AMD RE ENVIRONMENT PH TRACKING WITH ADHS.PDF

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT 1740 W. Adams, Room 303
Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS18-184151 Amendment No. 1 Procurement Specialist
Bariah Steiner
Environmental Public Health Tracking Network - Maricopa
Effective upon signature, it is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
Pursuant to the Terms and Conditions, Section Six (6), Contract Changes, Item 6.1, Amendments, Purchase Orders and Change Orders, the contract
is hereby amended to include the following:
1. The Scope of Work is amended to include Year 2 through 5 Tasks and Deliverables.
2. The Price Sheet is amended to include the pricing for Year 2 through 5.
3. The Anti-Israel Boycott Provision addendum is revised and replaced with the following:
3.1. Unless and until the U.S. District Court’s injunction in Jordahl vs. Brnovich et al., Case No. 3:17-cv-08263 (D. Ariz) is stayed or lifted,
the Anti-Israel Boycott Provision (A.R.S. § 35-393.02(A)) is unenforceable and the State will take no action to enforce it.
All other provisions of this agreement remain unchanged.
CONTRACTOR SIGNATURE
Maricopa County
Contractor Name Contractor Authorized Signature
4041 N. Central Ave., Suite 1400
Address Printed Name
Phoenix AZ 85012 Chairman, Maricopa County Board of Supervisors
City State Zip Title
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney date indicated. The Public Agency is hereby cautioned not to commence
has determined that this Intergovernmental Agreement is in proper any billable work or provide any material, service or construction under
form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS
the State of Arizona. signatory.
State of Arizona
Signed this ______ day of _______________________ 201_
Signature Date
Printed Name Procurement Officer
RESERVED FOR USE BY THE SECRETARY OF STATE
Attorney General Contract No. P0012014000078, which is an
Agreement between public agencies, has been reviewed pursuant to Under House Bill 2011, A.R.S. § 11-952
A.R.S. § 11-952 by the undersigned Assistant Attorney General, who
has determined that it is in proper form and is within the powers and was amended to remove the requirement
authority granted under the laws of the State of Arizona. that Intergovernmental Agreements be filed
with the Secretary of State.
Signature Date
Assistant Attorney General
Printed Name:
ATTEST:
_______________________________________
Page 1 of 5 Clerk of the Board Date

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 HEALTH W. Adams, SERVICES Room 303
AMENDMENT Phoenix, Arizona 85007
SCOPE OF WORK (602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS18-184151 Amendment No. 1 Procurement Bariah Steiner Specialist
4.1.2. Responsibilities:
Maricopa County shall:
4.1.2.2. Continue activities from Year 1 and updating NCDM for state and national tracking network;
4.1.2.3. Maintain advanced activities completed in Year 1 defined in CDC-RFA-EH-17-1702 though
Year 5.
4.1.2.4. Assist ADHS in completing 2 additional Advanced Activities per year until maintaining all 10
defined in the notice of funding opportunity CDC-RFA-EH-17-1702. The 10 activities are
defined below:
4.1.2.4.1. Address gaps or limitations in available data by collaborating with state and
local programs to optimize data collection and ensure the inclusion of data
elements relevant to environmental public health tracking; integrating novel or
non-traditional data determined to be relevant and of sufficient quality (e.g.,
electronic health record data); conducting analyses and activities that either fills
the identified data gap or extends the applicability of the available data; or
expanding the availability and utility of sub-county data and measures
4.1.2.4.2. Conduct routine analyses using Tracking data for the discovery of spatial,
temporal, and demographic patterns of diseases, exposures, or environmental
hazards; the timely identification of unusual events signaling the need for
further investigation; or the non-research purposes of analyzing or linking
health, exposure, and hazard data to help provide new insights or solutions to
environmental health issues
4.1.2.4.3. Apply and interpret Tracking data to inform the development and evaluation of
public health actions
4.1.2.4.4. Establish repeatable, reliable, and readily accessible electronic access to data
sources, including tools and processes to increase the availability and
accessibility of timely and locally relevant data (e.g., sub-county and real time
data) and any needs discovered as the result of the gap analysis
4.1.2.4.5. Increase data management efficiency by developing state/local standard
operating procedures and increasing the use of routine, reusable, and
electronic processes and scripts for obtaining, validating, and disseminating
data, including use of application programming interfaces
4.1.2.4.6. In the communications plan, maintain at least one collaborative communication
activity annually, in addition to the program-wide activity, with one or more
Tracking grantees (e.g., co-presenting at a meeting; coordinated
communication about a specific topic or awareness event)
4.1.2.4.7. Conduct a needs assessment with target audience(s) to inform development of
at least two custom communication products (e.g., messages, tools) to
communicate Tracking data and information. Products may include, but are not
limited to fact sheets, environmental health snapshots, infographics, newsletter
articles, and social media posts
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 HEALTH W. Adams, SERVICES Room 303
AMENDMENT Phoenix, Arizona 85007
SCOPE OF WORK (602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS18-184151 Amendment No. 1 Procurement Bariah Steiner Specialist
4.1.2.4.8. Establish and maintain relationship with local media (i.e., newspapers,
magazines, TV) to promote Tracking through earned media
4.1.2.4.9. Co-present/Co-sponsor a national or regional meeting/conference or webinar
with other grantees or partners
4.1.2.4.10. Develop and implement program-specific training opportunities, through Web-
based or in-person training modules or other product (e.g., video tutorial) and
internships/fellowships/mentorships for students in environmental public health
tracking
5. Deliverables and Delivery Schedule
5.8. Indirect costs can be invoiced yearly after completion of all deliverables for each budget year.
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
PRICE SHEET (602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS18-184151 Amendment No. 1 Procurement Specialist
Bariah Steiner
Delivery
6. Deliverable Cost Budget Year
Schedule
EPHT Surveillance and Evaluation $33,000.00 January 1, 2018 (Year 1) Upon Signature – July
Quarter 1 Report 31, 2018
EPHT Surveillance and Evaluation $33,000.00 February, 28, (Year 1) Upon Signature – July
Quarter 2 Report 2018 31, 2018
EPHT Surveillance and Evaluation $33,000.00 April 30, 2018 (Year 1) Upon Signature – July
Quarter 3 Report 31, 2018
EPHT Surveillance and Evaluation $33,000.00 July 31, 2018 (Year 1) Upon Signature – July
Quarter 4 Report 31, 2018
Indirect Costs (16.6%) $22,779.00 July 31, 2018 (Year 1) Upon Signature – July
31, 2018
Communication of EPHT Products In- $1,000.00 July 31, 2018 (Year 1) Upon Signature – July
State 31, 2018
Communication of EPHT Products Out of $4,221.00 July 31, 2018 (Year 1) Upon Signature – July
State 31, 2018
EPHT Surveillance and Evaluation $24,000 November 30, (Year 2) August 1, 2018 – July
Quarter 1 Report 2018 31, 2019
EPHT Surveillance and Evaluation $24,000 January 31, 2019 (Year 2) August 1, 2018 – July
Quarter 2 Report 31, 2019
EPHT Surveillance and Evaluation $24,000 April 30, 2019 (Year 2) August 1, 2018 – July
Quarter 3 Report 31, 2019
EPHT Surveillance and Evaluation $24,000 July 31, 2019 (Year 2) August 1, 2018 – July
Quarter 4 Report 31, 2019
Indirect Costs (18.9%) of Direct Charges $19,075 July 31, 2019 (Year 2) August 1, 2018 – July
$100,925 31, 2019
Communication of EPHT Products In- $1,025 July 31, 2019 (Year 2) August 1, 2018 – July
State 31, 2019
Communication of EPHT Products Out of $3,900 July 31, 2019 (Year 2) August 1, 2018 – July
State 31, 2019
EPHT Surveillance and Evaluation $24,000 October 31, 2019 (Year 3) August 1, 2019 – July
Quarter 1 Report 31, 2020
EPHT Surveillance and Evaluation $24,000 January 31, 2020 (Year 3) August 1, 2019 – July
Quarter 2 Report 31, 2020
EPHT Surveillance and Evaluation $24,000 April 30, 2020 (Year 3) August 1, 2019 – July
Quarter 3 Report 31, 2020
EPHT Surveillance and Evaluation $24,000 July 31, 2020 (Year 3) August 1, 2019 – July
Quarter 4 Report 31, 2020
Indirect Costs (18.9%) of Direct Charges $19,075 July 31, 2020 (Year 3) August 1, 2019 – July
$100,925 31, 2020
Communication of EPHT Products In- $1,025 July 31, 2020 (Year 3) August 1, 2019 – July
State 31, 2020
Communication of EPHT Products Out of $3,900 July 31, 2020 (Year 3) August 1, 2019 – July
State 31, 2020
EPHT Surveillance and Evaluation $24,000 October 31, 2020 (Year 4) August 1, 2020 – July
Quarter 1 Report 31, 2021
EPHT Surveillance and Evaluation $24,000 January 31, 2021 (Year 4) August 1, 2020 – July
Quarter 2 Report 31, 2021
EPHT Surveillance and Evaluation $24,000 April 30, 2021 (Year 4) August 1, 2020 – July
Quarter 3 Report 31, 2021
EPHT Surveillance and Evaluation $24,000 July 31, 2021 (Year 4) August 1, 2020 – July
Quarter 4 Report 31, 2021
Indirect Costs (18.9%) of Direct Charges $19,075 July 31, 2021 (Year 4) August 1, 2020 – July
$100,925 31, 2021
Communication of EPHT Products In- $1,025 July 31, 2021 (Year 4) August 1, 2020 – July
State 31, 2021
Communication of EPHT Products Out of $3,900 July 31, 2021 (Year 4) August 1, 2020 – July
State 31, 2021
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
PRICE SHEET (602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS18-184151 Amendment No. 1 Procurement Specialist
Bariah Steiner
EPHT Surveillance and Evaluation $24,000 October 31, 2021 (Year 5) August 1, 2021 – July
Quarter 1 Report 31, 2022
EPHT Surveillance and Evaluation $24,000 January 31, 2022 (Year 5) August 1, 2021 – July
Quarter 2 Report 31, 2022
EPHT Surveillance and Evaluation $24,000 April 30, 2022 (Year 5) August 1, 2021 – July
Quarter 3 Report 31, 2022
EPHT Surveillance and Evaluation $24,000 July 31, 2022 (Year 5) August 1, 2021 – July
Quarter 4 Report 31, 2022
Indirect Costs (18.9%) of Direct Charges $19,075 July 31, 2022 (Year 5) August 1, 2021 – July
$100,925 31, 2022
Communication of EPHT Products In- $1,025 July 31, 2022 (Year 5) August 1, 2021 – July
State 31, 2022
Communication of EPHT Products Out of $3,900 July 31, 2022 (Year 5) August 1, 2021 – July
State 31, 2022
*Year 3 – 5 funding levels dependent upon federal funding availability. Indirect costs to be adjusted to allowable
amounts in price sheet amendments.
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