance.
A. General Reporting Requirement
If the total value of your currently active grants, cooperative agreements, and procurement contracts
from all Federal awarding agencies exceeds $10,000,000 for any period of time during the period of
performance of this Federal award, then you as the recipient during that period of time must maintain
the currency of information reported to the System for Award Management (SAM) that is made
available in the designated integrity and performance system (currently the Federal Awardee
Performance and Integrity Information System (FAPIIS)) about civil, criminal, or administrative
proceedings described in paragraph 2 of this award term and condition. This is a statutory requirement
under section 872 of Public Law 110-417, as amended (41 U.S.C. § 2313). As required by section
3010 of Public Law 111-212, all information posted in the designated integrity and performance
system on or after April 15, 2011, except past performance reviews required for Federal procurement
contracts, will be publicly available.
B. Proceedings About Which You Must Report
Submit the information required about each proceeding that:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
1) Is in connection with the award or performance of a grant, cooperative agreement,
or procurement contract from the Federal Government;
2) Reached its final disposition during the most recent five-year period; and
3) If one of the following:
a) A criminal proceeding that resulted in a conviction, as defined in paragraph
5 of this award term and condition;
b) A civil proceeding that resulted in a finding of fault and liability and
payment of a monetary fine, penalty, reimbursement, restitution, or damages of
$5,000 or more;
c) An administrative proceeding, as defined in paragraph 5 of this award term
and condition, that resulted in a finding of fault and liability and your payment
of either a monetary fine or penalty of $5,000 or more or reimbursement,
restitution, or damages in excess of $100,000; or
d) Any other criminal, civil, or administrative proceeding if:
(1) It could have led to an outcome described in paragraph 2.c.(1), (2),
or (3) of this award term and condition;
(2) It had a different disposition arrived at by consent or compromise
with an acknowledgement of fault on your part; and
(3) The requirement in this award term and condition to disclose
information about the proceeding does not conflict with applicable laws
and regulations.
C. Reporting Procedures
Enter in the SAM Entity Management area the information that SAM requires about each proceeding
described in paragraph B of this award term and condition. You do not need to submit the information
a second time under assistance awards that you received if you already provided the information
through SAM because you were required to do so under Federal procurement contracts that you were
awarded.
D. Reporting Frequency
During any period of time when you are subject to this requirement in paragraph A of this award term
and condition, you must report proceedings information through SAM for the most recent five year
period, either to report new information about any proceeding(s) that you have not reported
previously or affirm that there is no new information to report. Recipients that have Federal contract,
grant, and cooperative agreement awards with a cumulative total value greater than $10,000,000 must
disclose semiannually any information about the criminal, civil, and administrative proceedings.
E. Definitions
For purposes of this award term and condition:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
1) Administrative proceeding means a non-judicial process that is adjudicatory in
nature in order to make a determination of fault or liability (e.g., Securities and
Exchange Commission Administrative proceedings, Civilian Board of Contract
Appeals proceedings, and Armed Services Board of Contract Appeals proceedings).
This includes proceedings at the Federal and State level but only in connection with
performance of a Federal contract or grant. It does not include audits, site visits,
corrective plans, or inspection of deliverables.
2) Conviction, for purposes of this award term and condition, means a judgment or
conviction of a criminal offense by any court of competent jurisdiction, whether
entered upon a verdict or a plea, and includes a conviction entered upon a plea of nolo
contendere.
3) Total value of currently active grants, cooperative agreements, and procurement
contracts includes—
a) Only the Federal share of the funding under any Federal award with a
recipient cost share or match; and
b) The value of all expected funding increments under a Federal award and
options, even if not yet exercised.
F. Disclosure Requirements.
Consistent with 45 C.F.R. § 75.113, applicants and recipients must disclose, in a timely manner, in
writing to the HHS Awarding Agency, with a copy to the HHS Office of the Inspector General, all
information related to violations of Federal criminal law involving fraud, bribery, or gratuity
violations potentially affecting the Federal award. Subrecipients must disclose, in a timely manner, in
writing to the prime recipient (pass through entity) and the HHS Office of the Inspector General all
information related to violations of Federal criminal law involving fraud, bribery, or gratuity
violations potentially affecting the Federal award. Disclosures must be sent in writing to the awarding
agency and to the HHS OIG at the following addresses:
HHS OASH Grants and Acquisitions Management
1101 Wootton Parkway, Plaza Level
Rockville, MD 20852
AND
US Department of Health and Human Services Office of Inspector General
ATTN: OIG HOTLINE OPERATIONS—MANDATORY GRANT DISCLOSURES
PO Box 23489
Washington, DC 20026
URL: http://oig.hhs.gov/fraud/report-fraud/index.asp
(Include “Mandatory Grant Disclosures” in subject line)
Fax: 1-800-223-8164 (Include “Mandatory Grant Disclosures” in subject line)
Failure to make required disclosures can result in any of the remedies described in 45 C.F.R. § 75.371
(“Remedies for noncompliance”), including suspension or debarment (See also 2 C.F.R. Parts 180 &
376 and 31 U.S.C. § 3321).
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
The recipient must include this mandatory disclosure requirement in all subawards and
contracts under this award.
8. Intellectual Property.
A. Data. The federal government has the right to: 1) Obtain, reproduce, publish, or otherwise use
the data produced under this award; and 2) Authorize others to receive, reproduce, publish, or
otherwise use such data for federal purposes.
B. Copyright. The awardee may copyright any work that is subject to copyright and was
developed, or for which ownership was acquired, under a federal award. The federal government
reserves a royalty-free, nonexclusive and irrevocable right to reproduce, publish, or otherwise use the
work for Federal purposes, and to authorize others to do so.
C. Patents and Inventions. The awardee is subject to applicable regulations governing patents and
inventions, including government- wide regulations issued by the Department of Commerce at 37
CFR part 401.
9. Acknowledgement of Federal Grant Support. When issuing statements, press releases,
publications, requests for proposal, bid solicitations and other documents --such as tool-kits, resource
guides, websites, and presentations (hereafter “statements”)--describing the projects or programs
funded in whole or in part with U.S. Department of Health and Human Services (HHS) federal funds,
the recipient must clearly state:
1) the percentage and dollar amount of the total costs of the program or project funded with
federal money; and,
2) the percentage and dollar amount of the total costs of the project or program funded by non-
governmental sources.
When issuing statements resulting from activities supported by HHS financial assistance, the recipient
entity must include an acknowledgement of federal assistance using one of the following or a similar
statement.
If the HHS Grant or Cooperative Agreement is NOT funded with other non-governmental sources:
This [project/publication/program/website, etc.] [is/was] supported by the [full
name of the PROGRAM OFFICE] of the U.S. Department of Health and
Human Services (HHS) as part of a financial assistance award totaling $XX
with 100 percent funded by [PROGRAM OFFICE]/OASH/HHS. The contents
are those of the author(s) and do not necessarily represent the official views of,
nor an endorsement, by [PROGRAM OFFICE]/OASH/HHS, or the U.S.
Government. For more information, please visit [PROGRAM OFFICE website,
if available].
The HHS Grant or Cooperative Agreement IS partially funded with other nongovernmental sources:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
This [project/publication/program/website, etc.] [is/was] supported by the [full
name of the PROGRAM OFFICE] of the U.S. Department of Health and
Human Services (HHS) as part of a financial assistance award totaling $XX
with XX percentage funded by [PROGRAM OFFICE]/OASH/HHS and $XX
amount and XX percentage funded by non-government source(s). The contents
are those of the author (s) and do not necessarily represent the official views of,
nor an endorsement, by [PROGRAM OFFICE]/OASH/HHS, or the U.S.
Government. For more information, please visit [PROGRAM OFFICE website,
if available].
The federal award total must reflect total costs (direct and indirect) for all authorized funds (including
supplements and carryover) for the total competitive segment up to the time of the public statement.
Any amendments by the recipient to the acknowledgement statement must be coordinated with
the OASH federal project officer and the OASH grants management officer.
If the recipient plans to issue a press release concerning the outcome of activities supported by this
financial assistance, it should notify the the OASH federal project officer and the OASH grants
management officer in advance to allow for coordination.
10.Prohibition on certain telecommunications and video surveillance services or equipment.
A. As described in CFR 200.216, recipients and subrecipients are prohibited to obligate or spend
grant funds (to include direct and indirect expenditures as well as cost share and program) to:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
1) Procure or obtain,
2) Extend or renew a contract to procure or obtain; or
3) Enter into contract (or extend or renew contract) to procure or obtain equipment,
services, or systems that use covered telecommunications equipment or services as a
substantial or essential component of any system, or as critical technology as part of
any system. As described in Pub. L. 115-232, section 889, covered telecommunications
equipment is telecommunications equipment produced by Huawei Technologies
Company or ZTE Corporation (or any subsidiary or affiliate of such entities).
a) For the purpose of public safety, security of government facilities, physical
security surveillance of critical infrastructure, and other national security
purposes, video surveillance and telecommunications equipment produced by
Hytera Communications Corporation, Hangzhou Hikvision Digital Technology
Company, or Dahua Technology Company (or any subsidiary or affiliate of
such entities).
b) Telecommunications or video surveillance services provided by such entities
or using such equipment.
c) Telecommunications or video surveillance equipment or services produced or
provided by an entity that the Secretary of Defense, in consultation with the
Director of the National Intelligence or the Director of the Federal Bureau of
Investigation, reasonably believes to be an entity owned or controlled by, or
otherwise, connected to the government of a covered foreign country.
REPORTING REQUIREMENTS
1. Financial Reporting Requirement—Federal Financial Report (FFR) SF 425. Effective October
1, 2020, you must submit your SF-425 to OASH using the Department of Health and Human Services
(HHS) Payment Management System for any OASH awards with a project period ending October 1,
2020 or later. Failure to submit the FFR in the correct system by the due date may delay processing
of any pending requests or applications.
OASH and the Program Support Center are collaborating in the submission of the SF-425 to reduce
the burden on grantees and assist with the reconciliation of expenditures and disbursements, and to
allow for timely closeout of grants. Your submission must be through the HHS Payment
Management System. SF-425 submissions through Grant Solutions will no longer be accepted for
OASH awards.
You must use the SF-425 Federal Financial Report (FFR) for expenditure reporting. To assist in your
preparation for submission you may find the SF-425 and instructions for completing the form on the
Web at: http://apply07.grants.gov/apply/forms/sample/SF425-V1.0.pdf. You must complete all
sections of the FFR.
A. Quarterly FFR Due Date.
Your FFR is due 30 days after the end of each Quarter in the federal fiscal year. That is for the:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
Quarter ending September 30, your FFR is due October 30
Quarter ending December 31, your FFR is due January 30
Quarter ending March 30, your FFR is due April 30
Quarter ending June 30, your FFR is due July 30.
B. Final FFR Due Date.
Your final FFR covering the entire project is due 90 days after the end date for your project period.
C. Past due reports.
If you have not submitted by the due date, you will receive a message indicating the report is Past
Due. Please ensure your Payment Management System account and contact information are up to date
so you receive notifications.
D. Electronic Submission.
Electronic Submissions are accepted only via the HHS Payment Management System – No other
submission methods will be accepted without prior written approval from the GMO. You must be
assigned to the grant with authorized access to the FFR reporting Module when submitting. If you
encounter any difficulties, contact the HHS Payment Management System Help Desk or your
assigned Grants Management Specialist. Please reference the CONTACTS section of NoA Terms and
Conditions to locate the name of your assigned Grants Management Specialist.
2. Quarterly Progress Report Requirements. You must submit quarterly progress reports 30 days
after the end of each quarter of the performance period unless otherwise required under the Special
Terms and Requirements for this award. Your progress reports must address content required by 45
CFR § 75.342(b)(2). Additonal progess reporting may be required under Special Terms and
Requirements or Special Conditions as required by statute, regulation, or specific
circumstances warranting additional monitoring. Additional guidance may be provided by the
Program Office. Reports must be submitted electronically via upload to Grant Notes in
GrantSolutions.
3. Audit Requirements. The Single Audit Act Amendments of 1996 (31 U.S.C. §§ 7501-7507)
combined the audit requirements for all entities under one Act. An audit is required for all non-
Federal entities expending Federal awards, and must be consistent with the standards set out at 45
CFR Part 75, Subpart F (“Audit Requirements”). The audits are due within 30 days of receipt from
the auditor or within 9 months of the end of the fiscal year, whichever occurs first. The audit report
when completed should be submitted online to the Federal Audit Clearinghouse at
https://harvester.census.gov/facides/Account/Login.aspx.
CONTACTS
1. Fraud, Waste, and Abuse. The HHS Inspector General accepts tips and complaints from all sources
about potential fraud, waste, abuse, and mismanagement in Department of Health and Human
Services' programs. Your information will be reviewed promptly by a professional staff member. Due
to the high volume of information that they receive, they are unable to reply to submissions. You may
reach the OIG through various channels.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Award# 1 CPIMP211277-01-00
Office of the Secretary
FAIN# CPIMP211277
Federal Award Date: 06/18/2021
Internet: https://forms.oig.hhs.gov/hotlineoperations/index.aspx
Phone: 1-800-HHS-TIPS (1-800-447-8477)
Mail: US Department of Health and Human Services
Office of Inspector General
ATTN: OIG HOTLINE OPERATIONS
PO Box 23489
Washington, DC 20026
For additional information visit https://oig.hhs.gov/fraud/report-fraud/index.asp
2. Payment Procedures. Payments for grants awarded by OASH Program Offices are made through
Payment Management Services (previously known as the Division of Payment Management)
https://pms.psc.gov/home.html PMS is administered by the Program Support Center (PSC), HHS.
NOTE: Please contact the Payment Management Services to establish an account if you do not have
one.
Inquiries regarding payments should be directed to https://pms.psc.gov/home.html; or
Payment Management Services, P.O. Box 6021, Rockville, MD 20852;
or 1-877-614-5533.
3. Use of Grant Solutions. GrantSolutions is our web-based system that will be used to manage your
grant throughout its life cycle. Please contact GrantSolutions User Support to establish an account if
you do not have one. Your Grants Management Specialist has the ability to create a GrantSolutions
account for the Grantee Authorized Official and Principle Investigator/Program Director roles.
Financial Officer accounts may only be established by GrantSolutions staff. All account requests must
be signed by the prospective user and their supervisor or other authorized organization official.
For assistance on GrantSolutions issues please contact: GrantSolutions User Support at 202-401-5282
or 866-577-0771, email help@grantsolutions.gov, Monday – Friday, 8 a.m. – 6 p.m. ET. Frequently
Asked Questions and answers are available at https://grantsolutions.secure.force.com/.
4. Grants Administration Assistance. For assistance on grants administration issues please contact:
Robin Fuller, Grants Management Specialist, at (240) 453-8830, or e-mail robin.fuller@hhs.gov or
mail:
OASH Grants and Acquisitions Management Division
Department of Health and Human Services
Office of the Secretary
Office of the Assistant Secretary for Health
1101 Wootton Parkway, Rockville, MD 20852.
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