2020-110 AMEND 1_MC DEPT OF PUBLIC HEALTH - SIGNED.PDF

C-86-21-062-x-01 Amendment 1
AMENDMENT TO INTERGOVERNMENTAL AGREEMENT (IGA)
BETWEEN MARICOPA COUNTY AND TOWN OF QUEEN CREEK FIRE & MEDICAL DEPARTMENT
FOR MASS IMMUNIZATION SERVICES AND ADMINISTRATION
1. The above-named contract is hereby amended as specified below:
a. The project period is extended from July 1, 2021 through March 31, 2022.
b. Additional funding in the amount of $50,000 for a cumulative not-to-exceed amount of
$100,000 for the total project period of September 10, 2020 through March 31, 2022.
c. In addition to Flu and other seasonal vaccines, COVID vaccinations will be provided. County
and its contractors will abide by manufacturer’s instructions for storage, transport, handling,
and reconstitution
d. All eligible individuals, with an appointment, are to be vaccinated. Insurance status is
irrelevant.
e. Effective January 1, 2020, the COVID vaccine rate shall be $25.00 per dose, regardless of
whether 1st or 2nd dose.
f. Contractor:
i. should pull the 6th dose from the vial if possible. Partial doses cannot be used.
ii. must be available during scheduled vaccine delivery
iii. must ensure only those eligible per MCDPH instruction are vaccinated. Exceptions
include:
a. reconstituted, end of day vaccine may be used to vaccinate staff or others not
meeting the minimum criteria
b. vaccine that has not been reconstituted must be returned to MCDPH per
established procedure
iv. must return completed patient consent forms, via email or courier, on day of
vaccination, as daily reporting is required.
v. must complete daily end-of-day report through the established vendor
management map.
g. MCDPH:
i. will provide the needed vaccine and supplies necessary for vaccination: needles,
syringes, alcohol pads, needle information card, vaccination cards, disposable face
shields, surgical masks
ii. due to availability concerns, MCDPH cannot guarantee to provide band aids, gloves,
and other PPE.
iii. will bill on behalf of the Contractor through the Arizona Partnership for
Immunizations (TAPI). Contractors may choose to be responsible for their own
billing.
iv. will reimburse Contractor for under/uninsured individuals.

2. All other terms of the IGA remain unchanged.
This agreement will be CARES Act funded and was approved for this purpose on June 8, 2020 as C-86-20-
552-M-00. CARES Act funding is set to expire 12/31/2021. Should that occur, and alternate funding
unavailable, Section 4.0 of the Contract, Availability of Funds, will apply, allowing for a change or
termination of the contract.
FOR COUNTY FOR TOWN OF QUEEN CREEK
FIRE & MEDICAL DEPARTMENT
___________________________________ ______________________________
Jack Sellers, Chairman Date Gail Barney, Mayor
Chairman, Board of Supervisors Town of Queen Creek
APPROVED AS TO FORM APPROVED AS TO FORM
Scott A. Holcomb
_______________________________________ ________________________________ Scott A. Holcomb (Apr 8, 2021 14:36 PDT)
Attorney for County Date Scott A. Holcomb, Attorney
Town of Queen Creek
ATTEST ATTEST
_______________________________________ _______________________________
Office of the Clerk of the Board Date Maria Gonzalez, Clerk
Town of Queen Creek

2020-110 AMEND 1_MC Dept of Public Health
Final Audit Report 2021-04-08
Created: 2021-04-08
By: Maria Gonzalez (maria.gonzalez@queencreek.org)
Status: Signed
Transaction ID: CBJCHBCAABAAqmOUr7uoa9RXMu9Ct0LIvVo1VRroFB6c
"2020-110 AMEND 1_MC Dept of Public Health" History
Document created by Maria Gonzalez (maria.gonzalez@queencreek.org)
2021-04-08 - 4:52:59 PM GMT- IP address: 205.168.30.205
Document emailed to Scott A. Holcomb (sholcomb@dickinson-wright.com) for signature
2021-04-08 - 4:53:27 PM GMT
Email viewed by Scott A. Holcomb (sholcomb@dickinson-wright.com)
2021-04-08 - 9:35:24 PM GMT- IP address: 45.41.142.13
Document e-signed by Scott A. Holcomb (sholcomb@dickinson-wright.com)
Signature Date: 2021-04-08 - 9:36:25 PM GMT - Time Source: server- IP address: 63.240.135.4
Agreement completed.
2021-04-08 - 9:36:25 PM GMT