AMEND TO IGA WIC SPPROJS (04).PDF

C-86-19-013-3-04
ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Phoenix, Arizona 85007
Amendment
Contract No.: IGA Amendment No: 3 Procurement Officer
CTR040876 Arizona Procurement Portal Amendment No.: 3 Felicia Marquez
WIC AND BFPC SERVICES
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
1. Pursuant to Terms and Conditions, Page Seven (7), Provision Six (6), Contract Changes; the Intergovernmental Agreement is
amended to revise the following:
1.1 The Price Sheet is revised and replaced by the Price Sheet of this Amendment Three (3).
All other provisions of this agreement remain unchanged.
Contractor Name: MARICOPA COUNTY, By and Through its Authorized Signature
DEPARTMENT of PUBLIC HEALTH
Bill Gates
Address: 4041 N. CENTRAL AVENUE, SUITE 1400 Print Name
PHOENIX ARIZONA 85012 Chairman, Board of Supervisors
City State Zip Title
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined This Intergovernmental Agreement Amendment shall be
that this Intergovernmental Agreement is in proper form and is within the powers and effective the date indicated. The Public Agency is hereby
authority granted under the laws of Arizona cautioned not to commence any billable work or provide any
material, service or construction under this IGA until the IGA has
been executed by an authorized ADHS signatory.
State of Arizona
Signature Date
Signed this day of 20___.
Attorney for County
Print Name
Procurement Officer
Contract No.: CTR040876, which is an Agreement between public agencies, has been
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has
determined that it is in proper form and is within the powers and authority granted under
the laws of the State of Arizona.
Signature Date
Assistant Attorney General
Print Name
ATTEST:___________________________________________________
Office of the Clerk of the Board Date
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 3 Procurement Officer
CTR040876 Arizona Procurement Portal Amendment No.: 3 Felicia Marquez
PRICE SHEET
WIC AND BFPC SERVICES
October 1, 2019 to September 30, 2020
Agency Name: Maricopa County Health Department
Federal Award Identification Number (FAIN): 197AZAZ7W1003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
WIC Services
Cost Reimbursement Line Item Budget
Account Classification Amount
Personnel $3,909,166.00
Employee Related Expenses $1,971,093.00
Professional & Outside Services $155,500.00
Travel Expense $10,550.00
Occupancy Expenses $451,870.00
Other Operating Expenses $116,694.00
Capital Expenditures $1.00
Indirect Cost $1,270,056.00
RD Supplement $1,038,016.00
Total $8,922,946.00
Federal Award Identification Number (FAIN): 197AZAZ1W5003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
Breastfeeding Peer Counseling Services
Cost Reimbursement Line Item Budget
Account Classification Amount
Personnel $249,679.00
Employee Related Expenses $131,143.00
Professional & Outside Services $1.00
Travel Expense $1,500.00
Occupancy Expenses $19,500.00
Other Operating Expenses $5,056.00
Capital Expenditures $0.00
Indirect Costs $78,121.00
Total $485,000.00
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 3 Procurement Officer
CTR040876 Arizona Procurement Portal Amendment No.: 3 Felicia Marquez
Federal Award Identification Number (FAIN): 197AZAZ1W5003
Federal Award Date: October 1, 2019
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
WIC SPECIAL PROJECTS
Cost Reimbursement Line Item Budget
Account Classification Amount
Personnel $68,730.00
Employee Related Expenses $44,526.74
Professional & Outside Services $0.00
Travel Expense $0.00
Occupancy Expenses $13,348.00
Other Operating Expenses $0.00
Capital Expenditures $0.00
Registered Dietitian $36,608.00
Indirect Costs $31,336.78
Total $194,549.52
Additional Terms and Conditions:
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of
ten percent (10%) of the total budget amount between funded line items except for Registered Dietitian Expenses.
Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-
funded line item shall require an amendment. The Registered Dietitian line item may only be used to fund additional
Registered Dietitian position(s) to meet high risk counseling requirements.
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
amount of funds authorized. The Contractor shall only be authorized to perform services up to the amount on 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 a.) The Purchase Order
is modified with an official ADHS Procurement Change Order, and/or b.) An additional Purchase Order is issued for
purchase of services under this Contract.
ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received.
Adjustments will be at the discretion of ADHS.
Additional WIC Program:
Should additional administrative monies become available through state or federal grants, ADHS may increase the
purchase order to increase the number of participants served and increase the total of this contract.
The assigned caseload for FFY 2020 is: 48,000
Additional Breastfeeding Peer Counseling Program:
Allowable costs for the Peer Counseling Program include compensation for peer counselors and designated peer
counselor managers/coordinators, and related costs such as training and training materials; telephone expenses for
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 260
Amendment Phoenix, Arizona 85007
Contract No.: IGA Amendment No: 3 Procurement Officer
CTR040876 Arizona Procurement Portal Amendment No.: 3 Felicia Marquez
participant contacts (including pager, cell phones and answering machines); travel for training and home and hospital
visits; recruitment of peer counseling staff; and the purchase of demonstration materials (e.g., breast pumps for
demonstration purposes, videos). Out of state travel must be pre-approved by ADHS. Items and materials for
distribution to WIC participants (e.g. breast pumps, breastfeeding aids) are not allowable costs.
WIC Special Projects
Monies are provided for WIC Special Projects that will include the following:
a. Cover occupancy, security, and cleaning services costs for an ADHS WIC computer lab training room
housing up to 40 computers at 2737 W Southern Ave, Suite 10, Tempe, AZ 85282. The WIC computer
lab training room will be for the priority use of the Arizona State WIC Program and be made available to
other Arizona WIC local agencies. ADHS Information Technology staff will be responsible for installation
and maintenance of computer and networking hardware and software. The training room computers will
not be connected to the Maricopa internal network, but the training room will share the same internet line
as the adjacent WIC clinic.
b. Additional monies have been added to the Registered Dietitian (RD) line item for Maricopa County WIC
Program to provide RD services to other local WIC agencies as agreed upon in the Scope of Work
documents between Maricopa and each local WIC program that services are provided.
c. Additional monies have been added to the Personal Services, Employee Related Expenses, & Indirect
Costs line items to Maricopa WIC Program Special Project Budget to provide State-wide assistance and
support for Outreach and Retention.
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