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CONTRACT NO: C-86-20-021-3-03 AMENDMENT NO: 3 AMENDMENT TO CONTRACT Between MARICOPA COUNTY By and Through its DEPARTMENT OF PUBLIC HEALTH and Arizona Alliance for Community Health Centers It is mutually agreed the referenced contract is amended as follows: I. ATTACHMENT B, budget justification narrative is revised to reflect an increase in total project costs from $318,000 to 393,000. A (75,000 increase) for the year two budget period beginning September 1, 2020 to August 31, 2021. II. All other terms and conditions of the original contract shall remain in full force and effect. IN WITNESS WHEREOF, the parties agree to the changes indicated herein: FOR AND ON BEHALF OF FOR AND ON BEHALF OF MARICOPA COUNTY Arizona Alliance for Community Health Centers By By Jack Sellers, Chairman Shawn Frick, CEO Date__________________________ Date__________________________ ATTEST: APPROVED AS TO FORM: Clerk of the Board Attorney for Maricopa County Date Date Budget Justification Narrative: September 1, 2020 - August 31, 2021 A: Personnel (includes annual Cost of Living increase of 2% effective July 1). Project Year 2 Name & Title & Project Role Annual Salary FTE (12 months) Janelle Jones (Substance Use Program Manager) Manages program activities per grant and contract requirements. Provides training and technical assistance to 0.80 participating Community Health Centers (CHCs). Tracks and reports on program progress. Da-Nell Pedersen (Director of Clinical Programs) Supervises Program Manager to ensure timely, effective, and efficient 0.12 project development and management and alignment of project and organizational operations. Meredith Foulds (Training and Technical Assistance Coordinator). Supports AACHC training and program TA 0.03 events. Patricia Macias (Administrative Assistant). Provides administrative support to Sr. Director of Quality & Data 0.01 Management and Program Manager as relates to project. Kat Bergman (Human Resource Manager). Daily human 0.01 resource support for program staff. Suzanne Gilbert, CPA (Chief Financial Officer). Financial 0.005 oversight, quality control, and reports/funding. Michael Martin (Controller). Review of transactions, invoice 0.02 preparation, financial grant & GAAP compliance. Janeth Gamez (HR & Finance Coordinator). Handles job postings and new hire paperwork, and provides administrative 0.01 support to finance. Lindsey Ruivivar (Director of Grants). Provides program development assistance and ensures completion of programmatic 0.01 reports and compliance with grant requirements. Shelli Ross (Senior Director of Operations and Training). Oversees training, office operations, and IT. Responsible for 0.005 ensuring personnel have working equipment, software, and supplies. Shawn Frick (Chief Strategy Officer). Works to align grant objectives and deliverables with organization's strategic plan . 0.005 Oversees clinical grants and supervises Director of Clinical Programs. 1 Kathryn Tremonto (Executive Asst to CEO). Provides administrative support to CEO as related to CEO engagement in 0.005 the project. John McDonald, RN, MS, CPHQ (Chief Executive Officer). 0.005 Administrative Oversight Total Personnel 1.04 $70,247 B: Fringe Benefits Fringe Benefits 23.65% of Total Salaries. Below is a breakdown: Year 2 FICA Tax 7.65% of Total Salaries $5,374 Health Insurance 10.5% of Total Salaries $7,376 Life & Disability Insurance 1.5% of Total Salaries $1,054 Retirement Plan Benefits 4% of Total Salaries $2,810 Total Employee Benefits $16,614 A & B Total Personnel and Fringe $86,861 2 C: Travel Purpose of Travel Item & Computation Year 2 Travel within Maricopa County to GSA Mileage ($0.575/mile) * 300 miles per month $2,070 provide training and support to CHC sites. Airfare @ $500/trip * 2 trips $1,000 Program Manager to Lodging: $181/nt * 4 nights per trip * 2 trips $1,448 attend 2 national Meals $76/day * 2 days + $57/day 1st and last day* 2 trips $532 conferences and/or trainings annually. Ground Transportation: $100 R/T * 2 trips $200 Local airport parking: $15/day * 4 days * 2 trips $120 Total Travel $5,370 Total travel costs equal $5370. AACHC will only seek travel reimbursement up to the federal travel and per diem rates. D: Equipment: N/A E: Supplies Item Description Year 2 Office Supplies Paper, pens, ink, etc. @ $10/mth based on historical use. $120 Total Supplies Expense $120 F. Consultant/Contractual Costs Vendor Item & Calculation Year 2 Consulting services for SUD/OUD treatment infrastructure support: Consultant $15,000 120 hours * $125/hour Consulting services for SUD/OUD treatment infrastructure, such as: Consultant $13,500 IOP program development, MAT program development, peer support 3 multi-part video series that addresses breaking stigma around MAT, Consultant $112,500 targeted to provider audience @ $37,500 per series Peer Recovery Support Specialist Pilot - goal of evaluating peer Consultant support as a compliment to SUD treatment within a community health $33,000 center, and to demonstrate sustainability of the position long-term 2 additional Peer Recovery Support Specialists (at $36,000 each) Consultant $75,000 *an additional $3,000 for the already approved Peer Recovery Support Specialist (at $33,000) to cover the cost of full time benefits for the employee. 3 Annual external audit and tax filing (allocated based on federally Fester&Chapman $500 funded programs) Ideal Networks IT Support: $12,000/mth*12 mth*project FTEs $2,570 Total Contractual Expenses $ 252,070 Contractual costs totalling $177,070 include: 1) Consultant to provide technical assistance for the planning, development and implementation of SUD/OUD treatment programs, such as Medication Assisted Treatment. 2) Consultant for additional SUD/OUD treatment infrastructure development. 3) Contractor to create three different video series targeted to providers in Maricopa County. 4) Contractor to test Peer Recovery Support Specialist 1 FTE pilot. 5) Fester & Chapman to conduct the annual financial and Single Audit. Costs are allocated based on AACHC federally funded projects, with $500 allocated to this project. 6) Ideal networks to provide IT support for program staff on an on-going basis as AACHC's contracted IT provider. Fees are $100/hour and average $12,000/month. Costs are alliocate by FTEs dedicated to project/58** total organizational FTEs. **Please note that AACHC leases employees and provides administrative services, such as IT support, to 2 other non-profit entities (CVN and TAPI). The cost and denominator used in the allocations reflect the entities using the services. G. Construction: N/A H:Other Costs Item Description/Calculation Year 2 Training costs, including materials, audio/visual support, for a SUD Program Training symposium which may be held in-person or virtually; virtual group $34,293 trainings; and, virtual or in-person targeted one-on-one assistance Naloxone Training Training for Naloxone distribution $1,000 Azara SUD Module One-time implementation fee of $6,500 for one health center $6,500 Insurance Liability, D&O, etc @ $24,000/yr * program FTEs $671 Worker's Comp $0.35 per $100 in salaries $246 Staff Training Trainings required by law (HIPAA, etc.) $15,000/yr * program FTEs $370 Subscriptions Citrix Online: GoToMeeting service $1,950/yr * program FTEs $48 Telephone/ internet est. $28,600 yr * program FTEs $510 Telephone/Internet Cell Phone Reimbursement: $50/mth*12 mths*program FTEs $621 FP: Postage Meter $3,120 annually * program FTEs $56 4 Postage/Copying Arizona Office Technologies: Copiers/printers maintenance $321 $18,000/yr*program FTEs Rent Office rent $160,000/yr*program FTEs $3,943 Total Other Costs $48,579 Other costs totalling $48,579 include: 1) Training costs for in-person and/or virtual events. 2) Naloxone distribution training for at least one health center in Maricopa County. 3) One Azara SUD module for one health center. 4) Business insurance based on annual cost of $24,000/year allocated to project based on program FTEs as a % of total AACHC FTEs. 5) Worker's Comp at $0.35 per every $100 in salaries. 6) Staff trainings required by law (such as HIPAA, harassment, etc) at $15,000/yr * program FTEs/AACHC + CVN FTEs. 7) Subscription for gotomeeting for educational webinars and statewide program meetings at $1,950/yr * program FTEs/AACHC + CVN FTEs. 8) Telephone and Internet based on annual cost of $21,600/yr * program FTEs /58 total organizational FTEs. Per AACHC policy, staff using cell phone for business qualify for reimbursement of $50/month; budget includes $50 * 12 months * program FTEs. 9) Postage Meter & Printer/Copier agreements necessary to carry out daily business based on annual costs, allocated on program FTE as a % of organizational FTEs. Actual expense allocacted by usage. 10) Office space for program staff calculated as a % of total rent based on program FTEs/AACHC + CVN FTEs. TAPI's occupancy costs are not included in the allocation. **Please note that AACHC provides leased employees and other administrative services, such as office space and telephone, to 2 other non-profit entities (CVN and TAPI). The cost and the denominator used in the allocations reflect the entities using the services. Year 2 TOTAL DIRECT COSTS BY YEAR $318,000 TOTAL COSTS BY BUDGET CATEGORY Year 2 Personnel $ 70,247 Fringe $16,614 Travel $5,370 Equipment $0 Supplies $120 Consultant/Contractual $252,070 Construction $0 Other $48,579 TOTAL PROJECT $ 393,000 5