AMD 10 RE SENIOR FMNP WITH ADHS.PDF

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA)
HEALTH SERVICES
AMENDMENT 150 N. 18th Ave., Ste. No. 260
Phoenix, AZ 85007
602.542.1044
PROCUREMENT OFFICER
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 10 JESSICA CANEVARI
WIC, BFPC, FMNP and ONEDS SERVICES
Effective upon signature, it is mutually agreed that the Contract referenced is amended as follows:
Pursuant to the Terms and Conditions, Provision Seven (7), Contract Changes, Item 6.1, Amendments, Purchase Orders and Change
Orders, the following is amended as follows:
1.) Scope of Services, Provision Three (3), Farmer’s Market Nutrition Program (FMNP), Item 3.1 is amended to read as follows:
3.1 The Senior, Women and Children Farmers' Market Nutrition Program (FMNP) is intended to increase consumption of locally
grown fresh fruits and vegetables by providing FMNP checks to a limited number of Seniors served by the Commodity
Supplemental Food Program and WIC women and children to purchase these items directly from growers at ADHS-
approved farmers' markets. FMNP is also intended to support local agriculture by expanding the awareness, use of and
sales at farmers' markets.
2.) Scope of Services, Provision Five (5), Scope of Work, Item 5.3, Farmer’s Market Nutrition Program (FMNP), Item 5.3.1 is hereby
added to read as follows:
5.3.1 Senior and WIC FMNP Contractors shall perform all the work required to administer and provide Senior and WIC
FMNP services to eligible participants including but not limited to:
3.) The Senior Farmer’s Market Nutrition Program (SFMNP) Price Sheet of this Amendment ten (10) is hereby added to the Contract.
CONTINUED ON NEXT PAGE
CONTRACTOR SIGNATURE
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Contractor Name Contractor Authorized Signature
4041 NORTH CENTRAL AVE., STE. NO. 1400
Address Printed Name
PHOENIX AZ 85012
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 _______________________ 20_______
Signature Date
Printed Name Procurement Officer
Attorney General Contract No. P0012014000078, which is an RESERVED FOR USE BY THE SECRETARY OF STATE
Agreement between public agencies, has been reviewed pursuant to
A.R.S. § 11-952 by the undersigned Assistant Attorney General, who Under House Bill 2011, A.R.S. § 11-952
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:

INTERGOVERNMENTAL AGREEMENT (IGA) ARIZONA DEPARTMENT OF
HEALTH SERVICES
AMENDMENT 150 N. 18th Ave., Ste. No. 260
Phoenix, AZ 85007
602.542.1044 - Main
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 10 JESSICA PROCUREMENT CANEVARI OFFICER
PRICE SHEET
JANUARY 12, 2018 TO SEPTEMBER 30, 2018
SENIOR FARMER'S MARKET NUTRITION PROGRAM (SFMNP)
UNIT OF ESTIMATED NUMBER
TYPE OF SERVICE UNIT RATE
MEASURE OF PARTICIPANTS
WIC
WIC FMNP CHECK ISSUANCE $1.70 AS NEEDED
Participant
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA)
HEALTH SERVICES
AMENDMENT 150 N. 18th Ave., Ste. No. 260
Phoenix, AZ 85007
602.542.1044 - Main
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 10 PROCUREMENT OFFICER
JESSICA CANEVARI
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 is meant to fund additional
Registered Dietitian position(s) to meet high risk counseling requirements.
Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase
Order that is signed by an authorized agent. The Purchase Order will indicate the Contract 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.) Purchase Order is
modified with an official ADHS Procurement Change Order and/or b.) 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 FFY2018 is: 56,200
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
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, written materials) are not allowable costs.
Farmer’s Market Nutrition Program:
If funding for additional FMNP checks becomes available and the Contract budget (as shown on the Contract Price
Sheet) has been fully expended; Contractor may choose whether or not to distribute the additional checks with no
increase in the Contract budget.
WIC Special Projects:
Additional monies up to $500,000.00 may be awarded under this Contract for WIC Special Projects related
to, but not limited to, infrastructure, breastfeeding promotion, nutrition services, information system
enhancement efforts and client retention efforts.
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
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA)
HEALTH SERVICES
AMENDMENT 150 N. 18th Ave., Ste. No. 260
Phoenix, AZ 85007
602.542.1044 - Main
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 10 PROCUREMENT OFFICER
JESSICA CANEVARI
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; however, the training room will share the same
internet line as the adjacent WIC clinic. ($14,867.00)
b. Cover the occupancy, security, cleaning, utilities and copier lease costs for the Thunderbird WIC clinic to
keep it open for one year to allow time for the Maricopa County WIC Program to find alternative
affordable places for WIC participants in that area to obtain services. In addition, the site supervisor
salary and ERE will also be covered for a period of one year. ($186,559.00)
c. Assist with personnel, ERE, occupancy, other operating and indirect costs related to keeping the Mesa
WIC clinic open through the end of FFY18.
ALL OTHER PROVISIONS OF THIS AGREEMENT SHALL REMAIN IN THEIR ENTIRETY
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