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Intergovernmental Agreement CONTRACT AMENDMENT C-22-15-064-3-13 1. CONTRACTOR (Name and address) 2. CONTRACT ID NUMBER Maricopa County Human Services Department ADES15-089115 234 N. Central Ave. Suite 300 Phoenix, AZ 85004 3. AMENDMENT NUMBER Thirteen (13) 4. THE PARTIES AGREE TO THE FOLLOWING AMENDMENT Pursuant to the Terms and Conditions, Section 32.0 Levels of Service, the purpose of this Amendment is to revise the Case Management Service Budgets and Community Services Service Budget for the period of July 1, 2019 through June 30, 2020. In accordance with the Alert issued October 10, 2019, the revised funding allocations are as follows: The Case Management service reimbursement ceiling for the period of July 1, 2019 through June 30, 2020 is revised from $4,916,332 to $5,388,470. The Community Services service reimbursement ceiling for the period of July 1, 2019 through June 30, 2020 is revised from $870,222 to 901,307.75. Therefore the revised Case Management Service Budgets, and the revised Community Services Service Budget are added and attached. 5. EXCEPT AS PROVIDED HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT AS HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL FORCE AND EFFECT. THE AMENDMENT SHALL BECOME EFFECTIVE ON THE DATE OF LAST SIGNATURE UNLESS OTHERWISE SPECIFIED HEREIN. BY SIGNING THIS FORM ON BEHALF OF THE CONTRACTOR, THE SIGNATORY CERTIFIES HE/SHE HAS THE AUTHORITY TO BIND THE CONTRACTOR TO THIS CONTRACT. 6. 7. NAME OF CONTRACTOR ARIZONA DEPARTMENT OF ECONOMIC SECURITY Maricopa County Human Services Department SIGNATURE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL TYPED NAME TYPED NAME TITLE TITLE DATE DATE IN ACCORDANCE WITH ARS §11-952 THIS CONTRACT AMENDMENT HAS BEEN REVIEWED BY THE UNDERSIGNED WHO HAVE DETERMINED THAT THIS CONTRACT AMENDMENT IS IN APPROPRIATE FORM AND WITHIN THE POWERS AND AUTHORITY GRANTED TO EACH RESPECTIVE PUBLIC BODY. ARIZONA ATTORNEY GENERAL’S OFFICE By: _________________________________________ By: ____________________________________ Assistant Attorney General Public Agency Legal Counsel Date: _______________________________________ Date: __________________________________ Revised: 8/22/13 ITEMIZED SERVICE BUDGET C-22-15-064-3-13 CONTRACT SERVICE: Case Management - Intake Costs (CMG-CAP-INT) Agency: Maricopa County Contract Period: 07/01/2019 - 06/30/2020 ADES15-089115 1. PERSONNEL TOTAL 96% 1% 2% 1% Number of FTE Total Salary for the DES service LIHEAP SSBG TANF NHN Positions Level Position Title Contract Period COST COST COST Cost Cost 1 0.35 CAA Program Manager $80,163 $28,057 $28,057 1 0.45 Program Coordinator- Utility Assist $19,310 $19,310 $19,310 TOTAL PERSONNEL $47,367.00 $47,367.00 $0.00 $0.00 $0.00 2. EMPLOYEE RELATED EXPENSES TOTAL 96% 1% 2% 1% DES service LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost FICA, Unemployment Insurance, Health Benefits, $47,367 $9,485 $9,485 Life Insurance, Retirement, Workers Comp, etc. X 19.76% $9,360 $11,856 .80FTEs $9,485 $9,360 $9,360 TOTAL EMPLOYEE RELATED EXPENSES . $18,845.00 $18,845.00 $0.00 $0.00 $0.00 3. PROFESSIONAL AND OUTSIDE SERVICES TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost APS Energy Education $5,010 $5,010 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $5,010.00 $5,010.00 $0.00 $0.00 $0.00 4. TRAVEL . TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost Conference and training related lodging/travel $2,000 $2,000 Staff Mileage $1,000 $1,000 TOTAL TRAVEL $3,000.00 $3,000.00 $0.00 $0.00 $0.00 5. SPACE TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL SPACE $0.00 $0.00 $0.00 $0.00 $0.00 6. EQUIPMENT TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL EQUIPMENT $0.00 $0.00 $0.00 $0.00 $0.00 7. MATERIALS AND SUPPLIES TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL MATERIALS AND SUPPLIES $0.00 $0.00 $0.00 $0.00 $0.00 8. OPERATING SERVICES TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL OPERATING EXPENSES $0.00 $0.00 $0.00 $0.00 $0.00 9 INDIRECT COSTS TOTAL LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST Cost Cost TOTAL INDIRECT COSTS $0.00 $0.00 $0.00 $0.00 $0.00 10 SUBTOTAL VOUCHER COST $74,222.00 $74,222.00 $0.00 $0.00 $0.00 11. VOUCHERS TOTAL $0.00 $0.00 $0.00 $0.00 DES service LIHEAP SSBG TANF NHN ITEM COST COST COST Cost Cost Sub-contracted providers for crisis case manage $546,030 $436,253 $0 $109,777 TOTAL VOUCHERS $546,030.00 $436,253.00 $0.00 $109,777.00 $0.00 12. TOTAL SERVICE COST/DES TOTAL COST: $620,252.00 $510,475.00 $0.00 $109,777.00 $0.00 REVENUE SOURCES: DES - DAAS $620,252.00 $510,475.00 $0.00 $109,777.00 $0.00 TOTAL REVENUE: $620,252.00 $510,475.00 $0.00 $109,777.00 $0.00 ITEMIZED SERVICE BUDGET C-22-15-064-3-13 CONTRACT SERVICE: Case Management Agency: Maricopa County Contract Period: 07/01/2019 - 06/30/2020 ADES15-089115 1. PERSONNEL Number of FTE Total Salary for the Total TOTAL LIHEAP SSBG TANF NHN Service DES service CMG-CAP-LIH CMG-CAP-SBG CMG-CAP-TNF CMG-CAP-NHN Positions Level Position Title Contract Period COST COST COST COST Cost Cost 1 0.50 Assistant Director $97,760 $48,880 $48,880 $39,104 $4,888 $4,888 $0 1 1.00 Admin Services Supervisor $71,490 $71,490 $71,490 $21,447 $42,894 $7,149 $0 1 0.60 CAA Prg Mgr $80,163 $48,098 $48,098 $40,082 $8,016 $0 1 0.40 CSBG Program Coordinator $64,064 $25,626 $25,626 $0 $25,626 $0 $0 1 0.95 Management Assist $43,243 $41,081 $41,081 $25,946 $15,135 $0 $0 1 0.75 Management Analyst $57,325 $42,994 $42,994 $5,733 $22,930 $14,331 $0 1 0.55 Program Coordinator- Evict Preve $68,017 $37,409 $37,409 $0 $17,004 $20,405 $0 1 1.00 Program Specialist $34,278 $34,278 $34,278 $20,567 $13,711 $0 $0 1 0.15 Program Coordinator- Utility Assis $42,911 $6,437 $6,437 $0 $0 $6,437 $0 1 1.00 Grant Accountant $68,000 $68,000 $68,000 $40,800 $23,800 $3,400 $0 1 0.00 $0 $0 $0 $0 $0 $0 Total FTE: 6.90 3% Cost of Living $0 $0 $0 $0 $0 $424,293 $424,293 $153,597 $206,070 $64,626 $0 TOTAL PERSONNEL $424,293 $424,293 $153,597 $206,070 $64,626 $0 2. EMPLOYEE RELATED EXPENSES Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST FICA $424,293 $81,807 $81,807 $30,826 $39,125 $11,856 $0 Unemployment Insurance X19.76% $0 Health Benefits $83,840 Life Insurance Retirement $11,856 etc… X 6.9 FTEs Unemployment & Workers Comp $81,807 $83,840 $83,840 $30,351.00 $40,719 $12,770 $0 $0 $0 $0 $0 $0 $0 TOTAL EMPLOYEE RELATED EXPENSES . $165,647 $165,647 $61,177 $79,844 $24,626 $0 3. PROFESSIONAL AND OUTSIDE SERVICES Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Sub-Contracted Providers of $0 $0 $0 $0 $0 $0 Crisis Case Mgt & Financial Asst Services $0 $0 $0 $0 $0 $0 Other Contracts $0 $0 $0 $0 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $0 $0 $0 $0 $0 $0 4. TRAVEL Total . Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Conference and Training Related Lodging/Travel $4,728 $4,728 $1,349 $3,379 $0 $0 Staff Mileage $4,407 $4,407 $300 $1,200 $2,907 $0 TOTAL TRAVEL $9,135 $9,135 $1,649 $4,579 $2,907 $0 5. SPACE Total C-22-15-064-3-13 Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Office Space $0 $0 $0 $0 $0 $0 TOTAL SPACE $0 $0 $0 $0 $0 $0 6. EQUIPMENT Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 TOTAL EQUIPMENT $0 $0 $0 $0 $0 $0 7. MATERIALS AND SUPPLIES Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST General office supplies $3,391 $3,391 $1,879 $0 $1,512 $0 Avg. $283 Mo X 12 Months $0 TOTAL MATERIALS AND SUPPLIES $3,391 $3,391 $1,879 $0 $1,512 $0 8. OPERATING SERVICES Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Records Management (Storage & Destruction) $0 $0 $0 $0 $0 $0 Staff Monthly Parking Fees $0 $0 $0 $0 $0 $0 Staff Training - Registration Fees $0 $0 $0 $0 $0 $0 TOTAL OPERATING EXPENSES $0 $0 $0 $0 $0 $0 9 INDIRECT COSTS Total Service TOTAL DES LIHEAP SSBG TANF NHN ITEM BASIS COST COST COST COST COST COST Maricopa County Human Services $0 $145,666 $145,666 $62,379 $63,473 $19,814 $0 Provisional indirect cost rate is 22.2% Personnel and ERE only TOTAL INDIRECT COSTS $145,666 $145,666 $62,379 $63,473 $19,814 $0 10 SUBTOTAL ADMIN COST $748,132 $748,132 $280,681 $353,966 $113,485 $0 11. VOUCHERS TOTAL TOTAL DES LIHEAP SSBG TANF NHN ITEM COST COST COST COST COST COST TANF $370,062 $370,062 $370,062 LIHEAP $3,643,114 $3,643,114 $3,643,114 NHN $6,910 $6,910 $6,910 TOTAL VOUCHERS $4,020,086 $4,020,086 $3,643,114 $0 $370,062 $6,910 12. TOTAL SERVICE COST/DES TOTA $4,768,218 $3,923,795 $353,966 $483,547 $6,910 REVENUE SOURCES: DES - DAAS $4,768,218 $3,923,795 $353,966 $483,547 $6,910 TOTAL REVENUE: $4,768,218 $3,923,795 $353,966 $483,547 $6,910 ITEMIZED SERVICE BUDGET C-22-15-064-3-13 CONTRACT SERVICE: Community Services Agency: Maricopa County Contract Period: 07/01/2019 - 06/30/2020 ADES15-089115 1. PERSONNEL Total TOTAL 100% 0% 0% Number of FTE Total Salary for the Service DES service CSBG CSBG-DSC CSBG-EMG Positions Level Position Title Contract Period COST COST COST COST Cost 1 0.50 Assistant Director $97,760 $48,880 $48,880 $48,880 $0 $0 1 0.60 CSBG Program Coordinator $64,064 $38,438 $38,438 $38,438 $0 $0 1 0.05 Management Assistant $43,243 $2,162 $2,162 $2,162 $0 $0 1 0.25 Mgmt. Analyst $57,325 $14,331 $14,331 $14,331 $0 $0 1 0.40 Prog. Coordinator - Utility Assist. $42,911 $17,164 $17,164 $17,164 $0 $0 1 0.07 Resident Pgm Coordinator $47,738 $3,342 $3,342 $3,342 $0 $0 1 0.07 Resident Pgm Coordinator $43,981 $3,079 $3,079 $3,079 $0 $0 1 0.25 Surpise WDD Specialist $48,856 $12,214 $12,214 $12,214 $0 $0 1 0.25 Scottsdale WDD Specilist $48,856 $12,214 $12,214 $12,214 $0 $0 1 0.25 Tempe WDD Specialist $48,856 $12,214 $12,214 $12,214 $0 $0 1 0.25 Program Coordinator- Evict/Spec Proj $68,017 $17,004 $17,004 $17,004 $0 $0 $0 Total FTEs 2.94 3% Cost of Living Increase $0.00 $0 $0 $0 $0 TOTAL PERSONNEL $181,042 $181,042 $181,042 $0 $0 2. EMPLOYEE RELATED EXPENSES Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost FICA $181,042 $35,774 $35,774 $35,774 $0 $0 Unemployment Insurance 19.76% Health Benefits $35,774 Life Insurance Ritirement $11,856 Unemploymrnet & Workers Comp X 2.94 FTEs $34,857 $34,857.00 $34,857 $34,857 $0 $0 TOTAL EMPLOYEE RELATED EXPENSES . $70,631 $70,631 $70,631 $0 $0 3. PROFESSIONAL AND OUTSIDE SERVICES Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost Check Writing Fees/Insurance $25,000 $25,000 $25,000 $0 $0 Needs Assessment $45,000 $45,000 $45,000 $0 $0 Community Initiatives CAP Contracts $300,000 $300,000 $300,000 $0 $0 FSS Database $7,800 $7,800 $7,800 $0 $0 Other Contracts $19,644 $19,644 $19,644 $0 $0 TOTAL PROFESSIONAL AND OUTSIDE SERVICES $397,444 $397,444 $397,444 $0 $0 C-22-15-064-3-13 4. TRAVEL Total . . . Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost Staff and Advisory Board Conference $15,000 $15,000 $15,000 $0 $0 and Training Related Lodging/Travel Staff Mileage $10,000 $10,000 $10,000 $0 $0 TOTAL TRAVEL $25,000.00 $25,000 $25,000 $0 $0 5. SPACE Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost Office Space 50% of $10,000 x 12 months $0.00 $0 $0 $0 $0 TOTAL SPACE $0.00 $0 $0 $0 $0 6. EQUIPMENT Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost TOTAL EQUIPMENT $0.00 $0 $0 $0 $0 7. MATERIALS AND SUPPLIES Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost General Office Supplies $13,988 $13,988 $13,988 $0 $0 Avg. $1,166 Month X 12 Months Postage, forms, Business Cards, Calendars, Misc. $2,369 $2,369 $2,369 $0 $0 $0 $0 $0 $0 TOTAL MATERIALS AND SUPPLIES $16,357.00 $16,357 $16,357 $0 $0 8. OPERATING SERVICES Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost Records Mgmt & Storage $1,415.00 $1,415 $1,415 $0 $0 Reporgraphics (coping, printint, ets.) $3,000.00 $3,000 $3,000 $0 $0 Staff Monthly Parking Fees $15,479.00 $15,479 $15,479 $0 $0 Fingerprint Clearance Cards $225.00 $225 $225 $0 $0 Staff Training - Registration Fees $15,000.00 $15,000 $15,000 $0 $0 Advisory Board/Community Mtgs Estimated $260 X 5 Events $1,300.00 $1,300 $1,300 $0 $0 Parking Validation Visitor, Parking Stamps $4,543.00 $4,543 $4,543 $0 $0 Telecommunications $8,000.00 $8,000 $8,000 $0 $0 Memberships $6,000.00 $6,000 $6,000 $0 $0 TOTAL OPERATING EXPENSES $54,962.00 $54,962 $54,962 $0 $0 9 INDIRECT COSTS Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM BASIS COST COST COST COST Cost Maricopa County Human Services 22.20% $55,871.00 $55,871 $55,871 $0 $0 provisinal indirect cost rate is 22.2% of Personnel and ERE only C-22-15-064-3-13 TOTAL INDIRECT COSTS $55,871.00 $55,871 $55,871 $0 $0 10 SUBTOTAL ADMIN COST $801,307.00 $801,307 $801,307 $0 $0 11. Program Costs Total Service DES service CSBG CSBG-DSC CSBG-EMG ITEM COST COST COST COST Cost vouchers $100,000.75 $100,000.75 $100,000.75 $0 $0 TOTAL program cost $100,000.75 $100,000.75 $100,000.75 $0 $0 $0 $0 12. TOTAL SERVICE COST/DES TOTA $901,307.75 $901,307.75 $0 $0 REVENUE SOURCES: DES - DAAS $901,307.75 $901,307.75 $0 $0 TOTAL REVENUE: $901,307.75 $901,307.75 $0 $0