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CONTRACT NO: C-86-15-054-3-06 AMENDMENT NO: 6 AMENDMENT TO CONTRACT Between MARICOPA COUNTY By and Through DEPARTMENT OF PUBLIC HEALTH And American Lung Association in Arizona, an Arizona Corporation I. The above named contract is hereby amended as specified below: 1.0. CONTRACT TERM: 1.1 extend the contract term for one (1) year, beginning on the 1st day of November, 2018 and ending the 31th of October, 2019. (This is the final year of the 5 year maximum term.) 6.28 INCORPORATION OF DOCUMENTS: 6.28.1 Exhibit A, Pricing, replace with the updated Exhibit A, Pricing, Budget Narrative for budget period November 1, 2018 through October 31, 2019 and budget amount of $626,000 for a 5 year cumulative total of $2,593,247.00; 6.28.2 Exhibit B, Scope of Work, Detailed Work Plan replace with an updated Exhibit B, Scope of Work, Detailed Work Plan. II. All other terms and conditions of the original contract and its amendments 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 AMERICAN LUNG ASSOCIATION In ARIZONA, an Arizona Corporation By: By: Steve Chucri, Chairman Board of Supervisors Date Date ATTEST: ATTEST: Clerk of the Board Date Date APPROVED AS TO FORM: APPROVED AS TO FORM: Attorney for Maricopa County Date Date 1 American Lung Association in Arizona Smoke-Free Living Collaborative Program/Arizona Smoke-Free Living Coalition Exhibit A-Budget Narrative November 1, 2018 – October 31, 2019 Personnel $389,950 Director, Health Promotions – Brenda Serna: $62,000 Specialist, Health Promotions – Gayla Jensen: $49,500 Specialist, Health Promotions – Vanessa Eugenio: $45,500 Specialist, Health Promotions – Camrron Anderson: $47,500 Vacant Role, Specialist, Health Promotions: $47,500 Associate, Health Promotions – Amanda Sturm: $33,000 Division Director, Health Promotions -- Will Rucker: $ 3,850 (5% of annual salary) ----------- $288,850 total salary Taxes and benefits (35% of salary for full-time employees): + $101,100 ------------- $389,950 Employee Cell Phone Reimbursement* $2880 Director, Health Promotions – Brenda Serna: $480 Specialist, Health Promotions – Gayla Jensen: $480 Specialist, Health Promotions – Vanessa Eugenio: $480 Specialist, Health Promotions – Camrron Anderson: $480 Vacant Role, Specialist, Health Promotions: $480 Associate, Health Promotions – Amanda Sturm: $480 *$40 per month Contractual $77,000 Media consultant Salesforce (database) consultant Statewide renter/property manager survey Training for employees and/or ASFL Coalition members MapAnything licenses Media $37,500 ASFL Coalition website (e.g. refresh efforts, hosting) Social media (e.g. ad buys, scheduling tool) Digital stories (e.g. videos for ASFL website) Graphic design Language translation American Lung Association in Arizona Smoke-Free Living Collaborative Program/Arizona Smoke-Free Living Coalition Travel $15,000 Travel to attend conferences or other trainings (e.g. NCTOH, NAHRO) Mileage to travel to meetings with stakeholders and partners (statewide) Hotel stays and per diem (e.g. conferences, travel to outlying counties) Supplies $3170 No smoking signs and/or decals Office supplies Supplies for workshops and/or conferences/trade shows Educational and collateral materials Logo items Printing and postage Memberships, Dues, and Fees $5000 Annual dues for professional organizations (e.g. Arizona Multihousing Association, NAHRO) Exhibits at conferences/trade shows (e.g. NAHRO, NCTOH) Indirect Fees** $95,500 **calculated at 18% of direct costs TOTAL BUDGET $626,000 REVISED - EXHIBIT B, SCOPE OF WORK (Detailed Work Plan, 11/1/2018 – 10/31/19 REVISED SCOPE OF WORK FOR FY2019 AMENDMENT for the Arizona Lung Association for Year 5 Goal 1: Decrease Arizonan’s exposure to secondhand smoke in their homes by increasing access to smoke-free multi-unit housing options with a minimum of 75 additional or new properties adopting smoke-free policies. Objective 1.1: By November 1, 2019, reach out to decision-makers in the multi-family housing industry to provide education, resources and technical support leading to improved indoor air quality in Maricopa County multi-unit housing properties. Activity 1.1.1: Include the Arizona Public Housing Authorities (PHAs) as a primary partner for this grant period; provide training and technical assistance to all PHAs in Arizona who currently are in compliance with the HUD rule or who request assistance. Activity 1.1.1.1: Track all Public Housing Authorities (PHA) policy implementation support-training activities relative to the smoke-free (SF) rule adoption within the state. Activity 1.1.1.2: Offer the following SF policy training support to all PHAs in Arizona, subjects listed below; when possible work with county partners to create capacity: SF Resident Briefings – Partner with county partners statewide to train residents. Smoking Cessation Classes – Pilot or offer at least one video smoking cessation class in every county where assistance is needed. Basic Skills Training – Train housing staff and others who are closely associated with residents of low-income housing as a SF policy support activity. Activity 1.1.2: Plan, organize and execute at least two educational events for decision makers in multi-family (MF) housing industry through professional organizations such as Arizona Multihousing Association (AMA), Arizona Housing Alliance, U.S. Department of Housing and Urban Development (HUD), and the National Association of Housing and Redevelopment Officials (NAHRO). Activity 1.1.3: Provide technical support to decision makers and property managers in support of their transition to adopting no-smoking policy, statewide. Activity 1.1.4: Ensure data from all SF policy implementation activities are submitted into Salesforce. Activity 1.1.5: Increase the number of smoke-free multi-family units in all housing sectors statewide. 2 REVISED - EXHIBIT B, SCOPE OF WORK (Detailed Work Plan, 11/1/2018 – 10/31/19 Activity 1.1.6: Continue to lead and support the Arizona Smoke Free Living Coalition by managing workgroups and activities to expand the groups reach and effectiveness through county public health partners. Objective 1.2: By November 1, 2019, use the recently developed white paper, marketing materials, subject matter experts and website information to advance state and municipal policy options with the intent of increasing smoke-free multi-unit housing on: Smoke-free ordinances, Tax credits incentives and re-development financing credits. Also focus on supporting statewide enforcement efforts by creating supports for housing industry partners. Activity 1.2.1: Present information from SIRC developed “White Paper” to other county public health officials’ or statewide organizations that have a desire to know. Activity 1.2.2: Work with media contractor to incorporate information into collateral materials (fact sheets) and web site. Activity 1.2.3: Incorporate information in educational presentations and trainings for stakeholders and decision makers in MF housing industry. Activity 1.2.4: Share info through professional organizations (AMA, AHA, NAHRO). Objective 1.3: By November 1, 2019, engage partners statewide to provide training, resources and technical support leading to improved indoor air quality in multi-unit properties statewide. Activity 1.3.1: Conduct a needs assessment to collect baseline data, identify needs and resources related to MF housing in each county. Activity 1.3.2: Identify and develop relationships with local and statewide stakeholders through in-person visits; including statewide public health partners. Activity 1.3.3: Plan, organize and execute educational events for community partners statewide. Activity 1.3.4: Provide technical support via in-person, telephone and online to community and public health partners who are involved in helping multi-family decision makers transition to adopting no-smoking rules (additional on-site support as listed previously). Activity 1.3.5: Develop relationships with decision makers in all counties engaged in the work of improving indoor air quality; reach out to professional and community organizations on a statewide basis to inform and engage decision makers. 3 REVISED - EXHIBIT B, SCOPE OF WORK (Detailed Work Plan, 11/1/2018 – 10/31/19 Activity 1.3.6: Add at least 30 properties outside of Maricopa County to the smoke-free policy LOI list. Objective 1.4: By November 1, 2019 promote and refer all smoking cessation requests for technical assistance to the Arizona Smokers’ Helpline (ASHLine) cessation services; submit a minimum of 60 Active referral to ASHLine from PHAs throughout the state. Activity 1.4.1: Provide ASHLine promotional materials to property owners/managers with properties going smoke-free. Activity 1.4.2: Include ASHLine information in all presentations to housing decision makers. Activity 1.4.3: Ensure that ALA staff members are trained and committed to making active referrals. Objective 1.5: By November 1, 2019 provide at least three statewide grassroots forums for members of the healthcare community, public health arena, and community agencies invested in indoor air quality issues to identify community needs, develop plans, share resources, and implement activities around creating smoke free environments. Activity 1.5.1: Cultivate relationships with stakeholders/volunteers invested in tobacco issues including residents in low-income communities, chambers of commerce and health care professional associations. Activity 1.5.2: Provide training opportunities to stakeholders. Activity 1.5.3: Hold strategic planning session with county public health and other stakeholders to ensure partners outside of Maricopa County are included in efforts and activities of the forum. Activity 1.5.3.1: Convene a statewide work group with input from ADHS to carry out day-to-day outreach and educational efforts statewide. Activity 1.5.4: Hold property management workshops in Maricopa County and at least two other counties within the state during this grant period; three are required. Activity 1.5.5: Conduct outreach to apartment community decision makers via trade shows, industry conferences, interfacing with professional associations, and making sales calls to property management companies. 4 REVISED - EXHIBIT B, SCOPE OF WORK (Detailed Work Plan, 11/1/2018 – 10/31/19 Goal 2: Increase awareness among the public, the healthcare community and decision makers of the health risks and economic impact of poor air quality through social media campaign, collateral material, and websites. Objective 2.1: By November 1, 2019 build messaging and disseminate campaigns to create a deeper understanding of the health risks associated with secondhand smoke exposure beyond the “nuisance/annoyance” perception. Activity 2.1.1: Work with media contractor to develop new messaging around issues such as health risk (not annoyance), disclosure policies, licensing, and childhood exposures to second hand smoke. Activity 2.1.2: Incorporate new ADHS e-cigarette messaging into presentations, web site, collateral material and social media. Objective 2.2: By November 1, 2019 contribute resources and content to www.AZSmokeFreeLiving.org to increase user traffic. Activity 2.2.1: ADHS and county partners statewide will review the www.AZSmokeFreeLiving.org website and provide input and updates on an ongoing basis. Activity 2.2.2: Incorporate new messaging around issues such as disclosure policies, licensing, and childhood exposures to second hand smoke; initiate and organize awareness events via social media. Activity 2.2.3: Continually add new data and resources to the www.AZSmokeFreeLiving.org focused on indoor air quality, multi-unit housing issues and resources, and second hand smoke exposures in other environments. Activity 2.2.4: Develop and post new content such as video profiles of multi- family housing apartment community residents, owners, and managers who have transitioned to SF policy. Activity 2.2.5: Develop new collateral material in support of new partnerships (i.e. HUD). Activity 2.2.6: Increase monthly unique visitors to www.AZSmokeFreeLiving.org website by 10% (baseline 8/17 to 7/18 is 7,513). Goal 3: Increase the number of existing Silver and Gold smoke-free properties within the 5 REVISED - EXHIBIT B, SCOPE OF WORK (Detailed Work Plan, 11/1/2018 – 10/31/19 State by at least 25%. Objective 3.1: By November 1, 2019 contact property professionals of smoke-free properties with no rules on electronic/vaping devices to educate and support upgrades in policies to include electronic/vaping devices, with the intent of increasing existing policies quality. Activity 3.1.1: Contact property professionals who haven't included electronic/vaping devices in their SF policies. Activity 3.1.2: Educate and support upgrades to SF policies to include electronic/vaping devices. Activity 3.1.3: Encourage these properties to move along the continuum to written Silver or Gold smoke-free policies. 6