CTR055214 PHEP EMERGENCY MGMT IGA 21-26 (00).PDF

C-86-22-
ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT HEALTH SERVICES
(IGA) 150 North 18th Avenue, Suite 530
Phoenix, Arizona 85007
Procurement Officer:
Contract No.: CTR055214 Kailee Gray
Project Title: Public Health Emergency Preparedness Program Begin Date: 07/01/2021
Geographic Service Area: Arizona Statewide Termination Date: 06/30/2026
Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.R.S. §§ 11-951, 11-952, 36-
104 and 36-132. The Contractor represents that it has authority to contract for the performance of the services provided herein pursuant to:
X Counties: A.R.S. §§ 11-201, 11-951, 11-952 and 36-182.
Indian Tribes: A.R.S. §§ 11-951, 11-952 and the rules and sovereign authority of the contracting Indian
Nation.
School Districts: A.R.S. §§ 11-951, 11-952, and 15-342.
City of Phoenix: Chapter II, §§ 1 & 2, Charter, City of Phoenix.
City of Tempe: Chapter 1, Article 1, §§ 1.01 & 1.03, Charter, City of Tempe.
Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Contract, from the effective
date of the Amendment, as if fully set out herein.
Arizona Transaction (Sales) Privilege: FOR CLARIFICATION, CONTACT:
07-290-681-D
Name: Katie Turnbow
Federal Employer Identification No.:
86-6000472 Phone: 602-506-6415
Tax License No.: FAX No:
E-mail: katie.turnbow@maricopa.gov
Contractor Name: Maricopa County
Department of Public Health
Address: 4041 North Central Avenue
Phoenix, AZ 85344
CONTRACTOR SIGNATURE: This Contract shall henceforth be referred to as Contract
The Contractor agrees to perform all the services set forth in
the Agreement and Work Statement. No. CTR055214 The Contractor is hereby cautioned not to
commence any billable work or provide any material, service or
construction under this Contract until Contractor receives a fully executed
copy of the Contract.
Signature of Person Authorized to Sign Date State of Arizona
Signed this day of , 20____
Jack Sellers, Chairman, Board of Supervisors
Print Name and Title
Procurement Officer
CONTRACTOR ATTORNEY SIGNATURE: Contract, No. CTR055214 is an Agreement between public agencies, has
Pursuant to A.R.S. § 11-952, the undersigned Contractor’s been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant
Attorney has determined that this Intergovernmental Attorney General, who has determined that it is in the proper form and is
Agreement is in proper form and is within the powers and within the powers granted under the laws of the State of Arizona to those
authority granted under the laws of Arizona. parties to the Agreement represented by the Attorney General.
The Attorney General, BY:
Signature of Person Authorized to Sign Date Signature Date
Anne Longo, Attorney for County
Assistant Attorney General:
Print Name and Title
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1. Definition of Terms. As used in this Contract, the terms listed below are defined as follows:
1.1 “Attachment” means any document attached to the Contract and incorporated into the Contract.
1.2 “ADHS” means Arizona Department of Health Services.
1.3 “Budget Term” means the period of time for which the contract budget has been created and during which
funds should be expended.
1.4 “Change Order” means a written order that is signed by a Procurement Officer and that directs the Contractor
to make changes authorized by the Uniform Terms and Conditions of the Contract.
1.5 “Contract” means the combination of the Uniform and Special Terms and Conditions, the Specifications and
Statement or Scope of Work, Attachments, Referenced Documents, any Contract Amendments and any
terms applied by law.
1.6 “Contract Amendment” means a written document signed by the Procurement Officer and the Contractor that
is issued for the purpose of making changes in the Contract.
1.7 “Contractor” means any person who has a Contract with the Arizona Department of Health Services.
1.8 “Cost Reimbursement” means a contract under which a contractor is reimbursed for costs, which are
reasonable, allowable and allocable in accordance with the contract terms and approved by ADHS.
1.9 “Days” means calendar days unless otherwise specified.
1.10 “Fixed Price” establishes a set price per unit of service. The set price shall be based on costs, which are
reasonable, allowable and allocable.
1.11 “Gratuity” means a payment, loan, subscription, advance, deposit of money, services, or anything of more
than nominal value, present or promised, unless consideration of substantially equal or greater value is
received.
1.12 “Materials” unless otherwise stated herein, means all property, including but not limited to equipments,
supplies, printing, insurance and leases of property.
1.13 “Procurement Officer” means the person duly authorized by the State to enter into and administer Contracts
and make written determinations with respect to the Contract.
1.14 “Purchase Order” means a written document that is signed by a Procurement Officer, that requests a vendor
to deliver described goods or services at a specific price and that, on delivery and acceptance of the goods
or services by ADHS, becomes an obligation of the State.
1.15 “Services” means the furnishing of labor, time or effort by a Contractor or Subcontractor.
1.16 “Subcontract” means any contract, express or implied, between the Contractor and another party or between
a subcontractor and another party delegating or assigning, in whole or in part, the making or furnishing of any
material or any service required for the performance of this Contract.
1.17 “State” means the State of Arizona and/or the ADHS. For purposes of this Contract, the term “State” shall
not include the Contractor.
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2. Contract Type.
This Contract shall be:
X Cost Reimbursement
3. Contract Interpretation.
3.1. Arizona Law. The law of Arizona applies to this Contract including, where applicable, the Uniform Commercial
Code as adopted by the State of Arizona.
3.2. Implied Contract Terms. Each provision of law and any terms required by law to be in this Contract are a part
of this Contract as if fully stated in it.
3.3. Contract Order of Precedence. In the event of a conflict in the provisions of the Contract, as accepted by the
State and as they may be amended, the following shall prevail in the order set forth below:
3.3.1. Terms and Conditions;
3.3.2. Statement or Scope of Work;
3.3.3. Attachments; and
3.3.4. Referenced Documents.
3.4. Relationship of Parties. The Contractor under this Contract is an independent Contractor. Neither party to
this Contract shall be deemed to be the employee or agent of the other party to the Contract.
3.5. Severability. The provisions of this Contract are severable. Any term or condition deemed illegal or invalid
shall not affect any other term or condition of the Contract.
3.6. No Parole Evidence. This Contract is intended by the parties as a final and complete expression of their
agreement. No course of prior dealings between the parties and no usage of the trade shall supplement or
explain any terms used in this document.
3.7. No Waiver. Either party’s failure to insist on strict performance of any term or condition of the Contract shall
not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the
nonconforming performance knows of the nature of the performance and fails to object to it.
3.8. Headings. Headings are for organizational purposes only and shall not be interpreted as having legal
significance or meaning.
4. Contract Administration and Operation.
4.1. Term. As indicated on the signature page of the Contract, the Contract shall be effective as of the Begin Date
and shall remain effective until the Termination Date.
4.2. Contract Renewal. This Contract shall not bind, nor purport to bind, the State for any contractual commitment
in excess of the original Contract period. The term of the Contract shall not exceed five years. However, if
the original Contract period is for less than five years, the State shall have the right, at its sole option, to renew
the Contract, so long as the original Contract period together with the renewal periods does not exceed five
years. If the State exercises such rights, all terms, conditions and provisions of the original Contract shall
remain the same and apply during the renewal period with the exception of price and Scope of Work, which
may be renegotiated.
4.3. New Budget Term. If a budget term has been completed in a multi-term Contract, the parties may agree to
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change the amount and type of funding to accommodate new circumstances in the next budget term. Any
increase or decrease in funding at the time of the new budget term shall coincide with a change in the Scope
of Work or change in cost of services as approved by the Arizona Department of Health Services.
4.4. Non-Discrimination. The Contractor shall comply with State Executive Order No. 2009-09 and all other
applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act.
4.5. Records and Audit. Under A.R.S. § 35-214 and A.R.S. § 35-215, the Contractor shall retain and shall
contractually require each subcontractor to retain all data and other records (“records”) relating to the
acquisition and performance of the Contract for a period of five years after the completion of the Contract. All
records shall be subject to inspection and audit by the State and where applicable the Federal Government
at reasonable times. Upon request, the Contractor shall produce a legible copy of any or all such records.
4.6. Financial Management. For all contracts, the practices, procedures, and standards specified in and required
by the Accounting and Auditing Procedures Manual for the ADHS funded programs shall be used by the
Contractor in the management of Contract funds and by the State when performing a Contract audit. Funds
collected by the Contractor in the form of fees, donations and/or charges for the delivery of these Contract
services shall be accounted for in a separate fund.
4.6.1. Federal Funding. Contractors receiving federal funds under this Contract shall comply with the
certified finance and compliance audit provision of the Office of Management and Budget (OMB)
Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards
(2 CFR 200), if applicable. The federal financial assistance information shall be stated in a Change
Order or Purchase Order.
4.6.2. State Funding. Contractors receiving state funds under this Contract shall comply with the certified
compliance provisions of A.R.S. § 35-181.03.
4.7. Inspection and Testing. The Contractor agrees to permit access, at reasonable times, to its facilities.
4.8. Notices. Notices to the Contractor required by this Contract shall be made by the State to the person indicated
on the signature page by the Contractor, unless otherwise stated in the Contract. Notices to the State required
by the Contract shall be made by the Contractor to an ADHS Procurement Officer, unless otherwise stated
in the Contract. An authorized ADHS Procurement Officer and an authorized Contractor representative may
change their respective person to whom notice shall be given by written notice, and an amendment to the
Contract shall not be necessary.
4.9. Advertising and Promotion of Contract. The Contractor shall not advertise or publish information for
commercial benefit concerning this Contract without the prior written approval of an ADHS Procurement
Officer.
4.10. Property of the State.
4.10.1. Equipment. Except as provided below or otherwise agreed to by the parties, the title to any and all
equipment acquired through the expenditure of funds received from the State shall remain the
property of the State by and through the ADHS and, as such, shall remain under the sole direction,
management and control of the ADHS. When this Contract is terminated, the disposition of all such
property shall be determined by the ADHS. For Fixed Price contracts, when the Contractor provides
the services/materials required by the Contract, any and all equipment purchased by the Contractor
remains the property of the Contractor. All purchases of equipment need to be reported to the ADHS
Office of Inventory Control.
4.10.2. Title and Rights to Materials. As used in this section, the term “Materials” means all products created
or produced by the Contractor under this Contract, including, but not limited to: written and electronic
information, recordings, reports, research, research findings, conclusions, abstracts, results,
software, data and any other intellectual property or deliverables created, prepared, or received by
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the Contractor in performance of this Contract. Contractor acknowledges that all Materials are the
property of the State by and through the ADHS and, as such, shall remain under the sole direction,
management and control of the ADHS. The Contractor is not entitled to a patent or copyright on
these Materials and may not transfer a patent or copyright on them to any other person or entity. To
the extent any copyright in any Materials may originally vest in the Contractor, the Contractor hereby
irrevocably transfers to the ADHS, for and on behalf of the State, all copyright ownership. The ADHS
shall have full, complete and exclusive rights to reproduce, duplicate, adapt, distribute, display,
disclose, publish, release and otherwise use all Materials. The Contractor shall not use or release
these Materials without the prior written consent of the ADHS. When this Contract is terminated, the
disposition of all such Materials shall be determined by the ADHS. Further, the Contractor agrees to
give recognition to the ADHS for its support of any program when releasing or publishing program
Materials.
4.10.3. Notwithstanding the above, if the Contractor is a State agency, the following shall apply instead: It is
the intention of ADHS and Contractor that all material and intellectual property developed under this
Agreement be used and controlled in ways to produce the greatest benefit to the parties to this
Contract and the citizens of the State of Arizona. As used in this paragraph, “Material” means all
written and electronic information, recordings, reports, findings, research information, abstracts,
results, software, data, discoveries, inventions, procedures and processes of services developed by
the Contractor and any other materials created, prepared or received by the Contractor and
subcontractors in performance of this Agreement. “Material” as used herein shall not include any
pre-existing data, information, materials, discoveries, inventions or any form of intellectual property
invented, created, developed or devised by Contractor (or its employees, subcontractors or agents)
prior to the commencement of the services funded by this Agreement or that may result from
Contractor’s involvement in other service activities that are not funded by the Agreement.
4.10.4. Title and exclusive copyright to all Material shall vest in the State of Arizona, subject to any rights
reserved on behalf of the federal government. As State agencies and instrumentalities, both ADHS
and Contractor shall have full, complete, perpetual, irrevocable and non-transferable rights to
reproduce, duplicate, adapt, make derivative works, distribute, display, disclose, publish and
otherwise use any and all Material. The Contractor’s right to use Material shall include the following
rights: the right to use the Material in connection with its internal, non-profit research and educational
activities, the right to present at academic or professional meetings or symposia and the right to
publish in journals, theses, dissertations or otherwise of Contractor’s own choosing. Contractor
agrees to provide ADHS with a right of review prior to any publication or public presentation of the
Material, and ADHS shall be entitled to request the removal of its confidential information or any other
content the disclosure of which would be contrary to the best interest of the State of Arizona. Neither
party shall release confidential information to the public without the prior expressly written permission
of the other, unless required by the State public records statutes or other law, including a court order.
Each party agrees to give recognition to the other party in all public presentations or publications of
any Material, when releasing or publishing them.
4.10.5. In addition, ADHS and Contractor agree that any and all Material shall be made freely available to
the public to the extent it is in the best interest of the State. However, if either party wants to license
or assign an intellectual property interest in the material to a third-party for monetary compensation,
ADHS and Contractor agree to convene to determine the relevant issues of title, copyright, patent
and distribution of revenue. In the event of a controversy as to whether the Material is being used
for monetary compensation or in a way that interferes with the best interest of the state or ADHS,
then the Arizona Department of Administration shall make the final decision. Notwithstanding the
above, “monetary compensation’ does not include compensation paid to an individual creator for
traditional publications in academia (the copyrights to which are Employee-Excluded Works under
ABOR Intellectual Property Policy Section 6-908C.4.), an honorarium or other reimbursement of
expenses for an academic or professional presentation, or an unprofitable distribution of Material.
4.11. E-Verify Requirements In accordance with A.R.S. § 41-4401, Contractor warrants compliance with all
Federal immigration laws and regulations relating to employees and warrants its compliance with Section
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A.R.S. § 23-214, Subsection A.
4.12. Federal Immigration and Nationality Act The Contractor shall comply with all federal, state and local
immigration laws and regulations relating to the immigration status of their employees during the term of the
Contract. Further, the Contractor shall flow down this requirement to all subcontractors utilized during the
term of the Contract. The State shall retain the right to perform random audits of Contractor and subcontractor
records or to inspect papers of any employee thereof to ensure compliance. Should the State determine that
the Contractor and/or any subcontractors be found noncompliant, the State may pursue all remedies allowed
by law, including, but not limited to; suspension of work, termination of the Contract for default and suspension
and/or debarment of the Contractor.
5. Costs and Payments
5.1. Payments. Payments shall comply with the requirements of A.R.S. Titles 35 and 41, net 30 days. Upon
receipt and acceptance of goods or services, the Contractor shall submit a complete and accurate
Contractor’s Expenditure Report for payment from the State within thirty (30) days, as provided in the
Accounting and Auditing Procedures Manual for the ADHS.
5.2. Recoupment of Contract Payments.
5.2.1. Unearned Advanced Funds. Any unearned State funds that have been advanced to the Contractor
and remain in its possession at the end of each budget term, or at the time of termination of the
Contract, shall be refunded to the ADHS within forty-five (45) days of the end of a budget term or of
the time of termination.
5.2.2. Contracted Services. In a fixed price contract, if the number of services provided is less than the
number of services for which the Contractor received compensation, funds to be returned to the
ADHS shall be determined by the Contract price. Where the price is determined by cost per unit of
service or material, the funds to be returned shall be determined by multiplying the unit of service
cost by the number of services the Contractor did not provide during the Contract term. Where the
price for a deliverable is fixed, but the deliverable has not been completed, the Contractor shall be
paid a pro rata portion of the completed deliverable. In a cost reimbursement contract, the ADHS
shall pay for any costs that the Contractor can document as having been paid by the Contractor and
approved by ADHS. In addition, the Contractor will be paid its reasonable actual costs for work in
progress as determined by Generally Accepted Accounting Procedures up to the date of contract
termination.
5.2.3. Refunds. Within forty-five (45) days after the end of each budget term or of the time of termination
of the Contract, the Contractor shall refund the greater of: i) the amount refundable in accordance
with paragraph 4.2.1, Unearned Advanced Funds; or ii) the amount refundable in accordance with
paragraph 5.2.2, Contracted Services.
5.2.4. Unacceptable Expenditures. The Contractor agrees to reimburse the ADHS for all Contract funds
expended, which are determined by the ADHS not to have been disbursed by the Contractor in
accordance with the terms of this Contract. The Contractor shall reimburse ADHS within 45 days of
the determination of unacceptability.
5.3. Unit Costs/Rates or Fees. Unit costs/rates or fees shall be based on costs, which are determined by ADHS
to be reasonable, allowable and allocable as outlined in the Accounting and Auditing Procedures Manual for
the ADHS.
5.4. Applicable Taxes.
5.4.1. State and Local Transaction Privilege Taxes. The State of Arizona is subject to all applicable state
and local transaction privilege taxes. Transaction privilege taxes apply to the sale and are the
responsibility of the seller to remit. Failure to collect taxes from the buyer does not relieve the seller
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from its obligation to remit taxes.
5.4.2. Tax Indemnification. The Contractor and all subcontractors shall pay all federal, state and local taxes
applicable to its operation and any persons employed by the Contractor. Contractor shall require all
subcontractors to hold the State harmless from any responsibility for taxes, damages and interest, if
applicable, contributions required under Federal, and/or state and local laws and regulations and any
other costs, including transaction privilege taxes, unemployment compensation insurance, Social
Security and Worker’s Compensation.
5.4.3. I.R.S. W9 Form. In order to receive payment under any resulting Contract, the Contractor shall have
a current I.R.S. W9 Form on file with the State of Arizona.
5.5. Availability of Funds for the Next Fiscal Year. Funds may not be presently available for performance under
this Contract beyond the first year of the budget term or Contract term. The State may reduce payments or
terminate this Contract without further recourse, obligation or penalty in the event that insufficient funds are
appropriated in the subsequent budget term. The State shall not be liable for any purchases or Subcontracts
entered into by the Contractor in anticipation of such funding. The Procurement Officer shall have the
discretion in determining the availability of funds.
5.6. Availability of Funds for the Current Contract Term. Should the State Legislature enter back into session and
decrease the appropriations through line item or general fund reductions, or for any other reason these goods
or services are not funded as determined by ADHS, the following actions may be taken by ADHS:
5.6.1. Accept a decrease in price offered by the Contractor;
5.6.2. Reduce the number of goods or units of service and reduce the payments accordingly;
5.6.3. Offer reductions in funding as an alternative to Contract termination; or
5.6.4. Cancel the Contract.
6. Contract Changes
6.1. Amendments, Purchase Orders and Change Orders. This Contract is issued under the authority of the
Procurement Officer who signed this Contract. The Contract may be modified only through a Contract
Amendment, Purchase Order and/or Change Order within the scope of the Contract, unless the change is
administrative or otherwise permitted by the Special Terms and Conditions. Changes to the Contract,
including the addition of work or materials, the revision of payment terms, or the substitution of work or
materials, directed by an unauthorized State employee or made unilaterally by the Contractor are violations
of the Contract and of applicable law. Such changes, including unauthorized Contract Amendments,
Purchase Orders and/or Change Orders, shall be void and without effect, and the Contractor shall not be
entitled to any claim under this Contract based on those changes.
6.2. Subcontracts. The Contractor shall not enter into any subcontract under this Contract without the advance
written approval of the Procurement Officer. The subcontract shall incorporate by reference all material and
applicable terms and conditions of this Contract.
6.3. Assignments and Delegation. The Contractor shall not assign any right nor delegate any duty under this
Contract without the prior written approval of the Procurement Officer. The State shall not unreasonably
withhold approval.
7. Risk and Liability
7.1. Risk of Loss. The Contractor shall bear all loss of conforming material covered under this Contract until
received and accepted by authorized personnel at the location designated in the Purchase Order, Change
Order or Contract. Mere receipt does not constitute final acceptance. The risk of loss for nonconforming
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materials shall remain with the Contractor regardless of receipt.
7.2. Mutual Indemnification. 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”) 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/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.
7.3. Force Majeure.
7.3.1. Liability and Definition. Except for payment of sums due, neither party shall be liable to the other nor
deemed in default under this Contract if and to the extent that such party’s performance of this
Contract is prevented by reason of force majeure. The term “force majeure” means an occurrence
that is beyond the control of the party affected and occurs without its fault or negligence. Without
limiting the foregoing, force majeure includes acts of God; acts of the public enemy; acts of terrorism;
war; riots; strikes; mobilization; labor disputes; civil disorders; fire; flood; lockouts; injunctions-
interventions not caused by or resulting from the act or failure to act of the parties; failures or refusals
to act by government authority not caused by or resulting from the act or failure to act of the parties;
and other similar occurrences beyond the control of the party declaring force majeure, which such
party is unable to prevent by exercising reasonable diligence.
7.3.2. Exclusions. Force Majeure shall not include the following occurrences:
7.3.2.1. Late delivery of Materials caused by congestion at a manufacturer’s plant or elsewhere, or
an oversold condition of the market;
7.3.2.2. Late performance by a subcontractor unless the delay arises out of a force majeure
occurrence in accordance with this force majeure term and condition; or
7.3.2.3. Inability of either the Contractor or any subcontractor to acquire or maintain any required
insurance, bonds, licenses or permits.
7.3.3. Notice. If either party is delayed at any time in the progress of the work by force majeure, the delayed
party shall notify the other party in writing of such delay, as soon as is practicable and no later than
the following working day of the commencement thereof, and shall specify the causes of such delay
in such notice. Such notice shall be delivered or mailed certified-return receipt and shall make a
specific reference to this article, thereby invoking its provisions. The delayed party shall cause such
delay to cease as soon as practicable and shall notify the other party in writing when it has done so.
The time of completion shall be extended by Contract Amendment for a period of time equal to the
time that the results or effects of such delay prevent the delayed party from performing in accordance
with this Contract.
7.3.4. Default. Any delay or failure in performance by either party hereto shall not constitute default
hereunder or give rise to any claim for damages or loss of anticipated profits if, and to the extent that,
such delay or failure is caused by force majeure.
7.4. Third Party Antitrust Violations. The Contractor assigns to the State any claim for overcharges resulting from
antitrust violations to the extent that those violations concern materials or services supplied by third parties
to the Contractor for or toward the fulfillment of this Contract.
8. Description of Materials The following provisions shall apply to Materials only:
8.1. Liens. The Contractor agrees that the Materials supplied under this Contract are free of liens. In the event
the Materials are not free of liens, Contractor shall pay to remove the lien and any associated damages or
replace the Materials with Materials free of liens.
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8.2. Quality. Unless otherwise modified elsewhere in these terms and conditions, the Contractor agrees that, for
one year after acceptance by the State of the Materials, they shall be:
8.2.1. Of a quality to pass without objection in the Contract description;
8.2.2. Fit for the intended purposes for which the Materials are used;
8.2.3. Within the variations permitted by the Contract and are of even kind, quantity, and quality within each
unit and among all units;
8.2.4. Adequately contained, packaged and marked as the Contract may require; and
8.2.5. Conform to the written promises or affirmations of fact made by the Contractor.
8.3. Inspection/Testing. Subparagraphs 8.1 through 8.2 of this paragraph are not affected by inspection or testing
of or payment for the Materials by the State.
8.4. Compliance With Applicable Laws. The Materials and services supplied under this Contract shall comply with
all applicable federal, state and local laws, and the Contractor shall maintain all applicable license and permit
requirements.
8.5. Survival of Rights and Obligations After Contract Expiration and Termination.
8.5.1. Contractor’s Representations. All representations and warranties made by the Contractor under this
Contract in paragraphs 7 and 8 shall survive the expiration or termination hereof. In addition, the
parties hereto acknowledge that pursuant to A.R.S. § 12.510, except as provided in A.R.S. § 12-529,
the State is not subject to or barred by any limitations of actions prescribed in A.R.S. Title 12, Chapter
5.
8.5.2. Purchase Orders and Change Orders. Unless otherwise directed in writing by the Procurement
Officer, the Contractor shall fully perform and shall be obligated to comply with all Purchase Orders
and Change Orders received by the Contractor prior to the expiration or termination hereof, including,
without limitation, all Purchase Orders and Change Orders received prior to but not fully performed
and satisfied at the expiration or termination of this Contract.
9. State’s Contractual Remedies
9.1. Right to Assurance. If the State, in good faith, has reason to believe that the Contractor does not intend to,
or is unable to, perform or continue performing under this Contract, the Procurement Officer may demand in
writing that the Contractor give a written assurance of intent to perform. Failure by the Contractor to provide
written assurance within the number of Days specified in the demand may, at the State’s option, be the basis
for terminating the Contract.
9.2. Stop Work Order.
9.2.1. Terms. The State may, at any time, by written order to the Contractor, require the Contractor to stop
all or any part of the work called for by this Contract for a period up to ninety (90) Days after the order
is delivered to the Contractor, and for any further period to which the parties may agree. The order
shall be specifically identified as a stop work order issued under this clause. Upon receipt of the
order, the Contractor shall immediately comply with its terms and take all reasonable steps to
minimize the incurrence of costs allocable to the work covered by the order during the period of work
stoppage.
9.2.2. Cancellation or Expiration. If a stop work order issued under this clause is canceled or the period of
the order or any extension expires, the Contractor shall resume work. The Procurement Officer shall
make an equitable adjustment in the delivery schedule or Contract price, or both, and the Contract
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shall be amended in writing accordingly.
9.3. Non-exclusive Remedies. The rights and remedies of ADHS under this Contract are not exclusive, and
ADHS is entitled to all rights and remedies available to it, including those under the Arizona Uniform
Commercial Code and Arizona common law.
9.4. Right of Offset. The State shall be entitled to offset against any sums due the Contractor in any Contract
with the State or damages assessed by the State because of the Contractor’s non-conforming performance
or failure to perform this Contract. The right to offset may include, but is not limited to, a deduction from an
unpaid balance and a collection against the bid and/or performance bonds. Any offset taken for damages
assessed by the State shall represent a fair and reasonable amount for the actual damages and shall not be
a penalty for non-performance.
10. Contract Termination
10.1. Cancellation for Conflict of Interest. Pursuant to A.R.S. § 38-511, the State may cancel this Contract within
three (3) years after Contract execution without penalty or further obligation if any person significantly
involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the State is, or
becomes at any time while the Contract or an extension of the Contract is in effect, an employee of or a
consultant to any other party to this Contract with respect to the subject matter of the Contract. The
cancellation shall be effective when the Contractor receives written notice of the cancellation, unless the
notice specifies a later time. If the Contractor is a political subdivision of the State, it may also cancel this
Contract as provided in A.R.S. § 38-511.
10.2. Gratuities. The State may, by written notice, terminate this Contract, in whole or in part, if the State
determines that employment or a Gratuity was offered or made by the Contractor or a representative of the
Contractor to any officer or employee of the State for the purpose of influencing the outcome of the
procurement, securing the Contract or an Amendment to the Contract, or receiving favorable treatment
concerning the Contract, including the making of any determination or decision about Contract performance.
The State, in addition to any other rights or remedies, shall be entitled to recover exemplary damages in the
amount of three times the value of the Gratuity offered by the Contractor.
10.3. Suspension or Debarment. The State may, by written notice to the Contractor, immediately terminate this
Contract if the State determines that the Contractor or its subcontractor has been debarred, suspended or
otherwise lawfully prohibited from participating in any public procurement activity, including but not limited to,
being disapproved as a subcontractor of any public procurement unit or other governmental body.
10.4. Termination Without Cause.
10.4.1. Both the State and the Contractor may terminate this Contract at any time with thirty (30) days’ notice
in writing specifying the termination date. Such notices shall be given by personal delivery or by
certified mail, return receipt requested.
10.4.2. If the Contractor terminates this Contract, any monies prepaid by the State, for which no service or
benefit was received by the State, shall be refunded to the State within 5 days of the termination
notice. In addition, if the Contractor terminates the Contract, the Contractor shall indemnify the State
for any sanctions imposed by the funding source as a result of the Contractor’s failure to complete
the Contract.
10.4.3. If the State terminates this Contact pursuant to this Section, the State shall pay the Contractor the
Contract price for all Services and Materials completed up to the date of termination. In a fixed price
contract, the State shall pay the amount owed for the Services or Materials by multiplying the unit of
service or item cost by the number of unpaid service units or items. In a cost reimbursement contract,
the ADHS shall pay for any costs that the Contractor can document as having been paid by the
Contractor and approved by ADHS. In addition, the Contractor will be paid its reasonable actual
costs for work in progress as determined by GAAP up to the date of termination. Upon such
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termination, the Contractor shall deliver to the ADHS all deliverables completed. ADHS may require
Contractor to negotiate the terms of any remaining deliverables still due.
10.5. Mutual Termination. This Contract may be terminated by mutual written agreement of the parties specifying
the termination date and the terms for disposition of property and, as necessary, submission of required
deliverables and payment therein.
10.6. Termination for Default. The State reserves the right to terminate the Contract in whole or in part due to the
failure of the Contractor to comply with any material obligation, term or condition of the Contract, to acquire
and maintain all required insurance policies, bonds, licenses and permits, or to make satisfactory progress
in performing the Contract. In the event the ADHS terminates the Contract in whole or in part as provided in
this paragraph, the ADHS may procure, upon such terms and in such manner as deemed appropriate,
Services or Materials, similar to those terminated, and Contractor shall be liable to the ADHS for any excess
costs incurred by the ADHS in obtaining such similar Services or Materials.
10.7. Continuation of Performance Through Termination. Upon receipt of the notice of termination and until the
effective date of the notice of termination, the Contractor shall perform work consistent with the requirements
of the Contract and, if applicable, in accordance with a written transition plan approved by the ADHS. If the
Contract is terminated in part, the Contractor shall continue to perform the Contract to the extent not
terminated. After receiving the notice of termination, the Contractor shall immediately notify all
subcontractors, in writing, to stop work on the effective date of termination, and on the effective date of
termination, the Contractor and subcontractors shall stop all work.
10.8. Disposition of Property. Upon termination of this Contract, all property of the State, as defined herein, shall
be delivered to the ADHS upon demand.
11. Arbitration
Pursuant to A.R.S. § 12-1518, disputes under this Contract shall be resolved through the use of arbitration when
the case or lawsuit is subject to mandatory arbitration pursuant to rules adopted under A.R.S. § 12 -133.
12. Communication
12.1. Program Report. When reports are required by the Contract, the Contractor shall provide them in the format
approved by ADHS.
12.2. Information and Coordination. The State will provide information to the Contractor pertaining to activities that
affect the Contractor’s delivery of services, and the Contractor shall be responsible for coordinating their
activities with the State’s in such a manner as not to conflict or unnecessarily duplicate the State’s activities.
As the work of the Contractor progresses, advice and information on matters covered by the Contract shall
be made available by the Contractor to the State throughout the effective period of the Contract.
13. Client Grievances
If applicable, the Contractor and its subcontractors shall use a procedure through which clients may present
grievances about the operation of the program that result in the denial, suspension or reduction of services provided
pursuant to this Contract and which is acceptable to and approved by the State.
14. Sovereign Immunity
Pursuant to A.R.S. § 41-621(O), the obtaining of insurance by the State shall not be a waiver of any sovereign
immunity defense in the event of suit.
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15. Administrative Changes
The Procurement Officer, or authorized designee, reserves the right to correct any obvious clerical, typographical
or grammatical errors, as well as errors in party contact information (collectively, “Administrative Changes”), prior
to or after the final execution of a Contract or Contract Amendment. Administrative Changes subject to permissible
corrections include: misspellings, grammar errors, incorrect addresses, incorrect Contract Amendment numbers,
pagination and citation errors, mistakes in the labeling of the rate as either extended or unit, and calendar date
errors that are illogical due to typographical error. The Procurement Office shall subsequently send to the
Contractor notice of corrections to administrative errors in a written confirmation letter with a copy of the corrected
Administrative Change attached.
16. Survival of Terms After Termination or Cancellation of Contract
All applicable Contract terms shall survive and apply after Contract termination or cancellation to the extent
necessary for Contractor to complete and for the ADHS to receive and accept any final deliverables that are due
after the date of the termination or cancellation.
17. Health Insurance Portability and Accountability Act of 1996 (HIPAA)
17.1. The Contractor warrants that it is familiar with the requirements of HIPAA, as amended by the Health
Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying
regulations and will comply with all applicable HIPAA requirements in the course of this Contract. Contractor
warrants that it will cooperate with the Arizona Department of Health Services (ADHS) in the course of
performance of the Contract so that both ADHS and Contractor will be in compliance with HIPAA, including
cooperation and coordination with the Arizona Department of Administration-Arizona Strategic Enterprise
Technology (ADOA-ASET) Office, the ADOA-ASET Arizona State Chief Information Security Officer and
HIPAA Coordinator and other compliance officials required by HIPAA and its regulations. Contractor will sign
any documents that are reasonably necessary to keep ADHS and Contractor in compliance with HIPAA,
including, but not limited to, business associate agreements.
17.2. If requested by the ADHS Procurement Office, Contractor agrees to sign a “Pledge To Protect Confidential
Information” and to abide by the statements addressing the creation, use and disclosure of confidential
information, including information designated as protected health information and all other confidential or
sensitive information as defined in policy. In addition, if requested, Contractor agrees to attend or participate
in HIPAA training offered by ADHS or to provide written verification that the Contractor has attended or
participated in job related HIPAA training that is: (1) intended to make the Contractor proficient in HIPAA for
purposes of performing the services required and (2) presented by a HIPAA Privacy Officer or other person
or program knowledgeable and experienced in HIPAA and who has been approved by the ADOA-ASET
Arizona State Chief Information Security Officer and HIPAA Coordinator.
18. Comments Welcome
The ADHS Procurement Office periodically reviews the Uniform Terms and Conditions and welcomes any
comments you may have. Please submit your comments to: ADHS Procurement Administrator, Arizona Department
of Health Services, 150 North 18th Avenue, Suite 530, Phoenix, Arizona 85007.
19. Data Universal Numbering System (DUNS) Requirement
For federal funding, pursuant to 2 CFR 25.100 et seq., no entity (defined as a Governmental organization, which is
a State, local government, or Indian tribe; foreign public entity; domestic or foreign nonprofit organization; domestic
or foreign for-profit organization; or Federal agency, but only as a subrecipient under an award or subaward to a
non-Federal entity) may receive a subaward from ADHS unless the entity provides its Data Universal Numbering
System (DUNS) Number to ADHS.
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20. The Federal Funding Accountability and Transparency Act (FFATA or Transparency Act - P.L.109-282, as
amended by section 6202(a) of P.L. 110-252), found at https://www.fsrs.gov/
If applicable, the Contractor/Grantee shall submit to ADHS via email the Grant Reporting Certification Form. This
form and the instructions can be downloaded from the ADHS Procurement website at
http://www.azdhs.gov/operations/financial-services/procurement/index.php#ffata and must be returned to the
ADHS by the 15th of the month following that in which the award was received. The form shall be completed
electronically, and submitted using the steps outlined in the Grant Reporting Certification Form Instructions to the
following email address: ADHS_Grant@azdhs.gov. All required fields must be filled including Top Employee
Compensation, if applicable. Completing the Grant Reporting Certification Form is required for compliance with the
Office of Management and Budget (OMB), found at http://www.whitehouse.gov/omb/open. Failure to timely submit
the Grant Reporting Certification Form could result in the loss of funds. This requirement applies to all
subcontractors/sub-awardees utilized by the Contractor/Grantee for amounts exceeding $30,000.00 during the term
of the Award.
21. 2 CFR §200.216 PROHIBITION ON CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE
SERVICES OR EQUIPMENT
21.1. Recipients and sub-recipients are prohibited from obligating or expanding loan or grant funds to:
21.1.1. Procure or obtain;
21.1.2. Extend or renew a contract to procure or obtain; or
21.1.3. Enter in a contract (or extend or renew a contract) to procure or obtain equipment, services, or
system that uses 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 Public
Law 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).
21.1.3.1. 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).
21.1.3.2. Telecommunications or video surveillance services provided by such entities or using
such equipment.
21.1.3.3. 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.
22. Technology Replacement
In any event where product is discontinued, no longer available or technically inferior to newly developed product,
the Contractor shall provide an equivalent replacement model at no additional cost and shall honor the original
contract terms
23. Authorization for Provision of Services
Authorization for purchase of services under this Agreement shall be made only upon ADHS issuance of a Purchase
Order that is signed by an authorized agent. The Purchase Order will indicate the Agreement number and the dollar
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amount of the funds authorized. The Contractor shall only be authorized to perform services up to the amount of the
Purchase Order. ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on
the Purchase Order. No further obligation for payment shall exist on behalf of ADHS unless 2) the Purchase Order
is changed or modified with an official ADHS Procurement Change Order, and/or an additional Purchase Order is
issued for purchase of services under this Agreement.
Additional Terms and Conditions for Title 2, Subtitle A, Chapter II, Part 200, Subpart C: §200.201 USE OF GRANT
AGREEMENTS (INCLUDING FIXED AMOUNT AWRDS), COOPERATIVE AGREEMENTS AND CONTRACT
25. CIVIL RIGHTS ASSURANCE STATEMENT. The Contractor and Subcontractors are subject to Title VI of the Civil
Rights Act of 1964, Section 504 of Rehabilitation Act of 1973, Title II of the Americans with Disabilities Act of 1990,
the Age Discrimination Act of 1975, Title IX of the Education Amendment of 1972, and offers all persons the
opportunity to participate in programs or activities regardless or race, color, national origin, age, sex, or disability.
Further, it is agreed that no individual will be turned away from or otherwise denied access to or benefit from any
program or activity that is directly associated with a program of the RECIPIENT on the basis of race, color, national
origin, age, sex (in educational activities) or disability.
26. AMERICANS WITH DISABILITIES ACT OF 1990.
26.1 The Contractor shall comply with the Americans With Disabilities Act of 1990 (Public Law 101-336) and the
Arizona Disability Act of 1992 (A.R.S § 41-1492 et. seq.), which prohibits discrimination of the basis of
physical or mental disabilities in delivering contract services or in the employment, or advancement in
employment of qualified individuals.
26.2 Persons with a disability may request a reasonable accommodation, such as a sign language interpreter,
by contracting the Contract Manager for the solicitation. Request should be made as early as possible to
allow time to arrange the accommodation.
27. FEDERAL FUNDING. Funding for these services is contingent upon the availability of federal government funding.
No commitment of any kind is made by the State concerning this Grant unless there are monies provided by a federal
grant. The Grantee should take this fact into consideration.
27.1 For the purposes of this Grant, a capital expenditure means expenditures to acquire capital assets, as
defined in 2 C.F.R. 200.12, or expenditures to make additions, improvements, modifications, replacements,
rearrangements, reinstallations, renovations, or alterations to capital assets that materially increase their
value or useful life, with a cost of $250 or greater.
27.2 Grantee agrees to maintain property records for equipment purchased with grant funds and perform a
physical inventory and reconciliation with property records at least every year. Grantee agrees that funds
will not be used for the construction of new facilities.
27.3 Grantee agrees to follow equipment disposition policies as determined by the Federal Awarding Agency at
Award Completion or as depicted in the State of Arizona Accounting Manual. Grantee also agrees to follow
the directives in ADHS Property and Procedure Policy FIN 111.
27.4 Charges to Federal awards for salaries and wages must be based on records that accurately reflect the
work performed. These records must: Be supported by a system of internal control which provides
reasonable assurance that the charges are accurate, allowable, and properly allocated; Be incorporated
into the official records of the non-Federal entity; Reasonably reflect the total activity for which the employee
is compensated by the non-Federal entity, not exceeding 100% of compensated activities (for IHE, this per
the IHE's definition of IBS); Encompass both federally assisted and all other activities compensated by the
non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the
non-Federal entity's written policy; Comply with the established accounting policies and practices of the
non-Federal entity (See paragraph above for treatment of incidental work for IHEs.; and Support the
distribution of the employee's salary or wages among specific activities or cost objectives if the employee
works on more than one Federal award; a Federal award and non-Federal award; an indirect cost activity
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and a direct cost activity; two or more indirect activities which are allocated using different allocation bases;
or an unallowable activity and a direct or indirect cost activity. Budget estimates (i.e., estimates
determined before the services are performed) alone do not qualify as support for charges to Federal
awards, but may be used for interim accounting purposes only.
27.5 Grantee understands that financial reports are required as an accounting of expenditures for either
reimbursement or ADHS-approved advance payments.
27.6 The final request for reimbursement of grant funds must be received by the ADHS no later than sixty (60)
days after the last day of the award period.
27.7 All goods and services must be received or have reasonable expectations thereof and placed in service by
Grantee by the expiration of this award.
27.8 Grantee agrees that all encumbered funds must be expended and that goods and services must be paid
by GRANTEE within sixty (60) days of the expiration of this award unless funding guidelines permit funds
to be used at a future date.
27.9 Grantee agrees to remit all unexpended grant funds to the ADHS within thirty (30) days of written request
from the ADHS.
27.10 Grantee agrees to account for interest earned on federal grant funds and shall manage interest income in
accordance with the Cash Management Improvement Act of 1990 and as indicated in the State of Arizona
Accounting Manual (SAAM) located at the following website: https://gao.az.gov/publications/saam. Interest
earned in excess of allowable limits must be remitted to the ADHS within thirty (30) days after receipt of a
written request from the ADHS.
27.11 Grantee agrees not to use grant funds for food and/or beverage unless explicitly approved in writing by the
ADHS.
27.12 Grantee agrees to comply with all applicable laws, regulations, policies and guidance (including specific
cost limits, prior approvals and reporting requirements, where applicable) governing the use of grant funds
for expenses related to conferences, meetings, trainings, and other events, including the provision of food
and/or beverages at such events, and costs of attendance at such events unless explicitly approved in
writing by the ADHS.
27.13 No funds shall be used to supplant federal, state, county or local funds that would otherwise be made
available for such purposes. Supplanting means the deliberate reduction of state or local funds because
of the existence of any grant funds.
27.14 Grantee agrees that grant funds are not to be expended for any indirect costs that may be incurred by
Grantee for administering these funds unless explicitly approved in writing by the ADHS. This may include,
but is not limited to, costs for services such as accounting, payroll, data processing, purchasing, personnel,
and building use which may have been incurred by the Grantee.
27.15 Grantee will comply with the audit requirements of OMB Office of Management and Budget’s (OMB)
Uniform Administrative Requirements, Cost Principles and Audit Requirement for Federal Awards and
provide the ADHS with the Single Audit Report and any findings within ninety (90) days of receipt of such
finding(s). If the report contains no findings, the Grantee must provide notification that the audit was
completed. All completed Single Audits should be uploaded in the format specified to the Federal Audit
Clearinghouse no later than nine months after the entities fiscal year-end at the attached Link:
https://harvester.census.gov/facweb/default.aspx/
27.16 Grantee understands and agrees that misuse of award funds may result in a range of penalties, including
suspension of current and future funds, suspension or debarment from federal grants, recoupment of
monies provided under an award, and civil and/or criminal penalties.
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27.17 Grantee agrees not to do business with any individual, agency, company or corporation listed in the
Excluded Parties Listing Service.
Link: System for Award Management: https://sam.gov/SAM/
27.18 Grantee agrees to ensure that, no later than the due date of the Grantee’s first financial report after the
award is made, Grantee and any subgrantees have a valid DUNS profile and active registration with the
System for Award Management (SAM) database.
27.19 GRANTEE certifies that it presently has no financial interest and shall not acquire any financial interest,
direct or indirect, which would conflict in any manner or degree with the performance of services required
under this Agreement.
27.20 Compliance with 41 U.S.C. 4712 (including prohibitions on reprisal; notice to employees) Grantee must
comply with, and is subject to, all applicable provisions of 41 U.S.C. 4712, including all applicable
provisions that prohibit, under specified circumstances, discrimination against an employee as reprisal
for the employee's disclosure of information related to gross mismanagement of a federal grant, a gross
waste of federal funds, an abuse of authority relating to a federal grant, a substantial and specific
danger to public health or safety, or a violation of law, rule, or regulation related to a federal grant.
27.21 GRANTEE certifies to comply with the Drug-Free Workplace Act of 1988, and implemented in 28 CFR Part
83, Subpart F, for grantees, as defined in 28 CFR, Part 83 Sections 83.620 and 83.650.
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1. BACKGROUND
The Arizona Department of Health Services (ADHS), through the Bureau of Public Health Emergency Preparedness
(PHEP), has been working with Arizona Counties and Tribes to improve the preparedness of each community in the
event of any public health emergency. Most of these projects were funded by grants from the Centers for Disease
Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS).
2. OBJECTIVE
This Agreement is intended to improve upon the process. Nothing in this Agreement is meant to supplant or in any
other way discourage existing planning and coordination between County and Tribal Health Departments. This
Agreement is designed to increase participation in the ongoing development of the State and County Health
Preparedness Infrastructure through the CDC Public Health Preparedness Cooperative Agreement with the ADHS.
3. TASKS
3.1. The Contractor shall:
3.1.1. Appoint a PHEP Coordinator responsible for overseeing all grant related activities, budgets, and reports,
3.1.2. Participate in Public Health Preparedness Regional Healthcare Coalition meetings and conference calls
held in the Contractor’s regional communities as appropriate,
3.1.3. Review Attachment A: Grant Guidance and use for grant reference,
3.1.4. Review and update, in writing, the Contractor’s Public Health Emergency Preparedness and Response
Plans according to the timeframes identified under the ADHS PHEP Deliverables Document
(Deliverables):
3.1.4.1. Prepare and update plans to the ADHS PHEP Coordinator of Community & Healthcare
Preparedness section at the time of completion;
3.1.4.2. Document participation in regional emergency preparedness planning and other related
activities to be provided upon request by ADHS;
3.1.4.3. Address the plan for the Strategic National Stockpile (SNS), mass prophylaxis and
countermeasure distribution and dispensing within the Contractor’s jurisdiction, as appropriate;
and
3.1.4.4. Develop or update mutual aid agreements with other jurisdictions, in accordance with the
approved Contractor’s Public Health Emergency Preparedness and Response Plan.
3.2. Medical Electronic Disease Surveillance and Intelligence System (MEDSIS):
3.2.1. The Contractor shall:
3.2.1.1. Participate in ADHS-coordinated workgroups for MEDSIS enhancements to include Tribal
communities (if applicable) and Electronic Laboratory Reporting (ELR) capabilities; and
3.2.1.2. Participate in epidemiology specific trainings, workshops, or conferences provided by ADHS or
an ADHS recognized training session (if applicable).
3.3. Public Health Emergency Exercises:
3.3.1. The Contractor shall:
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3.3.1.1. Participate in required statewide/regional public health exercises; and
3.3.1.2. Participate in SNS and Receiving, Staging and Storing (RSS) exercises as appropriate for
the Contractor’s community.
3.3.2. City Readiness Initiative (CRI) Jurisdictional Requirements (Maricopa and Pinal Counties):
3.3.2.1. Participate in one medical countermeasure (MCM) dispending full-scale exercise or mass
vaccination full-scale exercise. The exercise will include at least one Point of Dispensing
(POD) in each CRI planning jurisdiction;
3.3.2.2. Complete three (3) annual drills by June of the budget period;
3.3.2.3. Facility Setup;
3.3.2.4. Site activation; and
3.3.2.5. Throughput estimation is now a component of the dispensing full-scale exercise (FSE). If a
site does note participate in the dispensing FSE, oral MCM throughput will be measured and
information submitted at least once during the five (5) year project period.
3.4. COVID-19:
If applicable, completion of tasks per Contract No.: ADHS17-133194 Amendments Seven (7) and Eight (8), which
are incorporated herein by reference.
3.4.1. The Contractor shall:
3.4.1.1. Comply with existing and/or future directives and guidance from the HHS, CDC Secretary
regarding control of the spread of COVID-19;
3.4.1.2. Consult and coordinate with HHS, CDC to provide, commensurate with the condition of the
individual, COVID-19 patient care regardless of the individual’s home jurisdiction and/or
appropriate public health measures (e.g., social distancing, home isolation); and
3.4.1.3. Assist the United States Government in the implementation and enforcement of federal
orders related to quarantine and isolation.
3.4.2. HHS, CDC has established allowable activities related to the capability domains described in the Public
Health Crisis Response Notice of Funding Opportunity. The domains include:
3.4.2.1. Incident Management for Early Crisis Response;
3.4.2.2. Jurisdictional Recovery;
3.4.2.3. Information Management;
3.4.2.4. Countermeasures and Mitigation;
3.4.2.5. Surge Management; and
3.4.2.6. Biosurveillance.
3.4.3. Surveillance, Laboratory Testing, and Reporting
3.4.3.1. Contractor shall implement and scale-up laboratory testing and data collection to enable
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identification and tracking of COVID-19 cases in the community and is responsible for
immediate implementation of real-time reporting to the Hospital Preparedness Program
(HPP), CDC. Specifically, jurisdictions should focus on the following activities, in accordance
with CDC guidelines:
3.4.3.1.1. Conduct surveillance to identify cases, report case data in a timely manner,
identify contacts, characterize disease transmission, and track relevant
epidemiologic characteristics including hospitalization and death;
3.4.3.1.2. Conduct surveillance to monitor virologic and disease activity in the community
and healthcare settings;
3.4.3.1.3. Implement routine and enhanced surveillance to support the science base that
informs public health interventions that mitigate the impact of COVID-19, including
understanding of clinical characteristics; infection prevention and control
practices; and other mitigation requirements,
3.4.3.1.4. Establish or enhance core epidemiological activities to support response such as
risk assessment, case classification, analysis, visualization and reporting;
3.4.3.1.5. Conduct surveillance to monitor disruption in the community caused by COVID-
19 and related mitigation activities (e.g. school closures and cancellation of mass
gatherings); and
3.4.3.1.6. Conduct surveillance to monitor disruption in healthcare systems caused by
COVID-19 (e.g. shortages of personal protective equipment).
3.4.4. Community Intervention Implementation Plan
3.4.4.1. Contractor shall maintain its COVID-19 community intervention implementation plan that
describes how the state and local jurisdictions will achieve the response’s three (3)
mitigation goals:
3.4.4.1.1. Slow transmission of disease,
3.4.4.1.2. Minimize morbidity and mortality, and
3.4.4.1.3. Preserve healthcare, workforce, and infrastructure functions and minimize social
and economic impacts.
3.4.4.2. The plan shall address:
3.4.4.2.1. Minimizing potential spread and reduce morbidity and mortality of COVID-19 in
communities,
3.4.4.2.2. Planning and adapting for disruption caused by community spread and
implement interventions to prevent further spread,
3.4.4.2.3. Ensuring healthcare system response is an integrated part of community
interventions, and
3.4.4.2.4. Ensuring integration of community mitigation interventions with health system
preparedness and response plans and interventions.
3.5. ADHS will:
3.5.1. Monitor the expenditure of funds for the reports submitted. If there are any reports that are not submitted
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on or before the appropriate submission date, the Contractor could be subject to a potential reduction
in funds, or loss of funds for the following year.
3.5.1.1. Expenditures that are not on an approved budget or approved redirection may not be eligible
for reimbursement from ADHS.
4. FINANCIAL REQUIREMENTS
4.1. The Contractor shall participate in match requirement:
4.1.1. The PHEP award requires a ten percent (10%) “in-kind” or “soft” match from all Contractors. Each
Contractor must include in their budget submission, the format they will use to cover the match and method
of documentation. Failure to include the match formula will preclude funding. ADHS may not award a
Contract under this program unless the Contractor agrees that, with respect to the amount of the
cooperative agreement allocated by ADHS, the Contractor shall make available non-federal contributions
in the amount of ten percent (10%) ($1 for each $10 of federal funds provided in the cooperative
agreement) of the award, whether provided through financial or direct assistance. Match may be provided
directly or through donations from public or private entities and may be in cash or in kind, fairly evaluated,
including plant, equipment or services. Amounts provided by the federal government or services assisted
or subsidized to any significant extent by the federal government may not be included in determining the
amount of such non-federal contributions. Documentation of match, including methods and sources, must
be included in sub-recipient budgets each budget period, include calculations for both financial assistance
and direct assistance, follow procedures for generally accepted accounting practices, and meet audit
requirements.
4.1.2. Total Direct Costs
Show the direct costs by listing the totals of each category, including salaries and wages, fringe benefits,
consultant costs, equipment, supplies, travel, other, and contractual costs. Provide the total direct costs
within the budget.
4.1.3. Total Indirect Costs
To claim indirect costs, the Contractor must have a current approved indirect cost rate agreement
established with the applicable federal agency. A copy of the most recent indirect cost rate shall be
submitted to ADHS with the signed Agreement. Indirect cost percentage cannot exceed the State rate.
4.1.4. Indirect Costs
To claim indirect costs, the Contractor must have a current approved indirect cost rate agreement
established with the applicable federal agency. A copy of the most recent indirect cost rate shall be
submitted to ADHS with the signed Agreement. If the applicant organization does not have an approved
indirect cost rate agreement, costs normally identified as indirect costs (overhead costs) can be budgeted
and identified as direct costs.
4.2. Inventory
Upon request, the Contractor shall provide an inventory list to ADHS. The inventory list shall include all
equipment purchased. Items over $5,000 will require an ADHS asset tag.
4.3. Budget Allocation and Work Plan
4.3.1. The Contractor shall complete the budget tool provided by ADHS, and return to ADHS for review and
approval. Funding will not be released until the budget has been approved by ADHS, and
4.3.2. All activities and procurements funded through the PHEP grant shall be aligned with the budget/spend plan
Page 20 of 25

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
CTR055214 SCOPE OF WORK
and work plan. These tools shall help the Contractor to reach the goals and objectives outlined in the
Attachment A; Grant Guidance section of this document.
4.4. Conduct Financial accounting, auditing and reporting consistent with the ADHS Accounting and Auditing
Procedures Manual, which can be found at https://drive.google.com/file/d/15mO7JShrS9VFfqaCXhlmhthqsv
74yM9M/view?usp=sharing; and
4.5. Prepare monthly financial reports with supporting documentation by the established due dates identified by
ADHS. Failure to accomplish monthly financial reports within specified time frames, without prior coordination of
ADHS program leadership, could result in a reduction or loss of grant funding in subsequent years.
5. DELIVERABLES
5.1. The Contractor shall:
5.1.1. Provide primary and secondary contact information for its public health incident command team, to ADHS,
as part of the mid-year report (due date determined additionally);
5.1.2. Provide annually twenty-four (24) hours a day/seven (7) days a week/three hundred sixty-five (365) days
a year public health emergency contact number for its Public Health Department or a designated health
emergency contact person and within ten (10) days of any changes;
5.1.3. Submit upon activation the primary and secondary contact information for its public health incident
command team. At a minimum, contact information shall be provided for the Incident Commander,
Operations Chief, Planning Chief, Logistics Chief, and Finance/Administrative Chief;
5.1.4. Submit annually by June 1st a spending plan using the budget tool supplied by ADHS for the completion
of the work plan to meet selected deliverables;
5.1.5. Submit monthly expenditure reports to the ADHS PHEP Financial Coordinator by the last day of the
following month using the budget tool provided on the AZ-Program Information and Reporting Exchange
(AZ-PIRE) website and include all supporting documents, receipts and reports necessary to back up the
expenditures. The website can be found at https://sites.google.com/azdhs.gov/az-pire/home.
5.1.6. Submit a Semi-Annual Report, utilizing the templates provided, to the ADHS PHEP Coordinator;
5.1.6.1. Due date will be determined by ADHS, and
5.1.6.2. Report progress on Public Health Emergency Exercises.
5.1.7. Submit an Annual Report, utilizing the templates provided, to the ADHS PHEP Coordinator;
5.1.7.1. Due date will be determined by ADHS,
5.1.7.2. Report progress on MEDSIS, and
5.1.7.3. Report progress on Public Health Emergency Exercises.
5.2. COVID-19 Deliverables
5.2.1. The Contractor shall:
5.2.1.1. Submit a carry-over spend plan, if applicable, as requested by ADHS by September 30th; and
5.2.1.2. Submit monthly contractor expenditure reports (CER), if applicable, with detailed information and
receipts by the last day of the following month.
Page 21 of 25

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
CTR055214 SCOPE OF WORK
5.3. ADHS will:
Upon plan approval, send a Purchase Order to the Contractor for the agreed upon allocation from the Price
Sheet.
6. NOTICES, CORRESPONDENCE, REPORTS AND INVOICES
6.1. Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to:
Arizona Department of Health Services
Bureau of Public Health Services
Emergency Preparedness and Response
150 North 18th Avenue, Suite 150
Phoenix, Arizona 85007
Telephone: 602-364-0587
Fax: 602-364-3681
6.2. Invoices/CERs shall be sent to invoices@azdhs.gov.
6.3. AUTOMATED CLEARING HOUSE. ADHS may pay invoices for some or all Orders through an Automated Clearing
House (ACH). In order to receive payments in this manner, the Contractor must complete an ACH Vendor
Authorization Form (form GAO-618) within 30 (thirty) days after the effective date of the Contract. The form is
available online at: https://gao.az.gov/sites/default/files/GAO-618%20ACH%20Authorization%20Form%20101019.pdf.
6.3.1. ACH Vendor Authorization Form shall be emailed to Vendor.Payautomation@azdoa.gov
6.4. Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to:
Maricopa County
Attn: Katie Turnbow
4041 North Central Avenue
Phoenix, AZ 85012
Telephone: 602-506-6415
Email: katie.turnbow@maricopa.gov
Page 22 of 25

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
CTR055214 PRICE SHEET
PHEP Budget Period Three (3)
July 1, 2021 through June 30, 2022
Cost Reimbursement
Description Amount
Funds to enhance current PHEP activities (without Direct Assistance (DA) per
the deliverables in Attachment A and upon ADHS approval of monthly $1,720,093.00
Contractor Expenditure Reports (CER’s).
Funds to enhance current PHEP activities (which includes CRI jurisdictional
requirements) per the deliverables in Attachment A and upon ADHS approval of $1,027,485.00
monthly Contractor Expenditure Reports (CER’s).
TOTAL $2,747,578.00
Page 23 of 25

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
CTR055214 EXHIBIT A
Exhibit - 2 CFR 200.332
§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the
following information at the time of the subaward and if any of these data elements change, include the
changes in subsequent subaward modification. When some of this information is not available, the pass-
through entity must provide the best information available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
DUNS # 804745420
Federal Award Identification (Grant Number): NU90TP922004-02
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (DUNS #): 60-206-2515
Federal Award Identification Number (FAIN, sometimes it’s
the same as the Grant Number): NU90TP922004
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by the
Federal agency;
Subaward Period of Performance Start and End Date; 07/01/2019 - 06/30/2024
Subaward Budget Period Start and End Date: 07/01/2020 - 06/30/2021
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally the
contract amount): $1,720,093.00
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $7,682,618.00
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $11,721,118.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and Public Health Emergency Preparedness (PHEP)
Transparency Act (FFATA) Cooperative Agreement
Page 24 of 25

CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
CTR055214 EXHIBIT A
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Department of Health and Human Services - Centers
through entity for Disease Control and Prevention
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available under
each Federal award and the Assistance Listings Number at
time of disbursement: 93.069
Identification of whether the award is R&D
Indirect cost rate for the Federal award (including if the de
minimis rate is charged) per § 200.414
Page 25 of 25

Attachment A
Bureau of Public Health Emergency Preparedness
GRANT DELIVERABLES
Project Period: 2019-2024
Budget Period 3
PERIOD OF PERFORMANCE
(July 1, 2021 – June 30, 2022)

Table of Contents
INTRODUCTION ........................................................................................................................................................................................... 3
FEDERAL REQUIREMENTS ........................................................................................................................................................................ 4
Project Period Requirements for ADHS (2019-2024) ................................................................................................................................. 4
Funding Restrictions .................................................................................................................................................................................. 4
LOCAL PROGRAM REQUIREMENTS ......................................................................................................................................................... 6
Meetings .................................................................................................................................................................................................... 6
Exercise Planning and Conduct ................................................................................................................................................................. 6
Health Care Coalition ................................................................................................................................................................................. 7
Financial Requirements ............................................................................................................................................................................. 7
Plans, Training, and Exercise Implementation Criteria ............................................................................................................................... 9
INFORMATION SERVICES ........................................................................................................................................................................ 10
REPORTING ............................................................................................................................................................................................... 10
Mid-Year Report ....................................................................................................................................................................................... 10
Annual Report (End of Year) .................................................................................................................................................................... 10
Planning, Training, and Exercise Deliverables ......................................................................................................................................... 10
STRATEGIES AND ACTIVITIES................................................................................................................................................................. 12
Domain Strategy 1: Strengthen Community Resilience ............................................................................................................................ 12
Domain Strategy 2: Strengthen Incident Management ............................................................................................................................. 15
Domain Strategy 3: Strengthen Information Management ........................................................................................................................ 17
Domain Strategy 4: Strengthen Countermeasures and Mitigation ............................................................................................................ 19
Domain Strategy 5: Strengthen Surge Management ................................................................................................................................ 27
Domain Strategy 6: Strengthen Biosurveillance ....................................................................................................................................... 31
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 2 of 33

INTRODUCTION
The Grant Guidance Deliverable document was developed based, in part, on information set forth in the Centers for Disease Control and
Prevention’s Office of Public Health Preparedness and Reponses funding opportunity announcement 2019-2024 -PHEP Cooperative
Agreement CDC-RFA-TP19-1901 and continuation guidance from the CDC. During this five year project period, the Arizona Department
of Health Services and sub-recipients (tribal and county health departments) will increase or maintain their levels of effectiveness across
the six key preparedness domains to achieve a prepared public health system.
The six preparedness domains are:
1. Strengthen Community Resilience
 Capability 1: Community Preparedness
 Capability 2: Community Recovery
2. Strengthen Incident Management
 Capability 3: Emergency Operation Coordination
3. Strengthen Information Management
 Capability 4: Emergency Public Information and Warning
 Capability 6: Information Sharing
4. Strengthen Countermeasures and Mitigation
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-Pharmaceutical Interventions
 Capability 14: Responder Safety and Health
5. Strengthen Surge Management
 Capability 5: Fatality Management
 Capability 7: Mass Care
 Capability 10: Medical Surge
 Capability 15: Volunteer Management
6. Strengthen Biosurveillance
 Capability 12: Public Health Laboratory Testing
 Capability 13: Public Health Surveillance and Epidemiological Investigation
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 3 of 33

FEDERAL REQUIREMENTS
Project Period Requirements for ADHS (2019-2024)
• One fiscal preparedness tabletop exercise once during the five-year period
• One MCM distribution full-scale exercise once during the five-year period (completed in November 2019)
• One MCM dispensing full-scale exercise or one mass vaccination full-scale exercise (one POD in each CRI local planning jurisdiction
will be exercised) (completed in November 2019)
• Complete two table top exercises (TTX) every five years. One TTX to demonstrate readiness for an anthrax scenario and one to
demonstrate a pandemic influenza scenario.
• Complete one functional exercise every five years that focuses on the vaccination of at least one critical workforce group to
demonstrate readiness for a pandemic influenza scenario.
• Complete one full scale exercise every five years to demonstrate operational readiness for a pandemic influenza scenario.
Funding Restrictions
Funding restrictions that will be considered for workplan and budget development:
 May not use funds for research.
 May not use funds for clinical care except as allowed by law.
 May not use funds for construction or major renovations.
 May use funds only for reasonable program purposes, including personnel, travel, supplies, and services.
 Generally, recipients may not use funds to purchase furniture or equipment. Any such proposed spending must be clearly identified in
the budget.
 Reimbursement of pre-award costs generally is not allowed, unless the CDC provides written approval to ADHS on behalf of the sub-
recipient.
 Other than for normal and recognized executive-legislative relationships, no funds may be used for:
o publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the
enactment of legislation before any legislative body
o the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to
influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending
before any legislative body
 See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients.
 The direct and primary sub-recipient in a cooperative agreement program must perform a substantial role in carrying out project
outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 4 of 33

General Restrictions
 May supplement but not supplant existing state or federal funds for activities described in the budget.
 Payment or reimbursement of backfilling costs for staff is not allowed.
 None of the funds awarded to these programs may be used to pay the salary of an individual at a rate in excess of Executive Level II or
$189,600 per year.
 Funds may not be used to purchase or support (feed) animals for labs, including mice.
 Funds may not be used to purchase a house or other living quarters for those under quarantine. Rental may be allowed with approval
from the CDC OGS.
Lobbying
 Other than for normal and recognized executive-legislative relationships, PHEP funds may not be used for:
 Publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment
of legislation before any legislative body;
 The salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence
the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any
legislative body
 See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients
(http://www.cdc.gov/grants/documents/Anti-Lobbying_Restrictions_for_CDC_Grantees_July_2012.pdf).
Passenger Road Vehicles
 Funds cannot be used to purchase over-the road passenger vehicles.
 Funds cannot be used to purchase vehicles to be used as means of transportation for carrying people or goods, such as passenger
cars or trucks and electrical or gas-driven motorized carts.
 Can (with prior approval) use funds to lease vehicles to be used as means of transportation for carrying people or goods, e.g.,
passenger cars or trucks and electrical or gas- driven motorized carts during times of need.
 Additionally, PHEP grant funds can (with prior approval) be used to make transportation agreements with commercial carriers for
movement of materials, supplies and equipment. There should be a written process for initiating transportation agreements (e.g.,
contracts, memoranda of understanding, formal written agreements, and/or other letters of agreement). Transportation agreements
should include, at a minimum:
o Type of vendor
o Number and type of vehicles, including vehicle load capacity and configuration
o Number and type of drivers, including certification of drivers
o Number and type of support personnel
o Vendor’s response time
o Vendor’s ability to maintain cold chain, if necessary to the incident
o This relationship may be demonstrated by a signed transportation agreement or documentation of transportation planning meeting
with the designated vendor. All documentation should be available to the CDC project officer for review if requested.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 5 of 33

Transportation of Medical Materiel
 PHEP funds may be used (with approved budget) to procure leased or rental vehicles for movement of materials, supplies and
equipment.
 PHEP funds may be used (with approved budget) to purchase material-handling equipment (MHE) such as industrial or warehouse-use
trucks to move materials, such as forklifts, lift trucks, turret trucks, etc. Vehicles must be of a type not licensed to travel on public roads.
 PHEP funds may be used (with approved budget) to purchase basic (non-motorized) trailers with prior approval from the CDC OGS.
Procurement of Food and Clothing
 Funds may not be used to purchase clothing such as jeans, cargo pants, polo shirts, jumpsuits, sweatshirts, or T-shirts. Purchase of
vests to be worn during exercises or responses may be allowed.
 Generally, funds may not be used to purchase food.
Vaccines
 Contact ADHS with vaccine requests in support of an activity.
LOCAL PROGRAM REQUIREMENTS
Meetings
1. ADHS Grant Meetings
a. Attend annual Preparedness Community Conference
b. Attend annual Integrated Preparedness Plan Workshop
c. Participate in ADHS Jurisdictional Risk Assessment Review and Analysis
Exercise Planning and Conduct
1. Local jurisdictions will conduct preparedness exercises in accordance with Homeland Security Exercise and Evaluation Program
(HSEEP) fundamentals including:
a. Exercise design and development
b. Exercise conduct
c. Exercise evaluation
d. Improvement planning
e. More information and templates are available at: https://www.azdhs.gov/preparedness/emergency-
preparedness/index.php#training-exercise-resources
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 6 of 33

Health Care Coalition
1. As core members of the Arizona Coalition for Healthcare Emergency Response (AzCHER), full participation in the AzCHER meetings,
exercises, and drills in your respective regions is required.
Northern Region
 County Representatives: Apache County, Coconino County, Navajo County, and Yavapai County
 Tribal Representatives: Hopi Tribe, Navajo Nation and White Mountain Apache Tribe
Western Region
 County Representatives: La Paz County, Mohave County, and Yuma County
 Tribal Representatives: Cocopah Indian Tribe, Colorado River Indian Tribes, Fort Mojave Indian Tribe, Kaibab-Paiute Tribe and
Quechan Tribe
Central Region
 County Representatives: Gila County, Maricopa County, and Pinal County
 Tribal Representatives: Gila River Indian Community and Salt River Pima-Maricopa Indian Community
Southern Region
 County Representatives: Cochise County, Graham County, Greenlee County, Pima County and Santa Cruz County
 Tribal Representatives: Pascua Yaqui Tribe, San Carlos Apache Tribe, and Tohono O’odham Nation
Financial Requirements
1. Match Requirement: The PHEP award requires a 10% “in-kind” or “soft” match from all the grant participants. Each sub-recipient will
include in their budget submission the format they will use to cover the match and method of documentation. Failure to include the
match formula will preclude funding. ADHS may not award a contract under this programs unless the sub-recipient agrees that, with
respect to the amount of the cooperative agreement allocated by ADHS, the sub-recipient will make available non-federal contributions
in the amount of 10% ($1 for each $10 of federal funds provided in the cooperative agreement) of the award, whether provided through
financial or direct assistance. Match may be provided directly or through donations from public or private entities and may be in cash or
in kind, fairly evaluated, including plant, equipment or services. Amounts provided by the federal government or services assisted or
subsidized to any significant extent by the federal government may not be included in determining the amount of such non-federal
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 7 of 33

contributions. Documentation of match, including methods and sources, must be included in sub-recipient budgets each budget period,
include calculations for both financial assistance and direct assistance, follow procedures for generally accepted accounting practices,
and meet audit requirements.
2. Total Direct costs: Show the direct costs by listing the totals of each category, including salaries and wages, fringe benefits,
consultant costs, equipment, supplies, travel, other, and contractual costs. Provide the total direct costs within the budget.
3. Total Indirect Costs: To claim indirect costs, the applicant organization must have a current approved indirect cost rate agreement
established with the cognizant federal agency. A copy of the most recent indirect cost rate agreement must be provided with the
application. Indirect cost percentage cannot exceed 32%.
4. Inventory: Upon request, local jurisdictions will provide an inventory list to ADHS. The inventory list shall include all equipment
purchased. Items over $5,000 will require an ADHS asset tag. An asset tag will be provided after the submission of the invoice to
ADHS that will include the serial number, make/model, and date of acquisition. Once received, ADHS will send sub-recipients a pre-
filled property control (F4) form and the asset tag. The asset tag is to be placed on the asset and a photo of the asset tag affixed to the
item(s) is required. The F4 form needs to be signed, dated and sent back via email to ADHS.
5. Budget Allocation (PHEP funded staff and work plan)
a. Complete the budget tool developed by ADHS and submit for review and approval. ADHS cannot release funding to the sub-
recipient until ADHS receives and approves a completed budget and signed contract/amendment.
b. All activities and procurements funded through the CDC grant shall be aligned with your budget/spend plan and work plan that will
help your jurisdiction reach the goals and objectives outlined in this document. Any items and activities that are not specifically tied
to the PHEP program capabilities will be approved by ADHS before PHEP funds can be utilized on those activities/items.
6. Grant Activity Oversight: Each sub-recipient will appoint a PHEP Coordinator (full or part-time) that will have the responsibility for
oversight of all grant related activities. The PHEP Coordinator will be the main point of contact for ADHS in regard to the CDC grant.
This individual is expected to work closely with ADHS to ensure all deliverables and requirements are met and will coordinate all
activities surrounding any on/off site monitoring conducted by ADHS.
7. Employee Certifications: PHEP local jurisdictions are required to adhere to all applicable federal laws and regulations, including
applicable OMB circulars and semiannual certification of employees who work solely on a single federal award. These certification
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 8 of 33

forms will be prepared at least semiannually and signed by the employee or a supervisory official having firsthand knowledge of the
work performed by the employee. Employees whose salaries are split funded are required to maintain Labor Activity Reports (as
requested by ADHS). These certification forms will be retained in accordance with 45 Code of Federal Regulation, Part 92.42
8. Performance: Failure to meet the deliverables and performance measures described in the Scope of Work may result in withholding
from a portion of subsequent awards.
Plans, Training, and Exercise Implementation Criteria
Training and exercises shall be gap based and linked to the CDC PHEP Domains. Proposed training and exercises will be based on
identified gaps from previous exercises, real-world responses, risk assessments (e.g. JRA, CPG, CAWP, THIRA), or other documented
sources.
1. Program Requirements
A. Sub-recipient PHEP programs should establish and maintain a collaborative working relationship with emergency management.
This will include, but not be limited to; emergency communication planning, strategies for addressing emergency events, the
management of the consequences of power failures, natural disasters and other events that would affect public health.
B. Maintain documentation of all collaborative efforts with local and state emergency management
C. Sub-Recipients should participate in ADHS sponsored table tops, functional exercises or other activities
1. ADHS Coordination: Collaborate with ADHS throughout the planning process.
2. At-Risk Individuals: Local jurisdictions will include provisions for the needs of at-risk individuals within each exercise. PHEP
local jurisdictions will report on the strengths and areas for improvement identified though the coalition based exercise After
Action Reports and Improvement Plans (AARs/IPs). To learn more about the U.S. Department of Health and Human Services’
definition of “at-risk” population visit this website: http://www.phe.gov/Preparedness/planning/abc/Pages/at-risk.aspx
D. Evaluation
1. PHEP-funded exercises will address and list applicable Public Health Emergency Preparedness (PHEP) Capabilities in all
qualifying exercises. A qualifying exercise is one that meets PHEP-specific implementation criteria as described in the grant.
2. Exemption: A sub-recipient’s response and recovery operations supporting real-world incidents could meet the criteria for an
exercise requirements if the response was sufficient in scope and the AARs/IPs adequately detail which PHEP capabilities were
evaluated. This will be addressed on an as-requested basis.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 9 of 33

INFORMATION SERVICES
1. Local jurisdictions will have or have access to a secure alerting system that at a minimum has the ability to send email, faxes, and
phone/ text alerts.
ADHS will provide training on the information systems and platforms as needed and/or requested. Examples of systems: EMResource,
EMTrack, ESAR-VHP, AzHAN, iCAM, etc.
REPORTING
Progress on the deliverables, performance measures, and activities funded through the CDC grant will be reported as requested and in a
timely manner to ensure ADHS has adequate time to compile the information and submit to the CDC.
Mid-Year Report
a. Mid-year reports are expected in advance of the due date determined by ADHS. Mid-year report templates are integrated within the
sub-recipient workplan templates.
b. Update jurisdictional points of contact twice during each budget period (July 1 and December 31), or as changes occur, to facilitate
time-sensitive, accurate information sharing within the local jurisdictions and between ADHS and the sub-recipients.
Annual Report (End of Year)
a. Annual reports are expected in advance of the due date determined by ADHS. End-of-year report templates are integrated within the
sub-recipient workplan templates.
Planning, Training, and Exercise Deliverables
Program Activities Due Date Applies To Comments
Participation in a Regional Integrated All PHEP ● PHEP Coordinator and/or
Once annually
Preparedness Plan (IPP) Workshop Sub-Recipients designee
Attend Annual Preparedness All PHEP ● PHEP Coordinator and/or a
Once annually
Community Conference Sub-Recipients designee
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 10 of 33

Program Activities Due Date Applies To Comments
● The IPP consists of three parts:
o Narrative
Annually as part of the Workplan All PHEP o Training schedule
Submit a Final IPP submittal for the next budget Sub-Recipients o Exercise schedule
period. ● Covering the time period from
July 1, 2022 to June 30, 2025
Twice annually as part of the ● For trainings conducted from
Validate trainings conducted using the All PHEP
sub-recipient Mid-year and July 1, 2021 to June 30, 2022
ADHS Training Validation Report (TVR) Sub-Recipients
End-of-Year reports
● Template and HSEEP guidelines
All PHEP can be found on the ADHS AZ-
After Action Reports/Improvement Per HSEEP, within 120 days of
Sub-Recipients PIRE website:
Plans (AARs/IPs) exercise conduct
https://sites.google.com/azdhs.g
ov/az-pire
Required plans:
● Emergency Response ● Emergency Response Plan
● Pandemic Influenza All PHEP toolkits and resources are
● Fatality Management Sub-Recipients located at:
All plans to be completed,
● Medical Counter Measures Receipt www.azdhs.gov/emergencyplans
reviewed, and made
and Dispensing ● Plans will be uploaded to the
available by the end of the
● Continuity of Operations respective sub-recipient page on
five year project period
● Health Emergency Operations the ADHS AZ-PIRE website:
Center https://sites.google.com/azdhs.g
● Volunteer Management ov/az-pire
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 11 of 33

STRATEGIES AND ACTIVITIES
Domain Strategy 1: Strengthen Community Resilience
Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among
government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public
health emergencies.
Associated Capabilities
 Capability 1: Community Preparedness
 Capability 2: Community Recovery
Domain Activity: Determine the Risks to the Health of the Jurisdiction Deliverable Applies To Due Date
Conduct public health jurisdictional risk assessment (JRA), in collaboration Conduct a JRA and report All PHEP Once every five
with HPP, to identify potential hazards, vulnerabilities, and risks within the results to ADHS. Sub-Recipients years from the
community that relate to the public health, medical, and mental/behavioral date of the last
health systems and the access and functional needs of at-risk individuals. JRA (or
equivalent)
ADHS recommends a collaborative and flexible risk assessment process that
includes input from existing hazard and vulnerability analysis conducted by
emergency management, AzCHER and other health care organizations, as
well as other community partners and stakeholders.
Jurisdictions should analyze JRA results, and use diverse data sources such
as the HHS Capabilities Planning Guide (CPG), previous risk assessments,
jurisdictional incident AARs/IPs, site visit observations, jurisdictional data from
the National Health Security Preparedness Index, and other jurisdictional
priorities and strategies, to help determine their strategic priorities, identify
program gaps, and, ultimately prioritize preparedness investments.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 12 of 33

Domain Strategy 1: Strengthen Community Resilience
Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among
government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public
health emergencies.
Associated Capabilities
 Capability 1: Community Preparedness
 Capability 2: Community Recovery
Domain Activity: Ensure HPP Coordination (Health Care System)
The purpose of this collaboration is to ensure a shared approach to delivering Local Jurisdictions must All PHEP By BP5 (2023-
public health services alongside health care services to mitigate the public participate in one ADHS- 2024)
Sub-Recipients
health consequences of emergencies. PHEP resources cannot be used to sponsored statewide full-scale
supplant HPP programmatic activities. However, there are areas where exercise, OR
coordinated planning and collaboration between the programs are beneficial,
including exercising and training. Participate/conduct a regional
full-scale exercise, OR
Jurisdictions must participate in one statewide or conduct one regional full-
scale exercise (FSE) within the five-year project period. Exercises must ADHS may consider a real-
include participation from AzCHER and include, at a minimum, hospitals, world response as an
emergency management agencies, and emergency medical services (EMS). acceptable substitute
Domain Activity: Plan for the Whole Community
Working in collaboration with HPP, continue to build and sustain local health AARs and plans should All PHEP June 30, 2022
department and community partnerships to ensure that activities have the provide evidence of a whole
Sub-Recipients
widest possible reach with the strongest possible ties to the community. Local community approach when
jurisdictions should focus on two activities simultaneously: planning, training and
 Coordination with local stakeholders to review collaboration efforts with exercising.
local agencies they represent; and
 Engage with key community partners who have established relationships
with diverse at-risk populations, to include mental/behavioral health and
pediatric populations.
 Develop or expand child-focused planning and partnerships.
 Consider family reunification plans for schools and child care centers.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 13 of 33

Domain Strategy 1: Strengthen Community Resilience
Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among
government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public
health emergencies.
Associated Capabilities
 Capability 1: Community Preparedness
 Capability 2: Community Recovery
Plan for individuals with disabilities and others with access and functional
needs. Use a flexible approach to define populations at risk to jurisdictional
threats and hazards. Address a broad set of common access and functional
needs using the Communication, Maintaining Health, Independence, Services
and Support, and Transportation (CMIST) framework.
Identify individuals with access and functional needs that may be at risk of
being disproportionately impacted by incidents with public health
consequences. Examples of populations with access and functional needs
include, but are not limited to, children, pregnant women, postpartum and
lactating women, racial and ethnic minorities, older adults, persons with
disability, persons with chronic disease, persons with limited English
proficiency, persons with limited transportation, persons experiencing
homelessness, and disenfranchised populations.
Domain Activity: Focus on Tribal Planning and Engagement Deliverable Due Date
Support the engagement between county and tribal public health departments Documentation of collaborative All PHEP June 30, 2022
in a meaningful and mutually beneficial way to ensure that all community efforts to ensure appropriate Sub-Recipients
members fully and equally served, while also recognizing the inherent efforts are made to develop
responsibility of those nations to support their members in a culturally public health preparedness
appropriate manner. and response capability. May
be included in regular
workplan reports.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 14 of 33

Domain Strategy 2: Strengthen Incident Management
Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident
through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident,
unified, or area command structure.
Associated Capability
 Capability 3: Emergency Operations Coordination
Domain Activity: Activate and Coordinate Public Health Emergency Deliverable Applies To Due Date
Operations
Updated all-hazards preparedness and response plans should include but not Development, update/review All PHEP June 30, 2022,
limited to: of the Emergency Response Sub-Recipients uploaded to the
 Procedures to conduct preliminary assessments to determine the need for Plan Plans Library
activation of public health emergency operations; folders on the
 Process for establishing a scalable public health incident management ADHS AZ-PIRE
structure that is consistent with NIMS and jurisdictional standards; website
 Procedures for activating, operating, managing, and staffing the public
health emergency operations center (HEOC) or implementing public
health functions within another emergency operations center;
 Designation of primary and alternate HEOC locations, including virtual
communication structures;
 Procedures for demobilizing public health emergency operations; and
 A description of how the jurisdiction will use Emergency Management
Assistance Compact (EMAC) or other mutual aid agreements for public
health and medical mutual aid to support coordinated activities and to
share resources and other potential support required when responding to
emergencies. At minimum, this plan should include the following:
o Procedures for evaluating, responding to, and seeking reimbursement
for resources deployed under EMAC;
o Procedures on how information will be shared for a resource request
and deployment;
o Redundant points of contact for all public health and medical Mission
Ready Packages (MRPs) as applicable; and
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 15 of 33

Domain Strategy 2: Strengthen Incident Management
Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident
through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident,
unified, or area command structure.
Associated Capability
 Capability 3: Emergency Operations Coordination
o Description of reimbursement processes following a deployment for
both the deployed personnel and the key internal staff.
Maintain a current COOP plan that includes the following elements. Development or update/review All PHEP June 30, 2022,
 Definitions, identification, and prioritization of essential services needed to of the Continuity of Operations Sub-Recipients uploaded to the
sustain public health agency mission and operations; Plan Plans Library
 Procedures to sustain essential services regardless of the nature of the folders on the
incident (all-hazards planning); ADHS AZ-PIRE
 Positions, skills, and personnel needed to continue essential services and website
functions (human capital management);
 Identification of public health agency and personnel roles and
responsibilities in support of ESF #8;
 Scalable workforce in response to needs of the incident;
 Limited access to facilities due to issues such as structural safety or
security concerns;
 Broad-based implementation of social distancing policies;
 Identification of agency vital records (such as legal documents, payroll,
personnel assignments) that must be preserved to support essential
functions or for other reasons;
 Alternate and virtual work sites;
 Devolution of uninterruptible services for scaled down operations;
 Reconstitution of uninterruptible services; and
 Cost of additional services to augment recovery.
Maintain personnel lists. 1. Twice
Identify personnel to fulfill required incident command and public health 1. Maintain listing of annually using
incident management roles. Test staff assembly processes for notifying personnel using the All PHEP the template
personnel to report physically or virtually to the public health emergency Sub-Recipients found on the
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 16 of 33

Domain Strategy 2: Strengthen Incident Management
Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident
through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident,
unified, or area command structure.
Associated Capability
 Capability 3: Emergency Operations Coordination
operations center or jurisdictional emergency operations center during a drill ADHS Critical Contact ADHS AZ-
or real-time incidents at least once during the budget period. Sheet PIRE website
2. Once during
2. Conduct drill or use BP3
real-world incident to
test staff assembly
processes.
Domain Strategy 3: Strengthen Information Management
Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and
accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and
situational awareness with federal, state, local, territorial, and tribal governments and partners.
Associated Capabilities
 Capability 4: Emergency Public Information and Warning
 Capability 6: Information Sharing
Domain Activity: Coordinate Information Sharing Deliverable Applies To Due Date
Have or have access to communication systems that maintain or improve 1. Include in appropriate 1. June 30, 2022
reliable, resilient, interoperable, and redundant information and plans the identification All PHEP
communication systems and platforms, including those for bed availability, of primary and Sub-Recipients
EMS data, and patient tracking, and provide access to AzCHER members redundant
and other partners and stakeholders.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 17 of 33

Domain Strategy 3: Strengthen Information Management
Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and
accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and
situational awareness with federal, state, local, territorial, and tribal governments and partners.
Associated Capabilities
 Capability 4: Emergency Public Information and Warning
 Capability 6: Information Sharing
communication
Such systems, whether they are internally managed or externally hosted on platforms.
shared platforms, must be capable of supporting syndromic surveillance,
integrated surveillance, active and/or passive mortality surveillance, public
health registries, situational awareness dashboards, and other public health 2. Testing of the platforms 2. Once Annually
and preparedness activities. every six months.
Have plans in place that identify redundant communication platforms (primary
and secondary) and a cycle of maintenance and testing of these platforms
every six months.
Domain Activity: Coordinate Emergency Information and Warning
A communication plan should identify the public information officer (PIO) and 1. Development, 1. June 30, 2022,
supporting personnel responsible for implementing jurisdictional public update/review of a uploaded to the
information and communication strategies. Plans must outline requirements Crisis Emergency Risk Plans Library
and duties; roles and responsibilities; and required qualifications or skills for Communication plan folder on the
PIO personnel. All PHEP ADHS AZ-
Sub-Recipients PIRE website
Use crisis and emergency risk emergency communication (CERC) principles
to disseminate critical health and safety information to alert the media, public,
community-based organizations, and other stakeholders to potential health 2. Ensure that PIO, or 2. As changes in
risks and reduce the risk of exposure. Develop message templates based on designees, receive personnel
planning or risk scenarios identified in risk assessments and incorporate these appropriate ICS occur
into the communication plans as applicable. training.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 18 of 33

Domain Strategy 3: Strengthen Information Management
Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and
accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and
situational awareness with federal, state, local, territorial, and tribal governments and partners.
Associated Capabilities
 Capability 4: Emergency Public Information and Warning
 Capability 6: Information Sharing
Ensure that communication plans have processes for coordinating public
messaging during infectious disease outbreaks and information sharing
regarding monitoring and tracking of cases of persons under investigation to
ensure maximum coordination and consistency of messaging.
Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
Domain Activity: Develop and Test MCM Distribution, Dispensing, and Vaccine Deliverable Applies To Due Date
Administration Plans
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 19 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
Operationalize MCM distribution, dispensing, and vaccine administration plans Development, update/review All PHEP June 30, 2022,
through development, training, exercising, and evaluating these MCM plans. of Medical Countermeasures Sub-Recipients uploaded to the
Managing access to and administration of countermeasures and ensuring the plans Plans Library
safety and health of clinical and other personnel are important priorities for folder on the
preparedness and continuity of operations. ADHS AZ-PIRE
website
Engage key partners, to include AzCHER, in the development, training, and
exercising of plans for MCM distribution, dispensing, and vaccine
administration. This includes open and closed points of dispensing (POD)
plans and plans to leverage community vaccine providers in large pandemic
influenza-like responses.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 20 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
Domain Activity: Demonstrate Operational Readiness for Pandemic Influenza
For pandemic influenza preparedness planning, all sub-recipients must Pandemic Influenza plan All PHEP June 30, 2022,
collaborate with their respective immunizations programs to develop, maintain, should provide evidence of Sub-Recipients uploaded to the
and exercise pandemic influenza plans to prevent, control, and mitigate the collaboration with respective Plans Library
impact of pandemic influenza on the public’s health and to help meet pandemic immunization programs. If a folder on the
vaccination goals for the general population. jurisdiction does not have an ADHS AZ-PIRE
immunization program then website
provide evidence of
collaboration with
county/state level programs.
Domain Activity: Conduct Required MCM Exercises
CDC requires the following progressive exercises in the 2019-2024 1. Complete three 1. No later than
performance period. A real incident that incorporates the same operational annual drills that June 30,
elements fulfills any level of exercise requirement for the same operational address: facility setup, 2022
period. staff notification and
assembly, and site All deliverables
Throughput estimation is now completed as part of the dispensing full-scale activation. apply to CRI
exercise (FSE). However, if a site does not participate in the dispensing FSE counties
(for example, participates in immunization FSE in lieu of dispensing FSE), oral
MCM throughput will be measured and information submitted at least once 2. Alternating each year 2. Determined
during the five-year period. between anthrax and by the local
pandemic influenza jurisdiction.
scenarios.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 21 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
3. Complete two table 3. Once during
top exercises every this five year
five years. On to project
demonstrate period.
readiness for an
anthrax scenario, and
one for a pandemic
influenza scenario.
4. Complete a functional 4. Once during
exercise once every this five year
five years, focusing on project
vaccination of at least period.
one critical workforce
group, to demonstrate
readiness for a
pandemic influenza
scenario.
5. Demonstrate 5. Once during
operational readiness this five year
for a pandemic project
influenza scenario period
through the (completed
in BP1
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 22 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
completion of an FSE November
once every five years. 2019)
Domain Activity: Participate in ORRs
The Operational Readiness Review will focus on all 15 preparedness Complete the Operational All PHEP June 30, 2022
capabilities to include pandemic influenza planning and response elements. Readiness Review Sub-Recipients
Beginning in July 2021, CDC plans to expand the ORR to include a
comprehensive evaluation of planning and operational readiness based on
elements across all 15 public health preparedness and response capabilities.
Domain Activity: Conduct Inventory Management Tracking System Annual Deliverable Due Date
Tests
Jurisdictions will be required to use respective inventory systems to receive an Real world response that All PHEP June 30, 2022
electronic file, verify receipt, adjust inventory levels, and “return” unused involves the receipt of Sub-Recipients
materiel. distributed resources from
ADHS will satisfy this activity.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 23 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
Domain Activity: Update Local Distribution Site (LDS) Survey
Review/update the LDS survey form once annual. LDS site information is Review/update completed All PHEP Once Annually
required for the primary site. LDS survey form for both Sub-Recipients
primary and secondary sites.
Local jurisdictions are encouraged to validate each LDS site with a law
enforcement representative at least once every three years.
Domain Activity: Coordinate Non-pharmaceutical Interventions
Coordinate with and support partner agencies to plan and implement non- Plans must: All PHEP June 30, 2022
pharmaceutical interventions (NPIs) by developing and updating plans for Sub-Recipients
isolation, quarantine, temporary school and child care closures and dismissals, Document applicable
mass gathering (large event) cancellations and restrictions on movement, jurisdictional, legal, and
including border control measures. regulatory authorities
necessary for implementation
of NPIs in routine and
incident-specific situations.
Delineate roles and
responsibilities of health, law
enforcement, emergency
management, chief executive,
and other relevant agencies
and partners.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 24 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
Define procedures, triggers,
and necessary authorizations
to implement NPIs, whether
addressing individuals,
groups, facilities, animals,
food products, public
works/utilities, or travelers
passing through ports of
entry.
Determine occupational and
exposure prevention
measures, such as
decontamination or
evacuation strategies.
Domain Activity: Ensure Safety and Health of Responders
Local jurisdictions must assist, train, and provide resources necessary to Assistance may include All PHEP June 30, 2022
protect public health first responders, critical workforce personnel, and critical personal protective Sub-Recipients
infrastructure workforce from hazards during response and recovery equipment (PPE), MCMs,
operations. workplace violence training,
psychological first aid
training, and other resources
specific to an emergency that
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 25 of 33

Domain Strategy 4: Strengthen Countermeasures and Mitigation
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident.
Associated Capabilities
 Capability 8: Medical Countermeasure Dispensing and Administration
 Capability 9: Medical Materiel Management and Distribution
 Capability 11: Non-pharmaceutical Interventions
 Capability 14: Responder Safety and Health
would protect responders and
health care workers from
illness or injury at the state
and local levels. This may
include developing clearance
goals for contaminated areas
based on guidance from a
committee of subject matter
experts.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 26 of 33

Domain Strategy 5: Strengthen Surge Management
Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral
services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected
community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other
volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with
organizations and agencies to provide fatality management services.
Associated Capabilities
 Capability 5: Fatality Management
 Capability 7: Mass Care
 Capability 10: Medical Surge
 Capability 15: Volunteer Management
Domain Activity: Coordinate Activities to Manage Public Health and Medical Deliverable Applies To Due Date
Surge
Coordinate with emergency management, and other relevant partners and At minimum, local All PHEP June 30, 2022
stakeholders to assess the public health and medical surge needs of the jurisdictions must have Sub-Recipients
affected community. written plans in place that
clearly define the public
health roles and
responsibilities during surge
operations and outline
procedures on how public
health will engage the health
care system to provide and
receive situational awareness
throughout the surge event.
Domain Activity: Coordinate Public Health, Health Care, Mental/Behavioral
Health, and Human Services Needs during Mass Care Operations
Local jurisdictions should coordinate with key partner agencies to address, At minimum, these plans All PHEP June 30, 2022
within congregate locations (excluding shelter-in-place locations), the public should address procedures Sub-Recipients
health, health care, mental/behavioral health, and human services needs of on how ongoing surveillance
those impacted by an incident. In collaboration with ESF #8 partners, health and public health
care, emergency management, and other pertinent stakeholders, local assessments will be
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 27 of 33

Domain Strategy 5: Strengthen Surge Management
Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral
services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected
community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other
volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with
organizations and agencies to provide fatality management services.
Associated Capabilities
 Capability 5: Fatality Management
 Capability 7: Mass Care
 Capability 10: Medical Surge
 Capability 15: Volunteer Management
jurisdictions should develop, refine, or maintain written plans that identify the coordinated to ensure that the
public health roles and responsibilities in supporting mass care operations. public health, health care,
mental/behavioral health and
human services needs of
those impacted by the
incident continue to be met
while at congregate locations;
and procedures to support or
implement family
reunification, including any
special considerations for
children.
Domain Activity: Coordinate with Partners to Address Public Health Needs
during Fatality Management Operations
Coordinate with and support partner agencies to address fatality management Development, update/review All PHEP June 30, 2022,
needs resulting from an incident of Fatality Management plan Sub-Recipients uploaded to the
Plan Library
In collaboration with jurisdictional partners and stakeholders, local jurisdictions folder on the
should conduct the following activities. ADHS AZ-PIRE
website
Coordinate with subject matter experts and cross-disciplinary partners and
stakeholders to clarify, document, and communicate the public health agency
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 28 of 33

Domain Strategy 5: Strengthen Surge Management
Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral
services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected
community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other
volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with
organizations and agencies to provide fatality management services.
Associated Capabilities
 Capability 5: Fatality Management
 Capability 7: Mass Care
 Capability 10: Medical Surge
 Capability 15: Volunteer Management
role in fatality management, based on jurisdictional risks, incident needs, and
partner and stakeholder authorities.
The public health agency role may include supporting:
o Recovery, preservation, and release of remains,
o Identification of the deceased,
o Determination of cause and manner of death, including whether disaster-
related
o Provision of mental/behavioral health assistance, and
o Plans to include culturally appropriate messaging around handling of
remains.
Coordinate with community partners, including law enforcement, emergency
management, and medical examiners or coroners to ensure proper tracking,
transportation, handling, and storage of human remains and ensure access to
mental and behavioral health services for responders and families impacted by
an incident.
Have procedures in place to share information with fatality management
partners, including fusion centers or comparable centers and agencies,
emergency operations centers, and epidemiologist(s), to provide and receive
relevant surveillance information that may impact the response.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 29 of 33

Domain Strategy 5: Strengthen Surge Management
Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral
services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected
community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other
volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with
organizations and agencies to provide fatality management services.
Associated Capabilities
 Capability 5: Fatality Management
 Capability 7: Mass Care
 Capability 10: Medical Surge
 Capability 15: Volunteer Management
Domain Activity: Coordinate Medical and Other Volunteers to Support Public
Health and Medical Surge
Conduct the following activities to address volunteer planning considerations. Development, update/review All PHEP June 30, 2022,
 Estimate the anticipated number of public health volunteers and health of Volunteer Management Sub-Recipients uploaded to the
professional roles based on identified situations and resource needs. plan Plan Library
 Identify and address volunteer liability, licensure, workers’ compensation, folder on the
scope of practice, and third-party reimbursement issues that may deter ADHS AZ-PIRE
volunteer use.
 Identify processes to assist with volunteer coordination, including protocols
to handle walk-up volunteers and others who cannot participate due to
state regulations. Jurisdictions that do not use spontaneous or other
volunteers due to state regulations must describe in their plans how they
plan to handle those types of volunteers during an incident.
 Leverage existing government and non-governmental volunteer registration
programs, such as ESAR-VHP and Medical Reserve Corps (MRC).
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 30 of 33

Domain Strategy 6: Strengthen Biosurveillance
Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear
agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents,
incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public.
Associated Capabilities
 Capability 12: Public Health Laboratory Testing
 Capability 13: Public Health Surveillance and Epidemiological Investigation
Domain Activity: Conduct Epidemiological Surveillance and Investigation Deliverable Applies To Due Date
Local jurisdictions should continue to create, maintain, support, and strengthen 1. Have or have access to All PHEP June 30, 2022,
routine surveillance and detection systems and epidemiological processes. trained personnel to Sub-Recipients included in the
manage and monitor annual End-of-
Local jurisdictions should evaluate surveillance and epidemiological routine jurisdictional Year Report
investigation outcomes to identify deficiencies encountered during responses surveillance and
to public health threats and incidents and recommend opportunities for epidemiological
improvement. investigation systems.
Support surge
Conduct border health surveillance activities. requirements in response
The focus on cross-border preparedness reinforces public health whole to threats to include
community approach, which is essential for local-to-global threat risk supporting population at
management and response to actual events regardless of source or origin. risk of adverse health
outcomes as a result of the
incident.
2. Have procedures in place
to establish partnerships,
to conduct investigations,
and share information with
other governmental
agencies and partner
organizations.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 31 of 33

Domain Strategy 6: Strengthen Biosurveillance
Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear
agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents,
incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public.
Associated Capabilities
 Capability 12: Public Health Laboratory Testing
 Capability 13: Public Health Surveillance and Epidemiological Investigation
Local jurisdictions located
on the United States-
Mexico border should
conduct activities that
enhance border health,
particularly regarding
disease detection,
identification, investigation,
and preparedness and
response activities related
to emerging diseases and
infectious disease
outbreaks whether
naturally occurring or due
to bioterrorism.
Poison Control Center date for public health surveillance can be particularly Establish processes for All PHEP June 30, 2022,
helpful in: using poison control center Sub-Recipients included in the
1) Providing situational awareness during a known public health threat, data for public health annual End-of-
2) Identifying an emerging public health threat, surveillance. Year Report
3) Identifying unmet public health communication needs following a public
health threat, or
4) Providing surveillance for specific exposures or illnesses of concern to the
health department.
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 32 of 33

Domain Strategy 6: Strengthen Biosurveillance
Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear
agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents,
incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public.
Associated Capabilities
 Capability 12: Public Health Laboratory Testing
 Capability 13: Public Health Surveillance and Epidemiological Investigation
Local jurisdictions should All Counties June 30, 2022,
Coordinate with epidemiological and vital records partners to implement prioritize development of included in the
electronic death registration (EDR) systems. scalable plans implement annual End-of-
an EDR system, such as Year Report
Local jurisdiction should coordinate with epidemiological partners to implement developing reporting and
processes for active and passive mortality surveillance and EDR use. technological capability;
Depending upon the jurisdiction’s prior experience with utilizing EDR systems assessing potential legal
during a response. information sharing barriers
and restrictions; and other
actions that will help
establish initial
functionality. An option for
EDR development
planning can include
working with the
jurisdictional vital records
office (VRO)
PHEP Deliverables (July 1, 2021 – June 30, 2022) Page 33 of 33